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Welcome to the DDD policy page.
DDD develops policies that conform to state, federal, and contractual requirements. DDD has five policy manuals, which include the Operations, Medical, Eligibility, Behavior Supports, and Provider manuals. Changes in policy are communicated to contracted DDD providers via electronic policy notifications, which are also sent to all DDD employees, Providers, Administrative Services Subcontractors, and individuals who have opted to receive notifications.
Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Persons that require a reasonable accommodation based on language or disability should contact ADES’s Office of Equal Opportunity at [email protected]. Requests should be made as early as possible to ensure the State has an opportunity to address the accommodation.
Use the expandable sections below to view Policies or download the DDD Complete Set of All Policy Manuals.
The Division Operations Manual consolidates and provides ease of access to the Division’s Administrative, Claims, Financial, and Operational Policies. The manual should be referenced in conjunction with State and Federal regulations, AHCCCS Contractor’s Operations Manual (ACOM), and applicable contracts.
Download the complete Division Operations Manual.
The Division Medical Manual provides information regarding services that are covered within the Division’s program. The manual should be referenced in conjunction with State and Federal regulations, AHCCCS Medical Policy Manual (AMPM), and applicable contracts.
Download the complete Division Medical Manual.
Manual Chapter | Policy | |
---|---|---|
Chapter 100 Introduction | 100D - Policy Manual Definitions | |
Chapter 200 Behavioral Health Practice Tools | 210 - Working with the Birth through Five Population | |
Chapter 200 Behavioral Health Practice Tools | 211 - Psychiatric and Psychotherapeutic Best Practices for Children Birth through Five Years of Age | |
Chapter 200 Behavioral Health Practice Tools | 230 - Support and Rehabilitation Services for Children, Adolescents, and Young Adults | |
Chapter 200 Behavioral Health Practice Tools | 280 - Transition to Adulthood | |
Chapter 300 Medical Policy for Acute Services | 300 - Chapter Overview | |
Chapter 300 Medical Policy for Acute Services | 310A - Audiology | |
Chapter 300 Medical Policy for Acute Services | 310AA - Total Parenteral Nutrition | |
Chapter 300 Medical Policy for Acute Services | 310B - Title XIX/XXI Behavioral Health Services | |
Chapter 300 Medical Policy for Acute Services | 310BB - Transportation | |
Chapter 300 Medical Policy for Acute Services | 310D - Dental Services | |
Chapter 300 Medical Policy for Acute Services | 310DD - Organ Transplant | |
Chapter 300 Medical Policy for Acute Services | 310E - Dialysis | |
Chapter 300 Medical Policy for Acute Services | 310F - Emergency Medical Services | |
Chapter 300 Medical Policy for Acute Services | 310FF - Drug Utilization Review and Monitoring | |
Chapter 300 Medical Policy for Acute Services | 310H - Health Risk Assessment and Screening Tests | |
Chapter 300 Medical Policy for Acute Services | 310HH - End of Life Care and Advance Care Planning | |
Chapter 300 Medical Policy for Acute Services | 310I - Home Health Services | |
Chapter 300 Medical Policy for Acute Services | 310J - Hospice Services | |
Chapter 300 Medical Policy for Acute Services | 310K - Hospital Inpatient Services | |
Chapter 300 Medical Policy for Acute Services | 310L - Hysterectomy | |
Chapter 300 Medical Policy for Acute Services | 310M - Immunizations | |
Chapter 300 Medical Policy for Acute Services | 310N - Laboratory | |
Chapter 300 Medical Policy for Acute Services | 310O - Maternal and Child Health Services | |
Chapter 300 Medical Policy for Acute Services | 310P - Medical Supplies, Durable Medical Equipment, and Prosthetic Devices (Acute Care Services) | |
Chapter 300 Medical Policy for Acute Services | 310S - Observation Services | |
Chapter 300 Medical Policy for Acute Services | 310T - Physician Services | |
Chapter 300 Medical Policy for Acute Services | 310V - Prescription Medication/Pharmacy Services | |
Chapter 300 Medical Policy for Acute Services | 310W - Radiology and Medical Imaging | |
