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Aims Data file (PBMData2011.xls) N/A 2. Claims Data file (PBMData2011.xls) N/A 3. General N/A Page # AHCCCS Arizona Health Care Cost Containment System 701 East Jefferson, MD 5700 Phoenix, Arizona 85034 Offerors Question AHCCCS Response Could you please provide updated claims data that includes prescription count, line of business, delivery system (i.e. retail 30/retail 90, mail order, specialty), date of fill, NABP, zip code, quantity, member ID and day s supply? No, AHCCCS wi.

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If you sell or transfer the property, you will need to repay AHCCCS for the medical payments AHCCCS has made on your behalf. The amount you need to repay will be equal to the amount that AHCCCS has paid or up to the amount of the excess proceeds.

AHCCCS Administration. AHCCCS Central Office. Phone: 602-417-4000. Toll-free: 1-800-654-8713. AHCCCS Rulemaking. Call: 602-417-4232. Media Relations and Public Records. Call: 602-417-4950. Email: PIO@azahcccs.gov.

AHCCCS Fraud Penalties Penalties can also include a civil penalty or fine of $5,500 to $11,000 per act/per fraudulent bill. Other additional consequences are: Incarceration. Fines.

AHCCCS uses electronic sources to obtain income information. These sources do not identify income from providing attendant or personal care to an ALTCS member living with the caregiver as difficulty of care payments. Therefore, these payments may not have been excluded in the income calculation.

Most people who get AHCCCS don't have to pay a monthly premium. If you are covered by AHCCCS, you only have to make payments when you need medical care. Generally, if you are 19 years old or older, you may have to pay small copayments as low as $2.30 when you use certain medical services that AHCCCS covers.

Income Limits Household SizeGross Monthly Income Limit Effective 02/01/2024 1 $1,331 2 $1,806 3 $2,281 4 $2,7562 more rows

Income Limits Household SizeGross Monthly Income Limit Effective 02/01/2024 1 $1,670 2 $2,266 3 $2,862 4 $3,4582 more rows

Upon an ALTCS member's passing, HMS may impose a lien on behalf of AHCCCS to secure the real property for recovery of medical assistance paid on the member's behalf, in ance with A.R.S § 36-2935.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232