The DFSM Claims Clues is a monthly newsletter produced by the AHCCCS Claims Department for Fee-For-Service (FFS) providers. The Claims Clues provides information about changes to the program, system changes and updates, billing requirements and FFS policies.
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2026
April 2026
EDI Solutions Upload Attachment Process
Prior Authorization Search Tool
Assignment of AHCCCS Claim Reference Numbers (CRNs)
Compliance Reminders! Participating Provider Qualifier Codes Reporting Requirements
Electronic Transaction Tools for Providers
Reminders: Documentation Behavioral Health Residential Facility
Key Steps for Obtaining an Outpatient Dialysis Extended Services Authorization
Case for Federal Emergency Services (FESP) Members
Intensive Modulated Radiation Therapy (IMRT) Prior Authorization and Claims Billing
Peer/Recovery Support Specialist Credentialing
Supplement April 2026 Claims Clues
DFSM Outlier Reimbursement Changes Effective May 20, 2026
March 2026
DFSM Provider Training Schedule – First Quarter 2026
AHCCCS Quality Management (QM) Portal
EDI Solution Portal Attachment Process
Prior Authorization Documentation BHRFs
Tips for Checking Claim Status on the AHCCCS Online Portal
Outpatient Behavioral Health Claims Documentation
Claim Resubmissions After the 12-Month Timely Filing Deadline
Common Prior Authorization Submission Errors
January 2026
DFSM Provider Training Schedule – FirstQuarter 2026
Inpatient Hospital (FES) Does Not Require Prior Authorization
Medical Coding Resources January 2026
AHCCCS DFSM Additional Guides and Resources
Common Prior Authorization Submission Errors
Referring Ordering Provider Claim Denial Edits L208.1 / L232.4
Medicare and Third-Party Liability Claims Correction
Reminder: Non-Emergency Medical Transportation (NEMT) Billing
2025
June/July 2025
July is National Ultraviolet Safety Awareness Month
CMS 1500 - A Single Rendering Provider Only is Accepted
Reminder: EDI Solution Portal Uploads
Common Non-Emergency Medical Transportation PA Denials
Reminder: Medical Review Denial MD093 - Encrypted Documents Not Accepted
Important - Registration is Required for all BHP Professionals Providing Clinical Oversight
Reminder: The Importance of Reviewing Behavioral Health Documentation
Common PA Submission Errors
Reminder: Common Prior Authorization Submission Errors
Reminder: Medical Review Denial MD041 - No Medical Documentation Submitted
May 2025
Importance of Reviewing the Behavioral Health Documentation Prior to Submission
EDI Solutions Upload Attachment Process
Tips for Checking a Claim Status
Outpatient Behavioral Health Claims Documentation
Reminder: AHCCCS Solutions Center Training Guide
Reporting Incident, Accidents and Death via the Quality Management Portal
Fee-for-Service Prior Authorization Issues
Submitting Claims with Other Insurance (Third Party Liability)
Submitting a Medicare Inpatient Claim for Member’s with Part B Coverage Only
Behavioral Health Coding and Billing Guides Updates
FES Authorization Submission Errors
May 2025 - Special Release
March 2025
Importance of Reviewing The Behavioral Health Documentation Prior To Submission
Provider Claims Dispute Education: Claims Disputes Cannot Be Filed With An Invalid Claim Number
EDI Solutions Upload Attachment Process
Reminder: Fee-for-Service Prior Authorization Process
Create A Paper Work Number (PWK) To Submit Documentation Electronically (2/7/2025)
How To Request A Copy of a 835 Electronic Remittance Advice File
Inpatient Facility Claims Submitted With The Same Admit and Discharge Day Will Be Reimbursed At The Outpatient Fee Schedule
Consumer Notice: Marketplace Plan Enrollment Without Permission (2/7/2025)
February 2025
Submitting a Surgery Prior Authorization Request
Provider Claims Dispute Education - Valid Claim Reference Numbers
Paper Claim Submissions Requirements - Font Style and Size
