CMS-APPROVED SERVICE AREA. The CMS approved Service area(s) for MAO’s offered CMS-approved Plan Benefit Package(s) (PBPs) shall align with the applicable companion AHCCCS contract service area county(ies) in paragraphs 4.1 through 4.4 inclusive as applicable, is/are as follows: 4.5.1 H0321-002 Service Area (aligning with paragraph 4.1.2 HIDE SNP status Service Area only): ☐ Apache County ☐ Mohave County ☐ Cochise County ☐ Navajo County ☐ Coconino County ☒ Pima County ☒ Gila County ☒ Pinal County ☐ Xxxxxx County ☐ Santa Xxxx County ☐ Xxxxxxxx County ☐ Yavapai County ☐ La Paz County ☐ Yuma County ☒ Maricopa County 4.5.2 H0321-004 Service Area (aligning with paragraph 4.3.2 FIDE SNP status Service Area only): ☒ Apache County ☒ Mohave County ☐ Cochise County ☒ Navajo County ☒ Coconino County ☐ Pima County ☒ Gila County ☒ Pinal County ☐ Xxxxxx County ☐ Santa Xxxx County ☐ Xxxxxxxx County ☒ Yavapai County ☐ La Paz County ☐ Yuma County ☒ Maricopa County 4.5.3 H0321-002 Service Area (aligning with paragraph 4.
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CMS-APPROVED SERVICE AREA. The CMS approved Service area(s) for MAO’s offered CMS-approved Plan Benefit Package(s) (PBPs) shall align with the applicable companion AHCCCS contract service area county(ies) in paragraphs 4.1 through 4.4 4.6 inclusive as applicable, is/are as follows:
4.5.1 H03214.7.1 H5590-002 008 Service Area (aligning with paragraph 4.1.2 HIDE SNP status Service Area only): ☐ Apache County ☐ Mohave County ☐ ☒ Cochise County ☐ Navajo County ☐ Coconino County ☒ Pima County ☒ Gila County ☒ Pinal County ☐ Xxxxxx ☒ Graham County ☐ ☒ Santa Xxxx Cruz County ☐ Xxxxxxxx ☒ Greenlee County ☐ Yavapai County ☐ ☒ La Paz County ☐ ☒ Yuma County ☒ Maricopa County
4.5.2 H03214.7.2 H5590-004 009 Service Area (aligning with paragraph 4.3.2 FIDE 4.2.2 HIDE SNP status Service Area only): ☒ Apache County ☒ Mohave County ☐ Cochise County ☒ Navajo County ☒ Coconino County ☐ Pima County ☒ ☐ Gila County ☒ ☐ Pinal County ☐ Xxxxxx Graham County ☐ Santa Xxxx Cruz County ☐ Xxxxxxxx Greenlee County ☒ Yavapai County ☐ La Paz County ☐ Yuma County ☒ ☐ Maricopa County
4.5.3 H03214.7.3 H5590-002 008 Service Area (aligning with paragraph 4.4.3.2 HIDE SNP status Service Area only): ☐ Apache County ☐ Mohave County ☒ Cochise County ☐ Navajo County ☐ Coconino County ☒ Pima County ☐ Gila County ☐ Pinal County ☒ Graham County ☒ Santa Cruz County ☒ Greenlee County ☐ Yavapai County ☒ La Paz County ☒ Yuma County ☐ Maricopa County
4.7.4 H5590-009 Service Area (aligning with paragraph 4.4.2 HIDE SNP status Service Area only): ☒ Apache County ☒ Mohave County ☐ Cochise County ☒ Navajo County ☒ Coconino County ☐ Pima County ☐ Gila County ☐ Pinal County ☐ Graham County ☐ Santa Cruz County ☐ Greenlee County ☒ Yavapai County ☐ La Paz County ☐ Yuma County ☐ Maricopa County
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CMS-APPROVED SERVICE AREA. The CMS approved Service area(s) for MAO’s offered CMS-approved Plan Benefit Package(s) (PBPs) shall align with the applicable companion AHCCCS contract service area county(ies) in paragraphs 4.1 through 4.4 inclusive as applicable, is/are as follows:
