Proposed State Rules

AHCCCS proposed rules are published in the Arizona Administrative Register (A.A.R.) for public review. To compare the following Proposed Rule language to Final Rule, please see corresponding topic when finalized at:

Note: Information provided in PDF files.


BH Inpatient Payment Responsibility Comment Period Closed

Friday November 11, 2014
The Administration is proposing a rulemaking to clarify an issue that has been identified through the administrative hearing process regarding contractor responsibility for covering inpatient hospital services when both medical and behavioral health services are provided during the same hospital stay. The proposed rule will clarify the reimbursement methodology. The Administration is proposing to clarify through rule, its existing policy that the RBHA is responsible for all inpatient hospital services if the principle diagnosis on the hospital claim is a behavioral health diagnosis. Those claims will be paid in accordance with a per diem fee schedule developed by ADHS and approved by AHCCCS. Hospital claims that do not have a behavioral health diagnosis as the principle diagnosis will be paid by the acute care contractor using the DRG payment methodology. This proposed amendment will benefit hospitals by clarifying to whom claims should be submitted and the amount of reimbursement that the hospital can expect. The Administration intends to initiate and implement this clarification as soon as possible to reduce billing disputes between hospitals and health plans and to reduce unnecessary administrative hearings arising from those disputes.

AHCCCS Public Hearing Locations

  • AHCCCS Administration
    701 East Jefferson, Gold Room
    Phoenix, AZ 85034
  • Arizona Long Term Care System
    1010 North Finance Center Drive, Suite 201
    Tucson, AZ 85701
  • Arizona Long Term Care System
    2717 N. 4th St. STE 130
    Flagstaff, AZ 86004


Comments on proposed AHCCCS rules may be submitted in the following ways:

  • Mail:
    Office of Administrative Legal Services (OALS)
    701 East Jefferson Street, Mail Drop 6200
    Phoenix, Arizona 85034
  • Phone: (602) 417-4232
  • FAX: (602) 253-9115
  • E-mail:


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