
Deliverables by AHCCCS Provider Type
Understanding AHCCCS Provider Type Expectations
Below is a listing of AHCCCS Provider Types and corresponding health plan contract 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
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)
Deliverables are outlined below each AHCCCS Provider Type in the table below and include the AHWGMA, HNEQ, AWFDA Training Plan(s), and P-WFDP.
3
Learn More
Okay, you've identified your organizations deliverables - now what? Use the links below to find out more about these deliverables.
Deliverables by AHCCCS Provider Type
02
Hospital
ALL LOB
AHWGMA
HNEQ
07
Dentist
ALL LOB
AHWGMA
HNEQ
08
MD Physician
ALL LOB
AHWGMA
HNEQ
08
OBGYN
ALL LOB
AHWGMA
HNEQ
1
Group-Payment ID
DDD
AHWGMA
P-WFDP: Required to Develop/Update
13
Occupational Therapist
DDD
AHWGMA
P-WFDP: Required to Develop/Update
13
Occupational Therapist
ALTCS - E/PD
AHWGMA
HNEQ
14
Physical Therapist
ALTCS - E/PD
AHWGMA
HNEQ
14
Physical Therapist
DDD
AHWGMA
P-WFDP: Required to Develop/Update
15
Speech/Hearing Therapist
DDD
AHWGMA
P-WFDP: Required to Develop/Update
15
Speech/Hearing Therapist
ALTCS - E/PD
AHWGMA
HNEQ
18
Physician Assistant
ALL LOB
AHWGMA
HNEQ
19
Registered Nurse Practitioner
ALL LOB
AHWGMA
HNEQ
22
Nursing Homes
ALTCS - E/PD
AHWGMA
HNEQ
23
Home Health Agency
DDD
AHWGMA
P-WFDP: Required to Develop/Update
23
Home Health Agencies
ALTCS - E/PD
AHWGMA
HNEQ
24
Personal Care Attendant
ALTCS - E/PD
AHWGMA
HNEQ
25
Group Home
DDD
AHWGMA
P-WFDP: Required to Develop/Update
27
Adult Day Health
DDD
AHWGMA
P-WFDP: Required to Develop/Update
27
Adult Day Health
ALTCS - E/PD
AHWGMA
HNEQ
29
Rural Health Clinics (RHCs)
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
31
DO Physiciain Ostheopath - Cardiologist
ALL LOB
AHWGMA
HNEQ
36
Assisted Living Homes
DDD
AHWGMA
P-WFDP: Required to Develop/Update
36
Assisted Living Homes
ALTCS - E/PD
AHWGMA
HNEQ
37
Homemaker
ALTCS - E/PD
AHWGMA
HNEQ
37
Homemaker
DDD
AHWGMA
P-WFDP: Required to Develop/Update
39
Habilitation Provider
DDD
AHWGMA
P-WFDP: Required to Develop/Update
39
Habilitation Provider
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
40
Attendant Care
DDD
AHWGMA
P-WFDP: Required to Develop/Update
40
Attendant Care
ALTCS - E/PD
AHWGMA
HNEQ
49
Assisted Living Centers
DDD
AHWGMA
P-WFDP: Required to Develop/Update
49
Assisted Living Center
ALTCS - E/PD
AHWGMA
HNEQ
53
Supervisory Care Homes
ALTCS - E/PD
AHWGMA
HNEQ
77
Behavioral Health Outpatient Clinic
DDD
AHWGMA
P-WFDP: Required to Develop/Update
77
Behavioral Health Outpatient Clinic
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
78
Level I Residential Treatment Center – Secure
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
85
Licensed Clinical Social Worker (LCSW)
ACC, ACC-RBHA
AHWGMA
HNEQ
86
Licensed Marriage & Family Therapist (LMFT)
ACC, ACC-RBHA
AHWGMA
HNEQ
87
Licensed Professional Counselor (LPC)
ACC, ACC-RBHA
AHWGMA
HNEQ
95
Non-Medicare Certified Home Health Agencies
DDD
AHWGMA
P-WFDP: Required to Develop/Update
A3
Community Service Agency
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Submit
A3
Community Service Agency
DDD
AHWGMA
P-WFDP: Required to Develop/Update
A4
Licensed Independent Substance Abuse Counselor (LISAC)
ACC, ACC-RBHA
AHWGMA
HNEQ
A5
Behavioral Health Therapeutic Home
ACC, ACC-RBHA
AHWGMA
HNEQ
A6
Rural Substance Abuse Transitional Agency
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
A7
Respite
DDD
AHWGMA
P-WFDP: Required to Develop/Update
A7
Respite
ALTCS - E/PD
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
B1
Level I Residential Treatment Center – Secure (IMD)
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
B2
Level I Residential Treatment Center – NonSecure (non-IMD)
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
B3
Level I Residential Treatment Center – NonSecure (IMD)
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
B5
Sub Acute Facility (1-16 Beds)
ACC, ACC-RBHA
AHWGMA
HNEQ
B7
Crisis Services Provider
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
B8
Behavioral Health Residential Facility
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
BC
Board Certified Behavioral Analyst
ACC, ACC-RBHA
AHWGMA
HNEQ
C2
Federally Qualified Health Centers (FQHCs)- *see HP Provider Manual
ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
ES
Enhanced Shelter
H2O, ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Submit
HA
Statewide Housing Administrator
ACC, ACC-RBHA, H2O
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Submit
HO
H2O Housing and Health Opportunities Provider
H2O, ACC, ACC-RBHA
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Submit
IC
Integrated Clinics
ALL LOB
AHWGMA
HNEQ
AWFDA Core Training Plan(s) (Relias)
P-WFDP: Required to Develop/Update