4.5.1 H0321H5580-002 001 Service Area (aligning with paragraph 4.1.2 HIDE SNP status Service Area only): ☐ Apache County ☐ Mohave County ☐ Cochise County ☐ Navajo County ☐ Coconino County ☐ Pima County ☒ Gila County ☒ Pinal County ☐ Xxxxxx County ☐ Santa Xxxx County ☐ Xxxxxxxx County ☐ Yavapai County ☐ La Paz County ☐ Yuma County ☒ Maricopa County
4.5.2 H5580-001 Service Area (aligning with paragraph 4.2.2 HIDE SNP status Service Area only): ☐ Apache County ☐ Mohave County ☐ Cochise County ☐ Navajo County ☐ Coconino County ☐ Pima County ☒ Gila County ☒ Pinal County ☐ Xxxxxx County ☐ Santa Xxxx County ☐ Xxxxxxxx County ☐ Yavapai County ☐ La Paz County ☐ Yuma County ☒ Maricopa County
4.5.3 H5580-004 Service Area (aligning with paragraph 4.3.2 FIDE SNP status Service Area only): ☐ Apache County ☐ Mohave County ☐ Cochise County ☐ Navajo County ☐ Coconino County ☒ Pima County ☒ Gila County ☒ Pinal County ☐ Xxxxxx County ☐ Santa Xxxx County ☐ Xxxxxxxx County ☐ Yavapai County ☐ La Paz County ☐ Yuma County ☒ Maricopa County
4.5.2 H03214.5.4 H5580-004 Service Area (aligning with paragraph 4.3.2 FIDE SNP status Service Area only): ☒ Apache County ☒ Mohave County ☐ Cochise County ☒ Navajo County ☒ Coconino County ☐ Pima County ☒ Gila County ☒ Pinal County ☐ Xxxxxx County ☐ Santa Xxxx County ☐ Xxxxxxxx County ☒ Yavapai County ☐ La Paz County ☐ Yuma County ☒ Maricopa County
4.5.3 H0321-002 005 Service Area (aligning with paragraph 4.
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CMS-APPROVED SERVICE AREA. The CMS approved Service area(s) for the MAO’s offered CMS-approved Plan Benefit Package(s) (PBPs) shall align aligning with the applicable companion AHCCCS contract service area county(ies) in paragraphs 4.1 through 4.4 4.5 inclusive as applicable, is/are as follows:
4.5.1 H03214.6.1. H5580-002 001 Service Area (aligning with paragraph 4.1.2 HIDE SNP status Service Area only): ☐ Apache County ☐ Mohave County ☐ Cochise County ☐ Navajo County ☐ Coconino County ☐ Pima County ☒ Gila County ☒ Pinal County ☐ Xxxxxx County ☐ Santa Xxxx County ☐ Xxxxxxxx County ☐ Yavapai County ☐ La Paz County ☐ Yuma County ☒ Maricopa County
4.6.2. H5580-001 Service Area (aligning with paragraph 4.2.2 Service Area only): ☐ Apache County ☐ Mohave County ☐ Cochise County ☐ Navajo County ☐ Coconino County ☐ Pima County ☐ Gila County ☐ Pinal County ☐ Xxxxxx County ☐ Santa Xxxx County ☐ Xxxxxxxx County ☐ Yavapai County ☐ La Paz County ☐ Yuma County ☒ Maricopa County
4.6.3. H5580-004 Service Area (aligning with paragraph 4.3.2 Service Area only): ☐ Apache County ☐ Mohave County ☐ Cochise County ☐ Navajo County ☐ Coconino County ☒ Pima County ☒ Gila County ☒ Pinal County ☐ Xxxxxx County ☐ Santa Xxxx County ☐ Xxxxxxxx County ☐ Yavapai County ☐ La Paz County ☐ Yuma County ☒ Maricopa County
4.5.2 H03214.6.4. H5580-004 Service Area (aligning with paragraph 4.3.2 FIDE SNP status Service Area only): ☒ Apache County ☒ Mohave County ☐ Cochise County ☒ Navajo County ☒ Coconino County ☐ Pima County ☒ Gila County ☒ Pinal County ☐ Xxxxxx County ☐ Santa Xxxx County ☐ Xxxxxxxx County ☒ Yavapai County ☐ La Paz County ☐ Yuma County ☒ Maricopa County
4.5.3 H0321-002 005 Service Area (aligning with paragraph 4.
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