Welcome! The University of Arizona Health Plans (Health Plan) would like to thank you for providing quality medical care to our members. In instances where information is specific to a particular product line, it will be noted within that specific chapter. Each chapter contains information that is common to all product lines. This Provider Manual contains information for all product lines University Family Care, Maricopa Health Plan, University Care Advantage and University Healthcare Marketplace. Introduction This manual has been organized to present the Health Plan s participating providers with specific and pertinent information to which all providers must adhere. Revised 10/2014 CRS Section 16 16.0 Maternity & Family Planning Section 17 17.0 Pharmaceutical Services Section 18 18.0 Eligibility & Enrollment Section 19 19.0 Model of Care Section 20 20.0 KidsCare Section 21 21.0 Business Continuity Plan Section 22 22.0 Member ID Revised 10/2014 Section 1 1.0 Introduction to University of Arizona Health Plans Section 2 2.0 Definitions Section 3 3.0 Contact Lists Section 4 4.0 Network Development Section 5 5.0 Provider Standards & Responsibilities Section 6 6.0 Claims Section 7 7.0 Member Copayments Section 8 8.0 Covered Services Section 9 9.0 Referral & Prior Authorization Section 10 10.0 Quality Management Section 11 11.0 Behavioral Health Services Section 12 12.0 Dental Care Services Section 13 13.0 EPSDT Section 14 14.0 AzEIP Section 15 15.0
Revised /201 For Providers contracted with University Family Care, Maricopa Health Plan, University Care Advantage, University Healthcare Marketplace, Maricopa Care Advantage