Physician Fee Schedules


The Primary Care Enhanced Fee Attestation Form and related information can be found on the  Rates for Primary Care Services page.


For the Primary Care Enhanced Fee Schedule rates, view this document:
Section 1202 Primary Care Enhanced Rates 2013 & 2014 [Excel]


Physician fees schedules are updated annually, on or near October 1st of each year. Quarterly adjustments January 1, April 1, and July 1 may be made to accommodate new codes or rate adjustments.

The appearance on this website of a code and rate is not an indication of coverage, nor a guarantee of payment. AHCCCS covered procedures can be viewed in the AHCCCS Medical Policy Manual (AMPM). AHCCCS covered services can differ based upon enrollment.

For facility and non-facility Place of Service (POS) codes, see the the following document: Place of Service (POS) Code Set [PDF]

2014

2013

2012

2011

2010

2009

  • FFS/Acute MCO/ALTCS MCO Fee Schedules Effective October 1, 2009
  • Acute MCO Program Capped Fee Schedule Effective May 1, 2009
    This fee schedule contains the reimbursement rates that contracted Acute Health Plans should index for reimbursement rates that are based on AHCCCS Physician Fee Schedule rates. For the rates that were in effect prior to May 1, 2009, reference Acute MCO Program Capped Fee Schedule Effective January 1, 2009.
  • Acute MCO Program Capped Fee Schedule Effective January 1, 2009
    This fee schedule contains the reimbursement rates that contracted Acute Health Plans should index for reimbursement rates that are based on AHCCCS Physician Fee Schedule rates. For the rates that were in effect prior to January 1, 2009, reference Physician Fee Schedule Effective October 1, 2008.
  • ALTCS MCO Program Capped Fee Schedule Effective January 1, 2009
    This fee schedule contains the reimbursement rates that contracted ALTCS Health Plans should index for reimbursement rates that are based on AHCCCS Physician Fee Schedule rates. For the rates that were in effect prior to January 1, 2009, reference Physician Fee Schedule Effective October 1, 2008.
  • FFS Program Capped Fee Schedule Effective February 1, 2009
    This fee schedule contains the reimbursement rates that AHCCCS pays when AHCCCS is the payer. For the rates that were in effect from January 1, 2009 thru January 31, 2009, reference Acute MCO Program Capped Fee Schedule Effective January 1, 2009. For the rates that were in effect prior to January 1, 2009, reference Physician Fee Schedule Effective October 1, 2008.

2008

2007

2006


Note: for CYE 2007 and 2006 transportation rates, please see the Transportation Rates.


Reimbursement and General Fee Schedule FAQs

Contacts

Have a question about AHCCCS Fee-for-Service reimbursement rates? Email us at FFSRates@azahcccs.gov.


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