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Children's Rehabilitative Services
ADHS/OCSHCN/CRSA Policy and Procedure Manual
 

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Children's Rehabilitative Services follows written policies to manage the program.  Below are specific policy chapters in PDF format.  In order to view, Adobe Acrobat Reader is required.
 

ADHS/OCSHCN/CRSA 
Policy and Procedure Manual

Table of Contents

 
Business Continuity
BC 1.1 CRSA Business Continuity and Recovery Plan Specific Disruptions and Staff Roles [201K PDF]

BC 1.2 CRS Contractors Business Continuity and Recovery Plan Monitoring [40 K PDF]

BC 1.3 CRSA Business Continuity and Recovery Plan Contents, Annual Review, Training, and Testing [116K PDF]

 
Financial Management
FM 1.1 CRSContractor Annual Financial Statement Review [88K PDF]

FM 1.2 CRS Contractor Quarterly Financial Statement Review [101K PDF]

 
General Administration
GA 1.1 CRSA Annual Administrative Review Process [418K PDF]

GA 1.2 CRSA Corrective Action Plans [74K PDF]

GA 1.3 CRSA Notification Procedure for AHCCCS Medical Policy Manual and AHCCCS Contractor Operations Manual Updates [61K PDF]

GA 1.4 CRSA Document Development, Maintenance, and Dissemination [145K PDF]

GA 1.5 Language Assistance Services for CRSA and CRS Contractors [110K PDF]

GA 1.6 Review and Monitoring of CRS Contractor New Member Orientation Packets [78K PDF]

GA 1.7 CRSA Corporate Compliance Program [173K PDF]

GA 1.8 CRSA Cultural Competence Training and Education Program [108K PDF]

 
Grievance System
GS 1.1 Non-Quality of Care Grievance Process [221K PDF]
 
HIPAA
HI 1.1 CRSA HIPAA Request to Inspect/Copy Designated Record Set [17MB PDF]

HI 1.2 CRSA HIPAA Request to Amend Designated Record Set [13.7MB PDF]

HI 1.3 CRSA HIPAA Request for Restrictions of Uses and Disclosures of Protected Information for Treatment, Payment, and Health Care Operations [13.4MB PDF]

HI 1.4 CRSA HIPAA Request for Confidential Communications [11.7MB PDF]

HI 1.5 CRSA HIPAA Request for an Accounting of Disclosures [7MB PDF]

HI 1.6 CRSA HIPAA Complaint Resolution [8.3MB PDF]

HI 1.7 CRSA HIPAA Notice of Privacy Practices [7.2MB PDF]

 
Medical Management/Utilization Management
MM/UM 1.1 Detection of Over- and Under- Utilization of Services [491K PDF]

MM/UM 1.2 CRS Contractors’ Encounters Review (Retrospective Review) [64K PDF]

MM/UM 1.3 Drug Utilization Review [56K PDF]

MM/UM 1.4 Monitoring Durable Medical Equipment (DME) [62K PDF]

MM/UM 1.5 Prior Authorization Review [85K PDF]

MM/UM 1.6 Concurrent Review Process [79K PDF]

MM/UM 1.7 Inter-Rater Reliability (IRR) Testing [85K PDF]

MM/UM 1.8 Material Changes in the Provider Network [92K PDF]

MM/UM 1.9 CRSA New Medical Technology Coverage [115K PDF]

MM/UM 1.10 CRSA Clinical Practice Guideline Review [69K PDF]

 
Quality Management
QM 1.1 CRSA Peer Review Process [3MB PDF]

QM 1.2 Performance Improvement Projects (PIPs) [203K PDF]

QM 1.3 Performance Measures [103K PDF]

QM 1.4 Credentialing and Re-credentialing [281K PDF]

QM 1.5 CRSA Quality of Care Process [487K PDF]

QM 1.6 Data Validation [ 116K PDF]

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