AHCCCS Grievance and Appeal System Report
The Grievance and Appeal System Report is designed for use by Acute and Long Term Care Contractors who provide services to AHCCCS members. It contains instructions for completing the following reports:
The reports are to be submitted for review to the Division of Health Care Management, as required by the applicable contract.
Grievance and Appeal System Reporting Guide (Updated 10/01/2022, Updated 10/01/2016, Updated 08/01/16, Updated 02/24/15, Updated 04/28/14, Updated 02/07/2014, Updated 12/30/2013, Updated 12/12/2013, Originally Posted 10/23/2013)
- Grievance System Report Cover Letter Template (Updated 10/01/2022, Updated 08/01/16, Updated 02/24/15, Originally Posted 10/23/2013)
- Grievance System Report Template (Updated 10/01/2022, Updated 10/01/2016, Updated 08/01/16, Updated 04/28/14, Updated 02/07/2014, Updated 12/30/2013, Updated 12/12/2013, Originally Posted 10/23/2013)