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Last update: October 14, 2020
The Arizona Health Care Cost Containment System (AHCCCS) requires care providers to comply with specific appointment availability standards – as outlined in the AHCCCS Contractor Operations Manual, Policy 417 – so members have access to timely medical care. UnitedHealthcare Community Plan works with DialAmerica to conduct quarterly appointment availability surveys to help ensure care providers follow these requirements.
Adhering to the following AHCCCS appointment availability standards will help ensure you have successful survey results and availability to care for your patients, who are UnitedHealthcare Community Plan members.
Primary Care Provider (PCP)
No later than two business days of request*
Within 21 calendar days of request
No later than three business days of request*
Within 45 calendar days of referral
Within 45 calendar days of request. Routine for CMDP only: Within 30 calendar days of request.
High-risk pregnancies – no later than three business days of identification of high risk by contractor* or immediately if an emergency exists
No later than 24 hours from identification of need*
Urgency will be assessed immediately
No later than 30 calendar days from request. If necessary, appointments will be provided to help ensure that:
If you have questions, call Provider Services at 800-445-1638 for AHCCCS Complete Care (ACC) and Developmental (DD) or 800-293-3740 for Arizona Long Term Care System (ALTCS). Thank you.