CRS Regional Contractors Policy and Procedures Manual  [PDF 1.8MB] updated 4/9/08

• Table of Contents    (rev.10-09-07)  [PDF 125K] 
• Chapter 10  Administration [PDF 106K]
• Chapter 20  Enrollment Requirements [PDF 430K]  updated 4/9/08
  • Assignment of Benefits Agreement English   11-02-06 [PDF 21K]
  • Assignment of Benefits Agreement Spanish  11-02-06 [PDF 20K]
  • CRS Member Pay Responsibility FPL Worksheet  [XLS 51K]
  • CRS TAD  6-26-07 [PDF 87K]
  • Pay Agreement for Non AHCCCS Spanish  11-02-06 [PDF 22K]
  • Payment Agreement for Non AHCCCS English   11-02-06 [PDF 21K]
• Chapter 30  Covered and Excluded Conditions [PDF 36K]
• Chapter 40  CRS Services  [PDF 98K]
• Chapter 50  Standards for Payment  [PDF 211K] 
• Overpayment/Underpayment Log [XLS 18K]
• Claims Training Log [XLS 22K]
• Denials/Appeals/Claims/Hearings Log [XLS 30K]
• Paid Claims to Encounters Report Template [XLS 27K]
• Deleted Encounters [XLS 18K]
• Claims Accuracy Template [XLS 26K]
• Chapter 60  Grievance and Appeals  [PDF 264K]
  • Letter #1 Non-quality of care grievance acknowledgement [PDF 106K]
  • Letter #2 Non-quality of care grievance resolution [PDF 103K]
  • Letter #3 Appeal acknowledgement [PDF 83K]
  • Letter #4 Request for extension [PDF 86K]
  • Letter #5 Notice of appeal resolution [PDF 112K]
  • Letter #6 Notice of Decision to ALTCS/Program Contractor [PDF 124K]
  • Quality of Care Concern Severity Levels [PDF 134K]
• Chapter 70  Records  [PDF 111K]
• Chapter 80  Program Oversight 12-4-07  [PDF 578K]
  • 1-Quality of Care Acknowledgement Letter [PDF 184K]
  • 2-Quality of Care Resolution Letter [PDF 161K]
  • 3-Quality of Care Severity Levels [PDF 183K]
  • 4-Quality of Care Categories [PDF 125K]
  • 5-Notice of Action (English & Spanish) [PDF 189K]
  • 6-Notification of Extension for Service Authorization Timeframe (English & Spanish) [PDF 160K]
  • 7-Notice to ALTCS/Acute Care Contractor of Non-Coverage by Children’s Rehabilitative Services (English & Spanish) [PDF 141K]
  • 8-Notice of Decision by CRS on ALTCS/Acute Care Contractor Request for Review (English & Spanish) [PDF 176K]
  • 9-Notice to AHCCCS Health Plan/Program Contractor of Non-Coverage by Children’s Rehabilitative Services (English & Spanish) [PDF 140K]
  • 10-Notification of Extension for Referral to ALTCS/Acute Care Contractor (English & Spanish) [PDF 140K]

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