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CMDP Providers
Thank you for being a CMDP provider helping to improve health care for children in out-of-home care. CMDP provides the support you need to deliver quality care to our members by providing helpful links, self-service tools and policy information. Please reach out to the Provider Services Department [email protected] if you have additional questions.
Provider Resources
- DES Trading Partner Website (Please contact your CMDP Provider Services Representative to discuss your options.)
- CMDP Provider Manual
- CMDP Preferred Drug List(PDL) (Please select AHCCCS Drug List-Acute/Long Term Care "Open a search box to look for specific drugs by pressing Control F at the same time and enter the name of the drug." )
- Provider Directory
- Check Claim Status
- Check Member Eligibility
- AZ AHP Facility Application
- AZ AHP Organizational Data Form
- AZ AHP Practitioner Data Form
- Application for Enrollment into AHCCCS Children’s Rehabilitative Services
- Appointment Availability Standards
- Use of Social Determinants of Health Codes for Member Outcomes
Immunizations/VFC
- Immunization Schedule 0-18 years
- Catch- Up Immunization Schedule
- Vaccine Billing Under VFC in Arizona's Medicaid System
- VFC Resources
- TAPI- The Arizona Partnership for Immunization
- Parent/Patient Education from the CDC
- Vaccine Safety info for families
- Vaccine Education Center at Children’s Hospital of Philadelphia
Prior Authorization
Effective 10/1/2017 – Any expedited prior authorization being requested outside of normal business hours (Monday-Friday, 8a-5p and on any state observed holiday) needs to be faxed to 602.351.8529 as well as sent electronically to the following email address: [email protected] to ensure timely processing.
For any questions, please contact CMDP at 602.351.2245 and follow prompts to speaking with a representative in Medical Services.
Thank you!
Prior Authorization Guidelines
- Guideline for the Extraction of Third Molars 2017
- Sensory and Auditory Integration Training and Facilitated Communication for Children 2017
- Pediatric Procedural Sedation 2017
- Palivizumab (Synagis) Administration 2017
- Occupational, Physical, and Speech Therapy Services Guideline 2017
- Myringotomy & Tympanostomy Tube Insertion Guideline 2017
- Medically Necessary Orthodontia Guideline 2017
- Medical Services in a Foreign Nation Guideline 2017
- Medical Marijuana Guideline 2017
- Genetic Testing Guideline 2017
- Frenectomy Indications for Ankyloglossia Guideline 2017
- Criteria for Use of Recombinant Growth Hormone in Children Guideline 2017
- Cranial Banding (Cranial Orthosis) Guideline 2017
- Consults by Developmental-BH Pediatricians Guideline 2017
- Considerations for Wart or Other Skin Lesion Removal Guideline 2017
- Circumcision Guideline 2017
- Allergy Testing Guideline 2017
Read More
- Prior Authorization Matrix (128 KB PDF)
- Prior Authorization Forms for Therapies (93 KB DOC)
- Prior Authorization Forms Medical/ Surgical Services (73 KB DOC)
- Prior Authorization Forms Medical Equipment and/or Supplies (85 KB DOC)
- MedImpact Prior Authorization Forms for Medications (285 KB PDF)
- Fax Notification Form (49KB DOC)
Dental Information
Behavioral Health Information Tool Kits
Clinical Guidelines
- Asthma-National Heart, Lung and Blood Institute (3.88 MB PDF)
- Arizona Asthma Coalition
- Autism Spectrum Disorders - CDC
- National Asthma Education and Prevention Program
- ADHD - Diagnosis, Evaluation, and Treatment of Attention Deficit Hyperactivity Disorder (777 KB PDF)
- AAP Updates Recommendations on Treating Bronchiolitis in Young Children
- Management of Newly Diagnosed Type 2 Diabetes Mellitus (T2DM) (971 KB PDF)
- The Diagnosis and Management of Acute Otitis Media (1.6 MB PDF)
- Neurodiagnostic Evaluation of the Child with a Simple Febrile Seizure (1.1 MB PDF)
- Upper Respiratory Tract Infections
- Arizona Opioid Prescribing Guidelines (500 KB PDF)
- The Diagnosis and Management of the initial Urinary Tract Infection in Febrile Infants and Young Children 2-24 Months of Age: Reaffirmation of AAP Clinical Practice Guideline, November 2016
- Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder
Medical Management
- A Guide to Psychotropic Medications (719 KB PDF)
- ADBHS Psych Best Practices Birth to Five (270 KB PDF)
- ADBHS Sleep Hygiene Birth to Five (18 KB PDF)
- Division of Behavioral Health Services, Department of Child Safety
- Childhood Obesity
- Guidelines for Identifying Substance-Exposed Newborns (661 KB PDF)
- SEN: Substance Exposed Newborns
- Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain
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