Chapter 300 Medical Policy for Acute Services | 310X - Rehabilitative Therapy | |
Chapter 300 Medical Policy for Acute Services | 310Y - Respiratory Therapy | |
Chapter 300 Medical Policy for Acute Services | 320A - Affiliated Practice Dental Hygienist | |
Chapter 300 Medical Policy for Acute Services | 320E - Health and Behavior Intervention | |
Chapter 300 Medical Policy for Acute Services | 320F - HIV/AIDS Treatment Services | |
Chapter 300 Medical Policy for Acute Services | 320G - Lung Volume Reduction Surgery | |
Chapter 300 Medical Policy for Acute Services | 320H - Medical Foods | |
Chapter 300 Medical Policy for Acute Services | 320I - Telehealth and Telemedicine | |
Chapter 300 Medical Policy for Acute Services | 320K - Tobacco Cessation Product | |
Chapter 300 Medical Policy for Acute Services | 320-M - Medical Marijuana and CBD Oil Products | |
Chapter 300 Medical Policy for Acute Services | 320-O - Behavioral Health Assessments and Treatment/Service Planning | |
Chapter 300 Medical Policy for Acute Services | 320-P - Serious Mental IIlness Eligibility Determination | |
Chapter 300 Medical Policy for Acute Services | 320-S - Behavior Analysis Services | |
Chapter 300 Medical Policy for Acute Services | 320-U - Pre-Petition Screening, Court Ordered Evaluation and Court Ordered Treatment | |
Chapter 300 Medical Policy for Acute Services | 320V - Behavioral Health Residential Facilities | |
Chapter 300 Medical Policy for Acute Services | 320-W Therapeutic Foster Care for Children | |
Chapter 300 Medical Policy for Acute Services | 320-X Adult Behavioral Health Therapeutic Homes | |
Chapter 300 Medical Policy for Acute Services | 330 - Covered Conditions and Services for Children’s Rehabilitative Services | |
Chapter 400 Medical Policy for Maternal and Child Health | 410 - Maternity Care Services | |
Chapter 400 Medical Policy for Maternal and Child Health | 411 - Women’s Preventative Care Services | |
Chapter 400 Medical Policy for Maternal and Child Health | 420 - Family Planning Services and Supplies | |
Chapter 400 Medical Policy for Maternal and Child Health | 430 - Early and Periodic Screening, Diagnostic and Treatment Services | |
Chapter 400 Medical Policy for Maternal and Child Health | 431 - Dental Oral Health Services for EPSDT Eligible Members | |
Chapter 400 Medical Policy for Maternal and Child Health | 450 - Out of State Placements for Behavioral Health Treatment | |
Chapter 500 Care Coordination Requirements | 510 - Primary Care Providers | |
Chapter 500 Care Coordination Requirements | 520 - Member Transitions | |
Chapter 500 Care Coordination Requirements | 530 - Member Transfers Between Facilities | |
Chapter 500 Care Coordination Requirements | 540 - Other Care Coordination Issues | |
Chapter 500 Medical Policy for Acute Services | 541 - Coordination of Care with Other Government Agencies | |
Chapter 500 Care Coordination Requirements | 550 - Member Records and Confidentiality | |
Chapter 500 Care Coordination Requirements | 570 - Community Collaborative Care Teams | |
Chapter 500 Care Coordination Requirements | 580 - Behavioral Health Referral and Intake Process | |
Chapter 600 Provider Qualifications and Provider Requirements | 610 - AHCCCS Provider Qualifications | |
Chapter 600 Provider Qualifications and Provider Requirements | 640 - Advance Directives | |
Chapter 600 Provider Qualifications and Provider Requirements | 680-C Pre-Admission Screening and Resident Review | |
Chapter 700 School Based Claiming Program - Direct Services Claiming | 700 - School Based Claiming For Medicaid | |
Chapter 800 Fee-For-Service Quality and Utilization Management | 810 - Retrospective Review | |
Chapter 900 - Quality Management / Performance Improvement Program | 910 - Quality Management/Performance Improvement Program Administrative Requirements | |
Chapter 900 - Quality Management / Performance Improvement Program | 920 - Quality Management/Performance Improvement (QM/PI) Program Scope | |
Chapter 900 - Quality Management / Performance Improvement Program | 940 - Medical Records and Communication of Clinical Information | |
Chapter 900 - Quality Management / Performance Improvement Program | 950 - Credentialing and Recredentialing Processes | |
Chapter 900 - Quality Management / Performance Improvement Program | 960 - Quality of Care Concerns | |
