B CRS Expedited Procedure

 

Program	Manual Section
CRS	MA1109B

 

Procedures

If a provider or AHCCCS health plan contacts the AHCCCS CRS Unit and indicates the customer’s CRS application needs to be expedited, the AHCCCS CRS Nurse will:

• Review the medical condition; and

• Get all the required documentation along with the reason for the need to expedite the application.

 

The AHCCCS CRS Unit will determine whether an application should be expedited based on the qualifying CRS condition and the timing of or need for treatment such as:

• The customer is scheduled for surgery within the next two weeks; or

• The customer is hospitalized for a potential CRS condition.

 

All expedited cases will be completed within 3 workdays from the time all the necessary information is received.

The AHCCCS CRS Nurse will follow the table below regarding expedited requests:

If...	Then...
Approved	Notify the AHCCCS health plan by fax of the expedited CRS designation determination, and provide details of the case.
Further information is needed	Contact the referral source and the AHCCCS health plan  and explain what is needed. Send written confirmation of what is needed to the referral source and health plan. If no information is received within five business days follow the normal application process.
Denied	Follow the application process for all denials as described in CRS Application Processing.