YH12-0001 - ALTCS Bidder's Library

AHCCCS has awarded contracts to three managed care companies to provide long term care services to Arizonans enrolled in the Arizona Long Term Care System (ALTCS). The contracts begin October 1, 2011, and are in place for up to a five year period. Please see the link below for more information.

• ALTCS Award Announcement
• Protest of ALTCS Contract Award
• Mercy Care Protest
• Mercy Care Plan Decision Letter
• Mercy Appeal
• Mercy Care Dismissal of Appeal
• SCAN Protest
• SCAN Decision Letter
• SCAN Appeal
• SCAN - Director's Decision
• SCAN Appeal #2
• SCAN Decision Letter #2

This information may be downloaded in two ways:
1. Download Entire YH12-0001 Library
2. Download Individual Files from Listing Below

• Pre-release Question and Answer Document
• ALTCS Presentation (rev. 8/31/10)

• Closure Date: April 1, 2011, 3:00 P.M. MST
• Request for Proposal (RFP) YH12-0001
• RFP Section G: Representations and Certifications of Offeror
• RFP Section H: Evaluation Factors and Selection Process
• RFP Section I: Instructions to Offerors
• Solicitation Amendment #1 - Q & A (2/24/11)
• Solicitation Amendment #2 - Q & A (3/11/11)
• Summary of Changes to EPD Contract
• Geographic Service Area (GSA) Information
• GSA Enrollment Map

Note: Those items designated as 'Available in EFT' refers to Electronic File Transfer. See Section A: below for more information.

• Conference Information
• Prospective Offerors' Conference
• Technical Interface Meeting
• Conference Attendance

Note: Copies of the presentation and/or the RFP will not be available at the conference.

• Offeror's Checklist
• Question and Responses Template
• Sample Letter of Intent
• Network Attestation
• Network Summary Template

• Section A Data Supplement Instructions and Overview
• Section B Program Changes
• Section C: Data Book Information
  • Introduction
  • General Trend and Rate Setting Assumptions
  • Utilization and Cost  (Available in EFT)
  • Member Month  (Available in EFT)
  • Utilization and Cost Summary Report  (Available in EFT)
  • Member Month Summary Report  (Available in EFT)
• Section D: Service Matrix/Selection Criteria
  • Introduction
  • Service Matrix/Selection Criteria
• Section E: AHCCCS Categories of Service/Form Types/Provider Types/Descriptions
  • Introduction
  • AHCCCS Categories of Service
  • Form Types
  • Provider Types
• Section F: Bid Submission Tools
  • Note: See the RFP, Section I, Paragraph 14, Capitation
    • Capitation Bid Template
    • Case Management Model
    • HCBS Mix Percentages
    • SOC Amounts
    • Medical Component Ranges
    • Reinsurance Offsets
    • Inpatient Link Reinsurance Impact
• Section G: Enrollment/Placement Information
  • AHCCCS ALTCS Enrollment
    • September 2007
    • September 2008
    • September 2009
    • September 2010
  • AHCCCS Population by Category
  • AHCCCS Population by Health Care Contractor
  • Dual and Non-Dual Enrollment by PC(2007- 2010) (Available in EFT)
• Member Placement by PC (2007- 2010) (Available in EFT)
• Member Placement Comparison by PC (2010)  (Available in EFT)
• Annual Enrollment Choice Statistics
• Maricopa Auto Assignment
• Maricopa Choice Statistics
• ALTCS Members by County, Age and Gender  (Available in EFT)
• Enrollment by Zip Code  (Available in EFT)
• Length of Enrollment
• ALTCS Members Summary Report
• Member Discontinuance  (Available in EFT)
• Initial Placement Information  (Available in EFT)
• Section H: Financial Information
  • Audited Financial Information
  • Unaudited Financial Information (Available in EFT)
  • Share of Cost Reconciliation Results
    • 2008 / 2009 Results
• Section I: Capitation Rates
• Section J: Reinsurance
  • Introduction
  • Historical Payments

• Section C – Utilization and Cost Text File
• Section C – Member Month Text File
• Section C – Utilization and Cost Summary Report
• Section C – Member Month Summary Report
• Section G – Dual and Non-Dual Enrollment by PC
• Section G – Member Placement by PC
• Section G – Member Placement Comparison by PC
• Section G – ALTCS Members by County, Age and Gender
• Section G – Enrollment by Zip Code
• Section G – Member Discontinuance
• Section G – Initial Placement Information
• Section H – Unaudited Financial Information

Case Management Training - Housing, Employment and Education
The Case Management links were updated 2/2/2011

• Integration and Independence
• Attaining Education Goals
• Obtaining or Maintaining Housing
• Employment Services Programs
• Overview of the Social Security Programs
• SSA Work Incentives
• Employment and the Public Health Programs
• SSA Cash When Somebody Works
• Asset Building for Workers with Disabilities
• Home and Community Based Services Report
• ALTCS Member Satisfaction Survey 2008:
  • Full Report
  • Summary Report

• AHCCCS Laws, Regulations and Waivers

• Draft Policies for CYE12:
  • ALTCS Network Standards
  • ALTCS Network Summary
  • HCBS Reconciliation
  • Network Development and Management Plan
  • Guidelines for Managing Behavioral Health Situations
• AHCCCS Eligibility Documents
• AHCCCS Medical Policy Manual (AMPM)
• Financial Reporting Guidelines
• Behavioral Health Services Guide
• AHCCCS Contractor Operations Manual (ACOM)
• Encounter Reporting User Manual
• Program Integrity Reporting Guide
• Data Validation User Manual
• Grievance System Reporting Guide
• HIPAA Companion Documents
• Reinsurance Processing Manual
• Technical Interface Guidelines
• Claims System Reporting Guide

• AHCCCS Fee-For-Service (FFS) Rates
• AHCCCS Capitation Rates
• Enrollment Rate Codes and Eligibility Categories

• ALTCS RFP Final Scoring