Alabama Coordinated Health Network (ACHN) for Providers

ACHN Providers are required to complete agreements with both Medicaid and the ACHN in order to receive bonus and participation rates.

ACHN Provider Enrollment Documents

• Oct. 2019 - Sept. 2024 (Current only) PCP Group Application Checklist - Updated 5/28/21
• Oct. 2019 - Sept. 2024 (Current only) PCP Group Enrollment Agreement with Medicaid - Updated 5/28/21
• Oct. 2024 - Sept. 2029 (New) PCP Group Application Checklist - 5/22/24
• Oct. 2024 - Sept. 2029 (New) PCP Group Enrollment Agreement with Medicaid - 5/22/24
• Oct. 2024 - Sept. 2029 (New) PCP Group Enrollment Agreement Upload Process - 5/22/24

Program Documents

• ACHN Overview - 9/24/19
• PCMH Form - Patient-Centered Medical Home (PCMH) Recognition Attestation Form - 2/1/24
• 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
• ACHN Contact Information for Providers - for obtaining ACHN Enrollment Agreement - Updated 6/10/24
• 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

 

Presentations

• 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 - 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

Forms

• ACHN/PCP forms