Paper Claims Resubmission Guidelines
Tips For Checking Claim Status
AHCCCS FFS Provider Manuals
January 2025
Prior Authorization Tool
New EDI Solutions Portal
Reminders: Fee-for-Service (FFS) Claims Billing
Covered Behavioral Health Service Guide
Reminders: Fee-for-Service Prior Authorization
2024
September 2024
September is National Self-Care Awareness Month
Prior Authorization submission
Behavioral Health Residential Facility (B8)
Rate Change Effective 10/1/2024 and PA Submission Process
Federal Emergency Services Inpatient Hospitals Services Prior
Authorization Not Required for FES Members
Fee-for-Service Prior Authorization Process
Paper Claim Forms - ADA Dental 2024 and CMS 1500
What Actions Can Be Done Using The AHCCCS Online Self Service Provider Portal
Payer Identification Numbers
Checking Claim Status using the AHCCCS Online Provider Portal Claim Status:
July/August 2024
August is National Immunization Awareness Month
AHCCCS Covered Behavioral Health Service Guide
AHCCCS Online Provider Portal
Common AHCCCS Provider Enrollment Portal (APEP) Questions
Extension of the Provider Moratorium to June 8, 2024
Federal Emergency Services Inpatient Hospital Service Prior Authorization Not Required for FES Members
Common Prior Authorization Submission Errors
Submitting Documentation for Replacement Claims
Non-Emergency Medical Transportation Providers Trending Errors
AHCCCS Daily Trip Report Reminders for Non-Emergency Medical Transportation Providers PT28
Elective Sterilization Consent Form Requirement
July/August 2024 - Special Editions
June 2024 - Special Editions
May 2024
May is Mental Health Awareness Month
Extension of the Provider Moratorium to June 8, 2024
Referring, Ordering, Attending (ROPA) Providers Required to Register with AHCCCS
AHCCCS Daily Trip Report Reminders for Non-Emergency Medical
Transportation Providers PT28
How to Correct the Duplicate Prior Authorization Case Creation Error
Hysterectomy Consent and Acknowledgement Form
Reminders: Behavioral Health Residential Facility Billing Update
Elective Sterilization Consent Form Requirement
Reminder: New Dental Claim Form 2024
Tribal Self-Insurance and Required Documentation
Reminder: Federal Emergency Services Inpatient Hospitals Services Prior
Authorization Not Required for FES Members
May 2024 - Special Editions
March 2024
March is National Nutrition Awareness Month
Extension of the Provider Moratorium to June 8, 2024
Billing Companies and Clearing House Cannot Submit a Request for ERA (835) Setup
Referring, Ordering, Attending (ROPA) Providers Required to Register with AHCCCS
Review Of Documentation Signature Requirements
Special Billing Information and Updates
Common Behavioral Health Claim Denial Edits
Claim Denial Code AD282 Missing Provider Signature
Claim Denial Code AD283 Invalid Member ID Information AMPM940(III) (A) (1) (B)
Behavioral Health Documentation Requirements
Reminders: TIBCO Transaction Insight Web Upload Attachment
Checking Your Claim Status
Submitting a Replacement Claim
Corrections to Previously Processed Claims
FRAUD, WASTE AND ABUSE
March 2024 - Special Editions
February 2024
February is Heart Health Awareness Month
ID.Me Registration Now Required for all AHCCCS Online Users
Important: AHCCCS Registration is Required for all Behavioral Health Professionals Providing Clinical Oversight
New Provider Quick Training Guide
FFS Provider Tools and Resources: Prior Authorization Correction Form
Provider Online Resources and Training Guides
Common Prior Authorization Submission Errors
FFS Prior Authorization Requirements for Add-On Surgery Codes
AHCCCS Claim Processing Edits and Descriptions
Submitting A Clean Claim
Reminder: New 2024 American Dental Association Claim Form
Reminder: Participating Provider Reporting Requirements Edit Denial Codes H482.1 and H482.7
Extension of the Provider Moratorium to June 8, 2024.
