Arizona downloads
   
 
To print these documents:

(1)If you have a fast internet connection, simply click on the link with the corrsponding document description (this may take a couple seconds to load)
(2)Right click on the link and chose 'Save Target as'. Then save the file to a folder you are familiar with and then open the file and print.
  Arizona Agreements
  Direct Service Claiming (DSC) Program Agreement (PDF)
  Medicaid Admin Claiming (MAC) Program Agreement (PDF)
  School Based Claiming Program Information
  Direct Service Claiming Brochure (PDF)
  Medicaid Admin Claiming Program Brochure (PDF)
  LEA MAC Contact Information Sheet (DOC)
  RIS April 2008 Supporting Documentation (PDF)
  RIS November 2008 Handouts
   
  School Based Claiming Handbooks
  DSC Handbook
  MAC Handbook
   
  Power Point Presentations
  DSC 101 (PPT)
  DSC Billing: How to Bill and What to Consider (PDF)
  MAC Coordinators Training (June 2005) (PPT)
  MAC Coordinators Training (September 2006) (PPT)
  MAC RMS Participant material (PPT)
  MAC Cost Reporting Power Point (October 2006) (PPT)
  MAC Cost Reporting Power point (May 2006) (PPT)
  MAC Cost Reporting Sample Template (May 2006) (XLS)
  MAC Cost Reporting Powerpoint (PPT)
  Regional Information Session (July 2004) (PDF)
  Regional Information Session (Oct 2004) (PDF)
  Regional Information Session (April 2005) (PDF)
  Regional Information Session (January 2006) (PDF)
  Regional Information Session (September 2006) (PDF)
  Regional Information Session (October 2007) (PDF)
  Regional Information Session (April 2008) (PDF)
  Regional Information Session (November 2008) (PDF)
   
  DSC Materials
  Billing Company Authorization Form (DOC)
  DSC Certification of Matching Funds Worksheet (XLS)
  DSC Certification of Matching Funds Worksheet - Instructions (PDF)
  How to get your Individual NPI number (PDF)
  NPI Supplemental Registration Form (PDF)
  How to get your LEA Organizational NPI number (DOC)
  How to Read a Remit (PDF)
  CMS 1500 Blank Form (PDF)
  Resource Guide for the Regional Information Session September 2006 (PDF)
  File Review & Compliance Review Questions (PDF)
  5-08 Codes and Rates for DSC (PDF)
  10-08 Codes and Rates for DSC (PDF)
  Billing Companies' Contact Information (PDF)
  Electronic Signature Questionnaire with Instructions (PDF)
   
  MAC Templates
  Excel template for Cost Reporting (XLS)
  Excel template for District Wide Reporting (XLS)
   
  MAC Guides for LEA contacts
  WebMAC District Coordinator's Guide (August 2006)
  MAC Coordinator's Training (DOC)
  MAC Cost Reporting Guide (PDF)
   
  MAC Materials
  MAC LEA Training Sign-in Sheet (DOC)
  Position Classification Form (PDF)
  RMS Activity Code Quiz (without answers) (DOC)
  RMS Activity Code Quiz (with answers) (DOC)
  Training Video Request Form (DOC)
  WebMAC - Frequently Asked Questions (PDF)
 

  Job Title
  Job Title (PDF)
  LEA Job Code Classification Form (PDF)
   
  Special Education Notes and Material
  Special Ed Director Input Group Minutes, February 2006 (PDF)
   
  Education & Medicaid Publications
  School-based Medicaid for Children with Disabilities (PDF)
  A Guide to the Individualized Education Program (PDF)
   

 

 

 

 

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