(AHCCCS) Acute Care Performance Measures
Acute Care Performance Measures as defined by Arizona Health Care Cost Containment System.
(AHCCCS) Arizona Health Care Cost Containment System
AHCCCS is Arizona's Medicaid program, designed to deliver quality health care under cutting-edge concepts of managed care. Over the years, independent evaluations repeatedly have praised the program's effectiveness. AHCCCS has received national acclaim as a model for other Medicaid programs.
Arizona Department of Health Services
Arizona Department of Health Services web site has comprehensive list of services provided.
Arizona Health Care Cost Containment System (AHCCCS)
MyAHCCCS allows AHCCCS members to view their own active healthcare and health plan enrollment for the following services: AHCCCS, KidsCare, Medicare, Part D, Behavior Health, Other Medical Insurance.
Best Available Evidence
CMS created the best available evidence (BAE) policy in 2006, requiring sponsors to establish the appropriate cost-sharing for low-income beneficiaries when presented with evidence that the beneficiary's information is not accurate.
Claims and Payments
Research and remits for claims and claims status.
CMS - Centers for Medicare and Medicaid Services
The Centers for Medicare & Medicaid Services (CMS) is a Federal agency within the U.S. Department of Health and Human Services. Programs for which CMS is responsible include Medicare, Medicaid, State Children's Health Insurance Program (SCHIP), HIPAA, and CLIA.
Children's Rehabilitative Services
Office for Children with Special Health Care Needs web site shows how to improve the quality of life for children by providing family-centered medical treatment, rehabilitation, and related support services.
Clinician Resources
The UnitedHealth Premium® physician designation program uses clinical information from health care claims to assist
physicians in their continuous practice improvement and to help consumers make more informed and personally
appropriate choices for their medical care.
Dental Provider Benefits Matrix for APIPA Members (PDF 140.68 KB)
Dental services are limited to members under age 21 except for a limited set of
services as indicated on the matrix.
Department Of Health & Human Services
Website for the United States Department of Health & Human Services. Administrative Simplification in the Health Care Industry
Early and Periodic Screening Diagnosis and Treatment Tracking Forms
Appendix B of the AHCCCS Medical Policy Manual contains several Early and Periodic Screening Diagnosis and Treatment Tracking Forms for specific time periods.
HIPAA
THE HIPAA privacy, security, transactions and code sets, and national identifiers resource on regulations and compliance for the healthcare industry.
HealthFinder®
Since 1997, Healthfinder? has been recognized as a key resource for finding the best government and nonprofit health and human services information on the Internet. Healthfinder links to carefully selected information and Web sites from over 1,700 health-related organizations.
Immunization Schedules
Link to latest recommended Immunization Schedules.
Lead Poisoning Awareness (PDF 479.85 KB)
Lead poisoning, which is a severe problem in Arizona, is a life altering disease that is 100% preventable.
Medicare.gov
The Official U.S. Government Site for People with Medicare.
Medical Policies
AmeriChoice/UnitedHealthcare medical policies are available to you as a general reference resource.
Beginning on October 1, 2011, when these medical policies are used to determine medical necessity, clinical guidelines will be applied in the following order: 1) AHCCCS Medical Policy Manual (AMPM) as it is updated; 2) UnitedHealthcare guidelines; and 3) "Milliman" guidelines.
My Health and Wellness
In efforts to assist and empower Arizona Health Care Cost Containment System (AHCCCS) members and their families to improve health outcomes and prevent illness, AHCCCS partnered with Healthwise, Inc. to develop this unique wellness website with evidence-based, medically reviewed health information. This wellness web portal allows families to access free state-specific, cultural, and linguistically appropriate health education and wellness information and resources.
Notifications and Prior Authorization
Electronic notifications, prior authorization requests and referral requests.
Pediatric Care Guidelines
The American Academy of Pediatrics provides organizational principles that guide and define the child health care system with a goal of improving the health of all children. Their web site also provides decision-making tools for managing common pediatric conditions.
Preventive Services Guide
Preventive Services recommendations released incrementally as they become available in the Guide to Clinical Preventive Services, Third Edition: Periodic Updates. These recommendations address new topics and update the 1996 recommendations from the Guide to Clinical Preventive Services, Second Edition.