AHCCCS Daily Trip Report Reminders
February 2024 - Special Editions
January 2024
AHCCCS Adds ID.me Security to Provider Portal
Important Billing Code Change: Place of Service Code 56 for BHRF Provider Type (B8) Only
Behavioral Health Claim Denial Codes
Extension of the Provider Moratorium to June 8, 2024
End Stage Renal Disease (ESRD) NEMT Prior Authorization Submissions
AHCCCS Provider Enrollment Portal (APEP) - Adding a Provider Service Location
MCO Claim Denials – Health Plan Enrollment
Coming January 2024! New 2024 American Dental Association Claim Form
Prior Authorization Lookup Tool
What Happens When the Prior Authorization Does Not Match The Service?
Modification Request: How to Add a Missing Provider Service Location In APEP
How to Correct the Duplicate Prior Authorization Case Creation Error
Identifying Claim Problems
Behavioral Health Services Billing and Coding H2016 and H0038 Same Day Billing Denial Edit L237.4
2023
December 2023
Checking Claim Status using the AHCCCS Online Provider Portal
Behavioral Health Claims - Missing Documentation Denial Reason Codes
H2016 and H0038 Same Day Billing Denial Edit L237.4
Inpatient Psychiatric Facility (PT 71) Prior Authorization Submission Tips
Important Billing Code Change: Place of Service Code 56 for BHRF PT (B8)
Documentation Requirements for Behavioral Health Outpatient Claims
New Denial Code AD281 Medical Documents Do Not Conform to AMPM Policy 940
New 2024 American Dental Association Claim Form
Community Health Workers and Community Health Representatives (CHW/CHR)
Hysterectomy Consent and Acknowledgement Form
Elective Sterilization Consent Form Requirement
How to Check the Status of a Behavioral Health Claim and Documentation
How to Create a Paper Work Numbers (PWK)
Prior Authorization Lookup Tool
Common Prior Authorization Submission Errors
Prior Authorization Submission Tips - PT 02 Hospital – Outpatient Day Surgery
Prior Authorization Tip: Outpatient Surgery – Physician Prior Authorization Request
What Happens When The Prior Authorization Does Not Match The Service
Selecting the Correct Claim Number To Submit a Replacement Claim
Duplicate Prior Authorization Case Error Message
How to Add a Provider Service Location in (APEP) Modification Tutorial
275 Transaction Insight Portal Batch Option Is Available - How to Sign Up!
Transaction Insight Portal Reminders for Provider Types 77, 05 and IC
December 2023-Chiropractor Service Codes Update
November 2023
AHCCCS Online Provider Portal Password Reset Requests
Receive DFSM Email News Updates and Provider Training Notifications
Important: Effective June, 9, 2023 Provider Moratorium
Important Master Account Holder Changes
AHCCCS Restricts Providers’ Ability to Bill on Behalf of Others
Tribal Self-Insurance and Required Documentation
835 Electronic Remittance Advice Requests
275 Transaction Insight Portal Batch Option
DFSM Prior Authorization Quick Training Guides
Behavioral Health Claims-Missing Documentation Denial Reason Codes
Provider Type 02 Hospital-Prior Authorization Submission Requirements
Memo Release Date October 24, 2023: Fee for Service Prior Authorization Review Times
Common Prior Authorization Submission Errors
Reminder: Participating Provider Reporting Requirements Edit Denial Codes H482.1 and H482.7
Prior Authorization Tips
How to Add the Missing Event Information to an Existing PA
How to Add the Missing Activity Information to an Existing PA
October 2023
Linking Between AHCCCS Online Provider Portal and the Transaction Insight Portal
Transaction Insight Portal Reminders for Provider Types 77, 05 and IC
TIBCO and Attaching Documentation for BH Claims
275 Transaction Insight Portal Batch Option
What Happens When the Prior Authorization Does Not Match the Service?
