> ## Documentation Index
> Fetch the complete documentation index at: https://docs.encoreos.io/llms.txt
> Use this file to discover all available pages before exploring further.

# Jurisdiction Profiles

> System jurisdiction profiles (PF-96 state-Medicaid abstraction) — the federal baseline and seeded state Medicaid profiles. Generated from code — see PF-113.

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    |