1. Systems Update February, 2013

2. ICD10 AHCCCS ICD10 Project Milestones –Complete Requirements and Design – Reference; December 2012 –Begin Coding – Reference; January 2013 –Complete Requirements and Design – All other Systems; July 2013 –Internal Testing Begins – Reference; March 2013 –Begin Coding – All other System Areas August 2013 PMMIS Freeze Begins.....

3. ICD10 Cont. –System Implementation – Reference; June 2013 –Initial Reference Table Loads; June 2013 –First ICD10 Reference Table Extracts available to Contractors; July or August 2013 –Internal Testing Begins – All other Systems; October 2013 –External Testing Begins; January 2014 –System Implementation – All other Systems; September 2014 PMMIS Freeze Ends.....

4. ICD10 Cont. –External Testing Ends No earlier than September 2014 –ICD10 Effective Date October 1 2014 (Professional and Outpatient dates of service; Inpatient dates of discharge)

5. ICD10 Cont. AHCCCS Project Approach –“Native” processing (ICD9 codes distinct from ICD10 codes) including review and remediation of impacted policies and processes –Use of GEMS as a points for reference/validation only –Distinct Reference tables within PMMIS to house ICD10 diagnosis and procedures as well as related information –Policy review and remediation for “intent” of policy –Support beta, early Trading Partner and end to end testing whenever feasible

6. ICD10 Cont. Contractor Milestone Reporting to begin in April or May Contractors will be provided with and will be required to successfully execute a defined set of test scenarios

7. ICD10 Cont. Current Activities and Next Steps –Complete final review and validation of System Impacts –Finalize Documentation, Policy and Process impacts –Continue review and remediation of above impacts –Conduct Internal Training –Complete and maintain detailed project planning –Inventory and create a Library of published GEMS and other related ICD10 documentation

8. ICD10 Cont. –Establish parameters for and initiate Contractor milestone reporting –Finalize Systems requirements decisions –Finalize design and implement of ICD10 coding tables in PMMIS –Develop ICD10 Communication Plan for all touch points –Develop ICD10 Testing Standards for all Trading Partners –Enhance and maintain the ICD10 Project Webpage –Develop ICD10 Testing Scenarios for Contractors

9. Other Projects Pharmacy Data – NDC’s on Professional and Outpatient Facility Form Types (10/1/2013); http://www.azahcccs.gov/commercial/pharmacyupdates.aspx PCP Specialty Rates – New Rate Table; Eligible Provider Indicators; Encounter Processing Impacts; http://www.azahcccs.gov/shared/news.aspx#PCS 1/4ly revisions to the AHCCCS Encounter and Data Validation Manuals; http://www.azahcccs.gov/commercial/ContractorResources/encounters/com paniontechnical.aspx Medicare Part D changes for Benzo’s and Barb’s; http://www.azahcccs.gov/commercial/pharmacyupdates.aspx AHCCCS is implementing a new NDC data vendor as well as a new FFS PBM

10. Other Projects, cont. CAHQ CORE Regulations – Operating Rules Phase I, II and III Aged Pends Individual Contractor Working Sessions TPL Individual Contractor Working Sessions

11. Technical Consortium Meetings Next Technical Consortium Meeting will be scheduled for April. Please watch webpage for more information on date/time/location and how to RSVP, and please provide us with any items or areas of interest you like to see on the meeting agenda.