Checking Claim Status using the AHCCCS Online Provider Portal
Behavioral Health Claims-Missing Documentation Denial Reason Codes
Inpatient Psychiatric Facility (Provider Type 71) Prior Authorization Submission Tips
Rate Changes Effective 10/01/2023
How to Add the Missing Event Information to an Existing PA
How to Add the Missing Activity Information To An Existing PA
Prior Authorization Tips
Transaction Insight Portal (TIBCO) FAQs
Claim Date Span Billing Requirement
September 2023
Receive DFSM Email News Updates and Provider Training Notifications
Reminder: Rate Changes Effective 10/01/2023
Reminders: Participating Provider Reporting Provider Types 77, IC and 05
Documentation Review for Behavioral Health Outpatient Claims
Reminders: Important Effective June, 9, 2023 Provider Moratorium
Reminder: Participating Provider Reporting Requirements Edit Denial Codes H482.1 and H482.7
Reminders: 275 Transaction Insight Portal (TIBCO)
Transaction Insight Portal (TIBCO) FAQS
How to Check Receipt of Documentation Using the AHCCCS Online Provider Portal
How to Add the Missing Event Information To An Existing PA
How to Add the Missing Activity Information To An Existing PA
Uploading Documentation To A Prior Authorization Request
Prior Authorization Tips
August 2023
Important: Effective June, 9, 2023 Provider Moratorium
Important: Behavioral Health Billing Codes Documentation Requirements
DFSM New Training Tutorials!
Required Documentation For Outpatient Behavioral Health Claims
Documentation Review for Behavioral Health Outpatient Claims
Important: AHCCCS Changes Enrollment Procedures for the American Indian Health Program (AIHP)
Participating Provider Reporting Requirements Edit Denial Codes H482.1 and H482.7
Provider Type 02 Hospital - Prior Authorization Submission Reminders
AHCCCS Online Provider Portal Password Reset Requests
AHCCCS Online Provider Portal Registering Under the Group Billing Provider (01) NPI
How to Register Your Group Billing Account On the AHCCCS Online Portal
How to Verify if the Service Provider is linked to the Group Billing Provider
Important Master Account Holder Changes
July 2023
Required Documentation For Outpatient Behavioral Health Claims
AHCCCS Audio Only Telehealth Changes Modifier FQ
Transaction Insight Portal (TIBCO) File Size and Types
Reminder: Non-Emergency Medical Transport Diagnosis Codes
New and Revalidating Behavioral Health Providers Subject to High-Risk Screening
Behavioral Health Services Billing and Coding H2016 and H0038 Same Day Billing Denial Edit L237.4
Provider Type 02 Hospital - Prior Authorization Submission Reminders
AHCCCS Restricts Providers’ Ability to Bill on Behalf of Others
Psychiatric Hospital Provider Type 71 Prior Authorization Diagnosis Code Mismatch
Reminder: Non-Emergency Medical Transportation (NEMT) Policy Change for Local Community Based Support Programs
Prior Authorization Tips For Provider Type 71 Psychiatric Hospital
Claim Date Span Billing Requirement
Electronic Visit Verification (EVV) Edit Tips Edit Denial Code: L227.1 Claim Line Failed For Unmatched Units, Field is Missing
July 2023 - Outpatient Behavioral Health Billing Update
Required Documentation For Outpatient Behavioral Health Claims
June 2023
Multi-Systemic Therapy (MST)
CR Modifier and DR Condition Code Covid-19 Emergency Related
Medical Coding Resources - Code Coverage Changes
Community Health Workers and Community Health Representatives (CHW/CHR)
Transaction Insight Portal for Outpatient Behavioral Health Providers How to Attach Documentation for Specific BH Service Codes
Prior Authorization Tips For Provider Type 71 Psychiatric Hospital
Diabetes Self-Management Training (DSMT)
Dental Tooth Code Number Assignment
Prior Authorization Guidelines
Principal Diagnosis versus Admitting Diagnosis Codes UB-04
All Patient Refined Diagnosis Related Groups (APR-DRG) Classification System DRG Ungroupable Denials
Filing a Reconsideration for APR-DRG Payments
Reminder: Billing Vaccines for Children (VFC)