Chapter 900 - Quality Management / Performance Improvement Program | 961 - Incident, Accident, and Death Reporting | |
Chapter 900 - Quality Management / Performance Improvement Program | 966 - Immediate Jeopardy | |
Chapter 900 - Quality Management / Performance Improvement Program | 970 - Performance Measures | |
Chapter 900 - Quality Management / Performance Improvement Program | 980 - Performance Improvement Projects | |
Chapter 1000 Medical Management | 1000 - Chapter Overview | |
Chapter 1000 Medical Management | 1010 - Medical Management Administrative Requirements | |
Chapter 1000 Medical Management | 1020 - Medical Management Scope and Components | |
Chapter 1000 Medical Management | 1030 - Reporting Requirements | |
Chapter 1000 Medical Management | 1040 - Outreach, Engagement and Re-Engagement for Behavioral Health | |
Chapter 1200 Services and Settings | 1200 - Overview | |
Chapter 1200 Services and Settings | 1210 - Institutional Services and Settings | |
Chapter 1200 Services and Settings | 1230A - Assisted Living Facilities | |
Chapter 1200 Services and Settings | 1230C - Room and Board | |
Chapter 1200 Services and Settings | 1240A - Attendant Care and Homemaker (Direct Care Services) | |
Chapter 1200 Services and Settings | 1240A1 - Exhibit 1240A-1 , Attendant Care Supervision Requirements Age 17 and Under | |
Chapter 1200 Services and Settings | 1240A2 - Exhibit 1240A-2, Attendant Care Supervision Requirements Age 18 and Above | |
Chapter 1200 Services and Settings | 1240A3 - Exhibit 1240A-3 , Attendant Care Supervision Documentation Requirements | |
Chapter 1200 Services and Settings | AHCCCS 1240A - Policy Guidance regarding background check requirements | |
Chapter 1200 Services and Settings | 1240C - Community Transition Services | |
Chapter 1200 Services and Settings | 1240D - Emergency Alert System | |
Chapter 1200 Services and Settings | 1240E - Habilitation Services | |
Chapter 1200 Services and Settings | 1240G - Home Nursing | |
Chapter 1200 Services and Settings | 1240G1 - Exhibit, Skilled Nursing Matrix | |
Chapter 1200 Services and Settings | 1240H - Home Health Aide | |
Chapter 1200 Services and Settings | 1240I - Home Modifications | |
Chapter 1200 Services and Settings | 1250B - Hospice | |
Chapter 1200 Services and Settings | 1250C - Medical and Acute Care Services | |
Chapter 1200 Services and Settings | 1250D - Respite | |
Chapter 1200 Services and Settings | 1250E - Therapies (Rehabilitative and Habilitative) | |
Chapter 1200 Services and Settings | 1250F - Medical Supplies, Equipment, Appliances, and Customized Durable Medical Equipment | |
Chapter 1200 Services and Settings | 1250G - Nutritional Assessments and Nutritional Therapy | |
Chapter 1200 Services and Settings | 1250H - Transportation | |
Chapter 1200 Services and Settings | 1280 - State Funded Services | |
Chapter 1600 Case Management | 1610 - Guiding Principles and Components of Support Coordination | |
Chapter 1600 Case Management | 1620A - Initial Contact / Visit Standard | |
Chapter 1600 Case Management | 1620B - Needs Assessment / Care Planning Standard | |
Chapter 1600 Case Management | 1620C - Cost Effectiveness Study | |
Chapter 1600 Case Management | 1620D - Placement and Service Planning for ALTCS Eligible Members | |
Chapter 1600 Case Management | 1620E - Service Plan Monitoring and Reassessment Standards | |
Chapter 1600 Case Management | 1620G - Behavioral Health Standards | |
Chapter 1600 Case Management | 1620K - Skilled Nursing Need Standard | |
Chapter 1600 Case Management | 1620L - Case File Documentation | |
Chapter 1600 Case Management | 1620N - Service Closure and Case Closure | |
Chapter 1600 Case Management | 1620O - Abuse, Neglect and Exploitation Reporting Standard | |
Chapter 1600 Case Management | 1630 - Administrative Standards | |
Chapter 1600 Case Management | 1640 - Targeted Support Coordination Standards | |
Chapter 1600 Case Management | 1650 - Division Only Eligibility (DD-Only) Support Coordination Standards | |
Medical Manual | Revision History |
The Division Eligibility Manual provides information regarding eligibility with the Division and the application process. The manual should be referenced in conjunction with State and Federal regulations and applicable contracts.
