Outpatient Hospital Fee Schedule (OPFS) Technical Information & FAQs

This section contains technical information related to the AHCCCS Outpatient Claim Reimbursement Project.

For dates of service on and after 7/1/2005, AHCCCS reimburses in-state, non-IHS hospitals for outpatient services billed on a UB claim form using the AHCCCS Outpatient Hospital Fee Schedule. The Outpatient Hospital Fee Schedule will provide rates at the procedure code level, and Surgery/Emergency Department (ED) services will be bundled similar to Medicare for payment purposes . For more information on outpatient hospital billing requirements, refer to the AHCCCS FFS Provider Manual, Chapters 6 and 11, as well as the information listed as components of this webpage.

 

Contact

You are invited to e-mail us at AHCCCSOutpatientHospitalFeeSchedule@azahcccs.gov to provide comments following review of newly published information, or with any questions.

 

Adobe Acrobat Reader is required to view PDF files. This is a free program available from the Adobe web site. Follow the download directions on the Adobe web site to get your copy of Adobe Acrobat Reader.

Microsoft offers Excel file viewer and converter programs to enable those who do not have MS-Excel or have another version of MS-Excel to view MS-Excel files. Download Excel file viewer