Encore OS — Documentation

Default jurisdiction profiles shipped with Encore OS — 5 profiles. PF-96 abstracts state-Medicaid rules into composable profiles: the US Federal Baseline is the immutable inherited root (HIPAA, 42 CFR Part 2, ONC/USCDI) that no state or org override can weaken, and Arizona AHCCCS is the default operating profile. The remaining state profiles are reference baselines for multi-state resolution. Only curated, non-PHI configuration scalars are shown; this page is generated from the seeded profiles and cannot drift from them.

Federal Baseline (`us-federal-baseline`)

State: US · Version: 1.0.0 · Effective: 2026-05-28 · Federal baseline (inherited root) Billing

Rule	Value
`cob_medicaid_position`	payer_of_last_resort
`x12_transaction_support`	837P, 837I, 835, 270, 271, 276, 277, 278

Clinical

Rule	Value
`sud_confidentiality_standard`	42cfr_part2
`uscdi_version`	v3

Compliance

Rule	Value
`onc_certification_target`	hti_1

Arizona AHCCCS (`az-ahcccs`)

State: AZ · Version: 1.0.0 · Effective: 2026-05-28 Billing

Rule	Value
`filing_deadline_days`	365
`member_id_label`	AHCCCS Member ID
`min_billable_minutes`	8
`timed_code_unit_minutes`	15

Clinical

Rule	Value
`assessment_element_count`	18
`documentation_timeliness_hours`	24
`minor_consent_age`	12
`treatment_plan_review_days`	90

Compliance

Rule	Value
`licensing_board`	AZBBHE
`quality_measure_sets`	ahcccs_vbp, hedis, samhsa_noms
`state_regulatory_body`	AHCCCS / AZDHS

California Medi-Cal (reference) (`ca-medi-cal`)

State: CA · Version: 1.0.0 · Effective: 2026-01-01 Billing

Rule	Value
`filing_deadline_days`	365
`min_billable_minutes`	8

Clinical

Rule	Value
`documentation_timeliness_hours`	48

Compliance

Rule	Value
`mandatory_note_validation`	Yes

NY Medicaid (reference) (`ny-medicaid`)

State: NY · Version: 1.0.0 · Effective: 2026-01-01 Reference profile — no curated rule overrides (inherits the federal baseline).

Texas Medicaid (reference) (`tx-medicaid`)

State: TX · Version: 1.0.0 · Effective: 2026-01-01 Billing

Rule	Value
`min_billable_minutes`	15

Clinical

Rule	Value
`documentation_timeliness_hours`	72

Compliance

Rule	Value
`mandatory_note_validation`	No

Platform Reference

Jurisdiction Profiles

Federal Baseline (`us-federal-baseline`)

Arizona AHCCCS (`az-ahcccs`)

California Medi-Cal (reference) (`ca-medi-cal`)

NY Medicaid (reference) (`ny-medicaid`)

Texas Medicaid (reference) (`tx-medicaid`)

​Federal Baseline (us-federal-baseline)

​Arizona AHCCCS (az-ahcccs)

​California Medi-Cal (reference) (ca-medi-cal)

​NY Medicaid (reference) (ny-medicaid)

​Texas Medicaid (reference) (tx-medicaid)

Federal Baseline (`us-federal-baseline`)

Arizona AHCCCS (`az-ahcccs`)

California Medi-Cal (reference) (`ca-medi-cal`)

NY Medicaid (reference) (`ny-medicaid`)

Texas Medicaid (reference) (`tx-medicaid`)