AHCCCS Technical Interface Guidelines (TIG)

 

Disclaimer This document is a technical document describing the specific technical and procedural requirements for interfaces between AHCCCS and it's contractors. It does not supersede either the Contractor's contracts or the specific procedure manuals for various operational processes. Where there are conflicts between this document and either the contracts or operational procedure manuals, the contract or procedure manual will prevail. Substantial effort has been taken to minimize any such conflicts or errors; however, AHCCCS, the Information Services Division, or its employees will not be liable or responsible for any errors or expenses resulting from the use of information in this document. If you believe there is an error in the document, please notify the AHCCCS Information Services Division immediately.

AHCCCS HIPAA references including copies of AHCCCS HIPAA implementation documents can be found at HIPAA Technical Resources.

Date Description of Changes Section
02/15/2019 Added section Special Population Diagnosis (M6) to Reference 07 File Layout Reference Interface
02/20/2019 Added DUGless File and DUGless File Layout Health Plan Interface
6/27/2019 Added Phone Number to Open Enrollment Potential Transitional Listing File Layout Health Plan Interface
6/27/2019 Added Effective Date to DUGless Output File Layout Health Plan Interface
8/15/2019 Added SMI Determination Outcome Eligible Report and File Layout Health Plan Interface
8/15/2019 Added SMI Determination Outcome Non-Eligible Report and File Layout Health Plan Interface
8/15/2019 Added Open Pended Eligible Report and File Layout Health Plan Interface
8/15/2019 Added Open Pended Non-Eligible Report and File Layout Health Plan Interface
8/15/2019 Removed Transition Potential Listing File and File Layout Health Plan Interface
8/15/2019 Removed the following files and layouts:
BHS Recipient Daily Address Change File, SMI Status Report File, SMI Open Not Submitted File, SMI Submitted File, Daily Statewide Roster, Full Statewide Roster, BHS Change Error File, Multiple CIS ID Crosswalk, AHCCCS Change Error File, Enrollment Resynch, Demographic Input File, Demographic Output File, Output Accepted Records File, Output Error File, Output Daily Summary Report File, Output Ad Hoc File and Monthly Encounter Capitation File. 		Behavioral Health Interface

Main AHCCCS telephone numbers:

  • In Maricopa County: 602-417-4000
  • Outside Maricopa County: 1-800-654-8713

Key AHCCCS contacts:

  • AHCCCS Computer Operations: 602-417-4814
  • ISD Customer Support: 602-417-4451
  • Director's Office: 602-417-4680
  • Provider Assistance: 602-417-7680
  • Purchasing/Contracts Administration: 602-417-4762