AHCCCS Medical Policy Manual (AMPM)

The AHCCCS Medical Policy Manual (AMPM) provides information to Contractors and Providers regarding services that are covered within the AHCCCS program. The AMPM is applicable to both Managed Care and Fee-for-Service members.

The AMPM should be referenced in conjunction with State and Federal regulations, other Agency manuals [AHCCCS Contractors' Operations Manual (ACOM) and the AHCCCS Fee-for-Service Manual], and applicable contracts.


To receive a notification when policies are available for Tribal Consultation Notification/Public Comment or have been updated, please sign up for Constant Contact email notification by following the instructions below.

To view AMPM Policies, select Policy from the AMPM Table of Contents below.

AHCCCS Medical Policy Manual (AMPM)

AMPM Policies and related materials that have been opened for review/revisions and will serve to provide Tribal Consultation Notification/Public Comment can be found at the below location. This location allows stakeholders to review and submit comments regarding proposed revisions. The Policies will be open for comment for not more than 45 days unless otherwise stipulated. Should an expedited time period be utilize, the expedited time period will not be less than two weeks. The comment deadline will be specified on each document.

Tribal Consultation Notification/Public Comment

The policies below are policies that have been approved by AHCCCS but have not yet reached their implementation date. Changes to these policies may occur up to the date of official publication to the AHCCCS Medical Policy Manual (AMPM).

When the policy reaches its implementation date, it will be removed from the list below and published to the AMPM. Any changes that may have occurred after publishing to this site will be indicated in the final Revision Memo upon official publication to the AMPM.

  • None at this time
    • Chapter 200: Reserved
  • 320-A, Affiliated Practice Dental Hygienist
  • 320-B, AHCCCS Member Participation in Experimental Treatment
  • 320-C, Breast and Cervical Cancer Treatment Program
  • 320-D, Reserved
  • 320-E, Health and Behavior Intervention
  • 320-F, HIV-AIDS Treatment Services
  • 320-G, Lung Volume Reduction Surgery
  • 320-H, Metabolic Medical Foods
  • 320-I, Telehealth and Telemedicine
  • 320-J, Reserved
  • 320-K, Tobacco Cessation Product
  • 320-L, Neuropsychological Testing
  • 320-M, Medical Marijuana
  • 320-N, Hepatitis C (HCV) Prior Authorization Requirements for Direct Acting Antiviral Medication
  • 320-O, Reserved
  • 320-P, Serious Mental Illness Eligibility Determination
  • 320-Q, General and Informed Consent
  • 320-R, Special Assistance for Persons Determined to Have a Serious Mental Illness
  • 320-S, Reserved
  • 320-T, Non-Discretionary Federal Grants
  • 320-U, Pre-Petition Screening, Court Ordered Evaluation and Court Ordered Treatment
  • Chapter 1400: Reserved
  • Chapter 1500: Reserved