Figure 1: Transition Notification Matrix Notification Relinquishing Receiving Notification Notification Transaction Activity Submitted Contractor Contractor Layout Submitted Via Timeframe Annual Enrollment Choice PPL and Acute Care Acute Care FTP Server Created by the Provides the Contractor with the 834 File 10th of the month basic demographic information of all following the members who may be joining or Member's Annual leaving. This is only preliminary Enrollment Period PPL and information based on the member's ALTCS/EPD ALTCS/EPD FTP Server 834 File choice during the annual enrollment period. Completes Daily Enrollment Notification between 8:00 p.m. Dial in to AHCCCS New members to a Contractor, and 11:59 p.m. computer system and All All 834 File disenrolled or deceased, member each night for the download the data file demographic changes, other changes day's activity. for batch processing. (rate code change) Monthly Enrollment Notification Files identify the total active All All 834 File FTP Server population for each Contractor as of the first of the next month
Figure 1: Transition Notification Matrix Transaction Activity Relinquishing Contractor Receiving Contractor Notification Layout Notification Submitted Via Notification Submitted Timeframe Annual Enrollment Choice Provides the Contractor with the basic demographic information of all members who may be joining or leaving. This is only preliminary information based on the member's choice during the annual enrollment period. Acute Care Acute Care PPL and 834 File FTP Server Created by the 10th of the month following the Member's Annual Enrollment Period ALTCS/EPD ALTCS/EPD PPL and 834 File FTP Server Daily Enrollment Notification New members to a Contractor, disenrolled or deceased, member demographic changes, other changes (rate code change) All All 834 File Dial in to AHCCCS computer system and download the data file for batch processing. Completes between 8:00 p.m. and 11:59 p.m. each night for the day's activity. Monthly Enrollment Notification Files identify the total active population for each Contractor as of the first of the next month All All 834 File FTP Server
402-Member-Transition-for-Annual-Enrollment-Choice-and-Eligibility-Changes.docx