Download the complete Division Eligibility Manual.
Manual Chapter | Policy |
---|---|
Chapter 100 | Responsibilities |
Chapter 200 | 200 - Requirements for Division Eligibility Overview |
Chapter 200 | 200A - Residency |
Chapter 200 | 200B - Citizenship or Legal Residency |
Chapter 200 | 200C - Social Security Numbers |
Chapter 200 | 200E - Responsible Person and Application |
Chapter 200 | 200G - Diagnostic and Functional Criteria for Persons Age Six and Above |
Chapter 200 | 200H - Criteria for Children Birth to Age 6 |
Chapter 200 | 200I - Adult Applicants with Limited Documentation |
Chapter 400 | Eligibility Determination Process |
Chapter 500 | Assignment of Support Coordinators |
Chapter 600 | Re-Determination of Eligibility |
Chapter 700 | Determination of ALTCS Eligibility |
Chapter 800 | Eligibility for the Arizona Intervention Program |
Chapter 900 | Eligibility Categories |
Chapter 1000 | Responsibilities of the Member/Responsible Person |
Eligibility Manual |
The Division Behavior Supports Manual provides information regarding Behavioral Health Supports and Services. The manual should be referenced in conjunction with State and Federal regulations, Article 9, and applicable contracts.
Download the complete Division Behavior Supports Manual.
Manual Chapter | Policy |
---|---|
Chapter 100 | Definition and Applicability |
Chapter 200 | Prohibitions |
Chapter 300 | Violations |
Chapter 400 | Program Review Committee |
Chapter 500 | Individual Support Plan Team Responsibilities |
Chapter 600 | Restitution |
Chapter 700 | Behavior Modifying Medication, Monitoring Behavior Modifying Medications and Treatment Plans |
Chapter 900 | Emergency Measures and Physical Management Techniques |
Behavior Supports Manual |
The Division Provider Manual provides information to Division contractors regarding provider responsibilities and requirements. The manual should be referenced in conjunction with State and Federal regulations, AHCCCS Policy Manuals, and applicable contracts.
Download the complete Division Provider Manual.
Preface - Intended Users of the Provider Policy Manual
The Administrative Services Subcontractors (AdSS) Medical Manual provides information on the medical policies for acute services,maternal and child health, care coordination requirements, provider qualifications and responsibilities, quality management and performance improvement program, medication management, and services and settings of the AdSS. The manual should be referenced in conjunction with State and Federal regulations, AHCCCS Contractor’s Operations Manual (ACOM), the Division Medical Manual and applicable contracts.
Download the complete Division Administrative Services for Subcontractors (AdSS) Medical Manual
The Administrative Services Subcontractors (AdSS) Operations Manual provides information on the Administrative, Claims, Financial, and Operational responsibilities and requirements of the AdSS. The manual should be referenced in conjunction with State and Federal regulations, AHCCCS Contractor’s Operations Manual (ACOM), the Division Operations Manual, and applicable contracts.
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Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification.