Alabama Coordinated Health Network (ACHN) for Providers

ATTENTION Primary Care Physicians:  The ACHN program was implemented on October 1, 2019. The Patient 1st program ended September 30, 2019.

Providers are required to complete agreements with both Medicaid and the ACHN in order to receive bonus and participation rates. PCPs will NOT receive a capitated payment starting October 2019.

Upcoming Webinars 

The Agency will host four webinars about the status of the upcoming release of the Request for Proposal (RFP) for the Alabama Coordinated Health Network (ACHN) program. Each session below includes a link to a survey. Please complete the survey prior to the session to assess your experience with the ACHN program. Survey results will be reviewed the Agency and discussed during the session. 

• ACHN Leadership and Staff
• General Population
• Maternity
• Family Planning

Program Documents

• ACHN Overview - 9/24/19
• PCMH Form - Patient-Centered Medical Home (PCMH) Recognition Attestation Form - 1/27/23
• MARA Brochure - Milliman Advanced Risk Adjusters Resource
• Provider Manual Chapter 40 - Primary Care Physician (PCP) and Delivering Healthcare Professional (DHCP) Billing
• Teaching Facility Referrals in the ACHN - 10/31/19
• PCP Group Application Checklist - Updated 5/28/21
• PCP Group Enrollment Agreement with Medicaid - Updated 5/28/21
• ACHN Contact Information for Providers - for obtaining ACHN Enrollment Agreement - Updated 5/25/22
• ACHN Interactive Map - with links to ACHN websites
• Medicaid's Designated Urban and Rural Map
• ACHN Participation vs BUMP rates - as of 6/27/19
• Maternity Delivery Rates for Urban and Rural Providers - as of 6/27/19
• 2020 Benchmarks for Provider Quality Measures - 9/25/19
• ACHN Provider CE Bonus Explanation and FAQs - 5/7/21
• ACHN eBook 2022 - 1/27/22

Webinar: ACHN Changes to the Cost Effectiveness Bonus Calculation Methodology - 2/23/22 other format: Slide Presentation

Webinar: ACHN E-Book Training - 1/26/22

Webinar: PCP Updates Regarding ACHNs, Quality and Cost Effeciveness Bonuses - 8/17/21

Other format: Slide Presentation

PCPs Webinar Questions and Answers

- 8/17/21 Webinar: Delivering Healthcare Professionals Billing Overview and Program Updates - 6/9/2021 Other format: Slide Presentation

DHCPs Webinar Questions and Answers

- 6/9/21

Webinar: ACHN Provider Profiler Updates - MARA Risk Scoring - 10/14/2020

Other format: Slide Presentation

Webinar: ACHN Updates - Profiler Reports, Risk Scoring, BMI Changes, and Other Updates - 6/14/20 Other format: Slide Presentation

Webinar: Provider Profiler Reports - 1/20/20 Other format: Slide Presentation

Webinar: Role of the Specialist in the ACHN - 10/9/19 Other format: Slide Presentation

Webinar: Open Forum: Questions and Answers For the ACHN Program - 9/24/19

Webinar: DHCP: A New World of Billing in the ACHN Program - 9/24/19 Other format: Slide Presentation

Webinar: Cost Effectiveness in the ACHN - 9/19/19 Other format: Slide Presentation

Webinar: Paying for Quality: Understanding Measures and Data Availability in the ACHN Program - 9/17/19 Other format: Slide Presentation

Webinar: Attribution in the ACHN - 9/12/19 Other format: Slide Presentation

Webinar: ACHN Procedures: BMI, Referrals, Understanding New Rates - 9/5/19 Other format: Slide Presentation

Webinar: ACHN Participation: What Does it Mean? - 8/22/19 Other format: Slide Presentation

MGMA Presentation Slides for Primary Care Providers - 8/11/19

MGMA Audio Presentation for Primary Care Providers - 7/17/19

MGMA Presentation Slides for Delivering Healthcare Professionals - Sylisa Lee-Jackson, presenter - 7/18/19

MGMA Audio Presentation for Delivering Healthcare Professionals - Sylisa Lee-Jackson, presenter - 7/18/19

ACHN Video Presentation: Delivering Healthcare Professionals - Drew Nelson, presenter - 5/1/19

ACHN Video Presentation (YouTube) - Dr. Robert Moon, Alabama Medicaid Chief Medical Officer, presenter

Notifications

• Sign up for news updates - Select the Managed Care (ACHN) option
• Email Us - Ask a question or provide comments about Alabama Coordinated Health Network
• Text Us - Sign-up to receive text messages from Alabama Medicaid

Forms

• ACHN/PCP forms