The Arizona Health Care Cost Containment System (AHCCCS) Quality Management System (QMS) Portal is used for the submission of Incident/Accident/Death (IAD) reports for Behavioral Health providers only. And she said AHCCCS has not reviewed the health plans, with which it contracts to provide direct services to patients, once every three years as required. Nez received outpatient services through Sunrise Native Recovery, an outpatient drug-and-alcohol treatment center. Rehab center scams are targeting Indigenous people, advocates say The sample size was determined using Cochran's formula, 110 teachers were selected, and 108 teachers completed the questionnaires. We will have nowhere to send these patients. AHCCCS receives County inmate data for more than 90% of the state to assist with eligibility compliance. Our investigation indicated that about 36.7% of accidents were caused by exposures to electricity transmission networks during in buildings (10%) and during unauthorized construction operations of residential houses in the areas of Medium Voltage (MV) and Lowest Voltage (LW) lines (26.7%). endstream endobj 572 0 obj <>stream Policy Manuals A Quality Incident can be detrimental to a members health or safety and may reflect that the care provided was below the professional standards of care. relevant to official investigations. CycIA4[QMciX 9; The agency estimates the change would save $1.1 million over five months. She pointed out that in the last fiscal year, AHCCCS reported that it either recovered or saved about $48.1 million in state and federal funds. Individuals are presumed innocent until proven guilty beyond a reasonable doubt. A complaint is simply the method by which a person is charged with criminal activity and raises no inference of guilt. OIG Administrative Assistant, (602) 417-4193, General AHCCCS Information Sunrise would see a drastic funding cut because all of its patients are Native American. Instead of reimbursing providers a percentage of their charges, they will get a flat rate per patient per day. AHCCCS had not completed a preliminary investigation of 87% of potential provider fraud or abuse to the Attorney Generals Office within three months, the time frame established in an agreement between the two agencies, Perry said. AHCCCS said the proposed change may impact about 223 providers or about 10 percent of more than 2,200 providers. In addition to criminal Medicaid Fraud Control Unit | Arizona Attorney General

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