CODAC Management Manual

Our ACC contracts are the largest contracts and cover folks on Medicaid or individuals who may qualify through federal grant dollars for those who do not qualify for AHCCCS such as Substance Abuse Block Grant (SABG) but are in need of services. Beyond our ACC contacts with these organizations, we may also contract with these organizations to provide care to other individuals that have their insurance and are in need of service but may not be on Medicaid or may have dual eligibility, etc. If unsure what services are covered for any individual you and/or your direct reports should contact Membership to assist in clarifying benefit eligibility questions. In addition, CODAC also receives funding through public or private grants, donors and other methods. Some of these dollars may be restricted, which means that there are specific requirements that need to be met in order to access funds. Most funding sources have particular guidelines, restrictions and specific details related to the services that can be provided and may include additional provider requirements. These can typically be found on the funders websites under provider information links or tabs. The three major AHCCCS health plans CODAC is contracted with have published provider manuals for reference on their websites, Also, AHCCCS publishes guides and manuals which are available for review. Specific CODAC personnel are assigned to monitor any changes in these contracts, manuals, policies, or guidelines and will keep internal employees alerted to any changes. However, anyone can research these guidelines and see what requirements are outlined. Should you have any questions related to provider requirements by payor please contact the QM Department. CODAC PLANS CODAC Plans can be found on the CARF Page on the intranet: Link • Corporate Compliance Plan - ensures that CODAC provides services that fully comply with all federal, state, and local regulations, applicable laws, and contractual obligations, and adhere to explicit ethical standards throughout all facets of the organization’s operations. CODAC will ensure these conditions of operation are met through an organized and ongoing comprehensive Corporate Compliance Program in alignment with the Office of Inspector General. • Cultural Competency Plan - ensures design, delivery, monitoring and evaluation of culturally competent care and to establish a mechanism in which CODAC recruits, evaluates, trains and monitors itself based on culturally and linguistically appropriate practices for the individuals served. • Emergency Preparedness Plan - ensures the safety of members, visitors, personnel, and other stakeholders in the event of a natural or manmade event that suddenly or significantly disrupts the environment of care; disrupts care and treatment; or changes or increases demands for services. The Emergency Preparedness Plan is designed to minimize the effects of an emergency and to continue mission critical business operations. • Pandemic Plan - addresses the actions CODAC will take to continue provision of contracted services in during a Pandemic. • Infectious Disease Control Plan - In order to prevent or minimize the occurrence and transmission of communicable diseases and to comply with all applicable regulations, CODAC’s Infection Control Plan provides a summary of CODAC’s process for reducing the risk of communicable diseases in members, personnel, and other customers. The Infectious Disease Control Plan emphasizes awareness through

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