Ahcccs Single Case Agreement

Ahcccs Single Case Agreement

Over the past few years, we have worked with your support to implement a revolutionary deployment model – one of the first of its kind in the nation – that aims to address the full continuum of needs that an AHCCCS member may have in terms of access to health services and care. As is often the case with a transformation of this magnitude, the process exposed us to new possibilities (which, when we began this journey, we would one day be the third largest housing authority in the state), while it also served as a vehicle for learning. And while this transition has not been without its challenges, there is no doubt that our previous integration efforts have helped us refine our approach and lay the groundwork for system change that is now only 2 and a half weeks away. These protective measures depend on the cooperation of all parties. In order for a member to have access to care from their established provider during the transition period, the member`s provider must agree to serve the member and bill for the member`s health plan. To allow the member to access the provider`s ongoing services beyond the transitional period, the provider must finally agree to participate in the health plan network or sign a case-by-case agreement with the member`s health plan. AHCCCS Member Services 602-417-7100 (Maricopa County) 1-800-962-6690 (Outside Maricopa County) Since the 1st I wanted to take this opportunity to thank you, members, families, providers, health plans and interest groups – for your partnership over the past few months in the preparation of the AHCCCS Complete Care (ACC). As you know, VAC marks the largest and most effective phase of our delivery system reform efforts, which began in earnest in 2013. In addition to expanding member protection, the AHCCCS has closely monitored, over the past six months, the activities of preparing CCA plans, including but not limited to the work of networking plans, which include providers who have served the Medicaid population in Arizona, their efforts to recruit high-level staff with expertise across the continuum of services and provide support through integrated care products, as well as their adherence to the contractual mandate, which requires the availability of nursing triage services 24 hours a day, 7 days a week. The success of this transition both on 1 October and beyond will ultimately depend on our shared commitment to ensuring that those we serve are at the centre of all decisions.

While we have taken exceptional steps to mitigate problems during the transition, challenges will inevitably arise. And at those times, we must commit to taking all necessary steps to ensure that members can seamlessly access the supply – understanding that, in some cases, this can mean working a posteriori on the details of a situation. . . .


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