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Blue Abstract Background

Deliverables by AHCCCS Provider Type

AHCCCS Provider Type
Description
Line of Business
AHWGMA
HNEQ
Relias Training Plan(s)
P-WFDP: Develop
P-WFDP: Submit
13
Occupational Therapist
ALTCS - E/PD
Y
Y
14
Physical Therapist
ALTCS - E/PD
Y
Y
15
Speech/Hearing Therapist
ALTCS - E/PD
Y
Y
18
Physician Assistant
ALL LOB
Y
Y
19
Registered Nurse Practitioner
ALL LOB
Y
Y
2
Hospital
ALL LOB
Y
Y
22
Nursing Homes
ALTCS - E/PD
Y
Y
23
Home Health Agencies
ALTCS - E/PD
Y
Y
24
Personal Care Attendant
ALTCS - E/PD
Y
Y
27
Adult Day Health
ALTCS - E/PD
Y
Y
29
Rural Health Clinics (RHCs)
ACC, ACC-RBHA
Y
Y
Y
Y
31
DO Physiciain Ostheopath - Cardiologist
ALL LOB
Y
Y
36
Assisted Living Homes
ALTCS - E/PD
Y
Y
37
Homemaker
ALTCS - E/PD
Y
Y
39
Habilitation Provider
ACC, ACC-RBHA, ALTCS - E/PD
Y
Y
Y
Y
40
Attendant Care
ALTCS - E/PD
Y
Y
49
Assisted Living Center
ALTCS - E/PD
Y
Y
53
Supervisory Care Homes
ALTCS - E/PD
Y
Y
7
Dentist
ALL LOB
Y
Y
77
Behavioral Health Outpatient Clinic
ACC, ACC-RBHA
Y
Y
Y
Y
78
Level I Residential Treatment Center – Secure
ACC, ACC-RBHA
Y
Y
Y
Y
8
MD Physician
ALL LOB
Y
Y
8
OBGYN
ALL LOB
Y
Y
85
Licensed Clinical Social Worker (LCSW)
ACC, ACC-RBHA
Y
Y
86
Licensed Marriage & Family Therapist (LMFT)
ACC, ACC-RBHA
Y
Y
87
Licensed Professional Counselor (LPC)
ACC, ACC-RBHA
Y
Y
A3
Community Service Agency
ACC, ACC-RBHA
Y
Y
Y
Y
Y
A4
Licensed Independent Substance Abuse Counselor (LISAC)
ACC, ACC-RBHA
Y
Y
A5
Behavioral Health Therapeutic Home
ACC, ACC-RBHA
Y
Y
A6
Rural Substance Abuse Transitional Agency
ACC, ACC-RBHA
Y
Y
Y
Y
A7
Respite
ALTCS - E/PD
Y
Y
Y
B1
Level I Residential Treatment Center – Secure (IMD)
ACC, ACC-RBHA
Y
Y
Y
Y
B2
Level I Residential Treatment Center – NonSecure (non-IMD)
ACC, ACC-RBHA
Y
Y
Y
Y
B3
Level I Residential Treatment Center – NonSecure (IMD)
ACC, ACC-RBHA
Y
Y
Y
Y
B5
Sub Acute Facility (1-16 Beds)
ACC, ACC-RBHA
Y
Y
B7
Crisis Services Provider
ACC, ACC-RBHA
Y
Y
Y
Y
B8
Behavioral Health Residential Facility
ACC, ACC-RBHA
Y
Y
Y
Y
BC
Board Certified Behavioral Analyst
ACC, ACC-RBHA
Y
Y
C2
Federally Qualified Health Centers (FQHCs)- *see HP Provider Manual
ACC, ACC-RBHA
Y
Y
Y
Y
ES
Enhanced Shelter
ACC, ACC-RBHA, H2O
Y
Y
Y
Y
Y
HA
Statewide Housing Administrator
ACC, ACC-RBHA, H2O
Y
Y
Y
Y
Y
HO
H2O Housing and Health Opportunities Provider
ACC, ACC-RBHA, H2O
Y
Y
Y
Y
Y
IC
Integrated Clinics
N/A
Y
Y
Y
Y
Understanding AHCCCS Provider Type Expectations

Below is a listing of AHCCCS Provider Types and corresponding health plan contract deliverables.

1

Locate Provider Type(s)

Review the column labeled AHCCCS Provider Type and its corresponding description for the Provider Type(s) that are applicable to your organization.

2

Identify Deliberable(s)

The deliverables outlined below include the AHWGMA, HNEQ, Relias Training Plan(s), and P-WFDP. 

The letter 'Y' signifies that "Yes, this is a requirement outlined under this provider type."

3

Learn More

Okay, you've identified your organizations deliverables - now what? Use the links below to find out more about these deliverables.

Use the information below to help strengthen your understanding of the expectations outlined by the AHCCCS Managed Care Organizations (MCOs). ​

Deliverables by AHCCCS Provider Type
Additional Support

If you need additional support, contact us! 

For questions regarding WFD requirements under DDD, please contact the WFD Manager at the DDD.

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