Reinsurance Information

AHCCCS offers Reinsurance as a stop-loss mechanism to provide contractors with partial reimbursement for specified contract service costs incurred by a member.

• Annual Workshop Presentation
• 2024 AHCCCS Annual Reinsurance Workshop
• 2023 AHCCCS Annual Reinsurance Workshop
• 2022 AHCCCS Annual Reinsurance Workshop
• 2021 AHCCCS Annual Reinsurance Workshop
• 2020 AHCCCS Annual Reinsurance Workshop
• 2019 AHCCCS Annual Reinsurance Workshop
• Reinsurance Hot News
• Reinsurance Policy Manual
  • Reinsurance Processing Manual Effective 10/01/2024
  • Reinsurance Processing Manual Effective 10/01/2023
  • Reinsurance Processing Manual Effective 10/01/2022
  • Reinsurance Processing Manual Effective 10/01/2021
  • Reinsurance Processing Manual Effective 10/01/2020
  • Reinsurance Processing Manual Effective 10/01/2019
  • Reinsurance Processing Manual Effective 10/01/2018
  • Reinsurance Processing Manual Effective 10/01/2017
  • Reinsurance Processing Manual Effective 12/01/2016
  • Reinsurance Processing Manual Effective 10/01/2016
  • Reinsurance Processing Document
    • Reinsurance Finance Prepaid Medical Management Information System (PMMIS) Training Manual
    • Reinsurance Transplant Case Key Entry Instructions
    • Reinsurance Edit Resolution Document
  • Reinsurance Forms
    • Reinsurance Monthly Batch Cycle Visual
    • Reinsurance Action Request Form
      • Action Request Form Instructions
    • Reinsurance Case Creation Request
    • Request for Catastrophic Reinsurance
    • The Non-Transplant Catastrophic Reinsurance Member List
    • Catastrophic Case CRN Transfer Form
      • Instructions for completing Catastrophic Case CRN Transfer Form
    • Request for Transplant Reinsurance
    • Transplant Stage Invoice Cover Sheet
    • Transplant Stage Submission Checklist
    • Transplant CRN Transfer Form
      • Instructions for completing the Transplant CRN Transfer Form
    • Day 11+ or 61+ Transplant Component Worksheet and Instructions
    • Transplant Outlier Template Effective October 1, 2016
    • Quarterly Transplant Log
    • Contractor Transplant Crossover Template
    • Transplant Transportation Lodging Form
    • SNF-Habilitation-Residential Care Rate Form
• Transplant Contracts
  • Transplant Contract
  • Attachment A – Covered Transplant Services List
  • Transplant Contract Amendment Language Changes 10/01/2024
  • Transplant Contract Amendment Language Changes 10/01/2022
  • Transplant Contract Amendment Language Changes 10/01/2021
• Transplant Rates