Comprehensive Medical and Dental Program (CMDP) Provider Manual

The CMDP Provider Manual offers you and your staff up-to-date information to help you meet your patients’ health care needs. Updates and changes to the manual are provided as they become available. Policies and procedures outlined in the manual apply to all network and non-network providers. Copies of CMDP policies are available upon request by contacting CMDP at [email protected] or call 602-351-2245, toll free 1-800-201-1795.

Access individual chapters or the entire CMDP Provider Manual through the links below:

CMDP Provider Manual (CMDP-1711) (2 MB PDF)

Definitions for AHCCCS Members

• Chapter 1: Welcome to CMDP (53 KB PDF)
• Chapter 2: Unique Features of CMDP (68 KB PDF)
• Chapter 3: Provider Services (192 KB PDF)
• Chapter 4: Member Services (287 KB PDF)
• Chapter 5: Health Services (193 KB PDF)
• Chapter 6: Behavioral Health (79 KB PDF)
• Chapter 7: Authorization Guidelines (39 KB PDF)
• Chapter 8: Medical Management and Quality Management / Performance Improvement (61 KB PDF)
• Chapter 9: Claims Processing and Payment (143 KB PDF)
• Chapter 10: Provider Claims Disputes and Member Appeal (53 KB PDF)
• Chapter 11: Fraud, Waste, and Abuse (76 KB PDF)
• Glossary (91 KB PDF)