Extracted text (via pymupdf)
4740 characters
K Mason (PHS)
Subject:
FIN: Screening services payments
From: Juliana Davis (mailto:jdavis@azdes.gov)
Sent: Friday, February 28, 2020 10:24 AM
To: Carolyn DoBell (PHS) <Carolyn.DoBell@Maricopa.gov >; K Mason (PHS) <K.Mason@Maricopa.gov>; Corinne
Velasquez (PHS) <Corinne.Velasquez@Maricopa,gov>; Korissa Entringer (PHS) <Korissa.Entringer@maricopa.gov >
Cc: Lyle, Brandon <blyle@azdes.gov >; Golden-Grady, Lei Ronda <LGolden-Grady@azdes.gov >; Hamkar, Asmeen
<ahamkar@azdes.gov >
Subject: Screening services payments
Hi Carolyn and Katherine,
Thank you for speaking with Brandon, Lei Ronda, and me this morning. To just go over what we discussed, you
will be receiving checks from the Arizona Refugee Resettlement Program / State of Arizona on a regular basis
that covers certain medical services provided during the screening appointment that AHCCCS does not pay you
for. The Carrier on these checks is RMAP which stands for Refugee Medical Assistance Program. Brandon is
the RMAP Program Specialist, and if you have any questions about these checks and what services you are
being paid for, you can contact him at 602-542-6650 or blyle@azdes.gov . There will be a page that
accompanies the check that lists the name of the client and the CPT codes for the exact services we are paying
for, as well as the claim number from your third party biller. Because the services and number of clients will
differ from month to month, the check amounts will differ as well.
Don't hesitate to reach out to Brandon or me if you have any questions or concerns. Lei Ronda is the Contracts
Specialist for the Coordination contract which is separate from these checks and for a different service.
Thank you!
Juliana
Juliana Shepherd Davis, MPH
She/her/hers
State Refugee Health Coordinator
Department of Economic Security
Arizona Refugee Resettlement Program
1789 West Jefferson, 3rd Floor Northwest
PO Box 6123, Mail Drop 6287
Phoenix, Arizona 85007
Ph: (602) 542-6045 I Cell: (480) 710-0549
JDavis@azdes.gov
Please encrypt all entails that contain client information.
NOTICE: This e-mail (and any attachments) may contain PRIVILEGED OR CONFIDENTIAL information and is intended only for the use of the specific
Individual(s) to whom ills addressed_ It may contain information that is privileged and confidential under state and federal law. This information may be used or
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Thank you.
1.
91-113
1221
WARRANT NO
9571697
PAY THIS AMOUNT
$635.81
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DAF:
DATE ISSUED
0212012020
VOID AFTER .
MO-DAY-YR
08/18/2020
..,DEPARTMENT
DOCUMENT ID
DEA
200000291200
BANK
21
PAY TO .TBE. Ol0313,kOF
'
• ••
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MARICOPA COUNTY DEPT OF PUBLIC HEALTH
.1645 E ROOSEVELT ST•
Phoeflix
•••••
A4:-''..85006::•. •
STATE OF ARIZONA REMITTANCE ADVICE
WARRANT NO
219571697
AGY: DEA
AGENCY CONTACT: ACCOUNTING DEPARTMENT
602-364-2533
INVOICE NO. INVOICE DT.
INVOICE DESCRIPTION
DOCUMENT/LINE NO.
INVOICE AMT.
DISCOUNT AMT.
NET AMT.
.
RMAP GUST SVC: 602-542-6844
532-
.
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GAX, DEA, 2E000087800 / 1
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$635.81
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IF REMITTANCE ADVICE ABOVE IS BLANK, SEE HTIP4ANWvV.VENPAY.GAO.AZDOA.GOV/ FOR FURTHER DETAILS.
EVER WONDER WHERE YOUR PAYMENT FROM THE STATE IS? OR, WHICH
STATE AGENCY PAID YOU THROUGH DIRECT DEPOSIT/ACH? VISIT OUR
VENDOR PAYMENT VVEBSITE, HTTR/ANWW.VENPAY.GAO,AZDOA.GOV/.
VENDOR NAME:
MARICOPA COUNTY DEPT OF PUBLIC HEALTH
ISSUE DATE:
WARRANT AMOUNT:
VENDOR ID:
MISCPAYVEND
02120/2020
$635.81
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DEPARTMENT OF AI)MINISTRA'FION
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COUNTERSIGNED GOVERNOR
i',;i1).,Ain;g:Itim..iSTATE'SERVIciNG BANK OF STATE TREASURER OF ARIZONA
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C-86-18-010-3-04
ATTACHED TO AND A PART OF:
Refugee Medical Assistance Program
DI18-002141
IN WITNESS WHEREOF, the parties agree to enter into this Agreement and its Amendments:
FOR AND ON BEHALF
OF MAR ICOPA COUNTY
By
Clint Hickman, Chairman, Board of Supervisors
Date
ATTEST:
Office of the Clerk of the Board
Date
APPROVED AS TO FORK
Attorney for Maricopa County
Date