Reminder: Missing AHCCCS 835 and Paper Remittance Advice
Claim Date Span Billing Requirement
May 2023
Alternate Care Site (ASC) Flexibility Ending for Indian Health Service (IHS) and Tribally Owned/Operated (638) Facilities
Reminder: Claim Date Span Billing Requirement
Attendant Care Provider Type 40 Non-Emergency Medical Transportation Services
Selecting the Correct Event Type for Medical and Behavioral Health Admissions
Common Prior Authorization Submission Errors
Prior Authorization Tips
When is a Faxed Prior Authorization Request Acceptable
Verifying if a Service Requires a Prior Authorization
Prior Authorization Submission Tips
PA Tip: Outpatient Surgery – Physician Prior Authorization Request
PA Tip: BHRF (Provider Type B8) Prior Authorization Request
BHRF Criteria for Continued Stay
Inpatient Psychiatric Facility (Provider Type 71) Prior Authorization Submission Tips
Uploading Documentation To A Prior Authorization Request
How to Add the Missing Event Information To An Existing PA
How to Add the Missing Activity Information To An Existing PA
Payment Error Rate Measurement (PERM) Audit
What is Payment Error Rate Measurement (PERM) Audit
May 2023 - Transaction Insight Portal for Outpatient Behavioral Health Providers
How to Attach Documentation for Specific BH Service Codes
May 2023 - Clarification of Billing Requirements for Behavioral Health Outpatient Claims
H0004 (Behavioral Health Counseling and Therapy)
H0038 (Self-Help/Peer Services)
H2011 (Crisis Intervention Service)
H2014 (Skills Training and Development)
H2015 (Comprehensive Community Support Services)
H2017 (Psychosocial Rehabilitation Services)
H0025 (Behavioral Health Prevention Education Service)
H2027 (Psychoeducational Service)
S5150 (Unskilled Respite Care, Not Hospice)
T1016 (Case Management)
T1019 (Personal Care Services)
H0034 (Medication Training and Support)
May 2023 - Special Edition
Service Ticket Request For Electronic Remittance Advice (ERA) 835 Setup
If you are missing your ERA/835 Remits
April 2023
Alternate Care Site (ASC) Flexibility Ending for Indian Health Service (IHS) and Tribally Owned/Operated (638) Facilities
Denial Edit - L013.5 Claim Service Requires Prior Authorization, PA Not Found
Claim Edit Review Tips
Common Prior Authorization Submission Errors
Effective 10/14/2022 Covered Dental Services at an IHS/638 Facility Are Unlimited
Additional Reimbursements of the Pharmacy All Inclusive Rate (AIR) for the Administration of COVID-19 and Influenza Immunizations are Ending
BHRF Criteria for Continued Stay
Selecting the Correct Event Type for Medical and Behavioral Health Admissions
Reminders Transaction Insight Portal
Prior Authorization Tips
Verifying if a Service Requires a Prior Authorization
Reminder: Referring/Ordering Provider Requirement
AHCCCS FFS New Vendor Notification Medicaid Travel Services Provider
Easy Access to Provider Training Presentations via Constant Contact
Denial Edit AD962 Referring/Ordering Provider NPI Is Not Listed
Tribal Self-Insurance and Required Documentation
Payment Error Rate Measurement (PERM) Audit
What is Payment Error Rate Measurement (PERM) Audit
March 2023
Claim Date Span Billing Requirement
Claim Denials Information
AHCCCS FFS New Vendor Notification Medicaid Travel Services Provider
APEP Reminder –Service Addresses Can Be Updated Directly in APEP
Prior Authorization Reminders
Reminder: Common PA Submission Errors
AHCCCS FFS New Vendor Notification Medicaid Travel Services Provider
Attendant Care Provider Type 40 Non-Emergency Medical Transportation Services
Payment Error Rate Measurement (PERM) Audit
What is Payment Error Rate Measurement (PERM) Audit
February 2023
AHCCCS FFS New Vendor Notification Medicaid Travel Services Provider
Attendant Care Provider Type 40 Non-Emergency Medical Transportation Services
Who Can Become an American Indian Medical Home (AIMH)
Prior Authorization Reminders
Effective 10/14/2022 Covered Dental Services at an IHS/638 Facility Are Unlimited
REMINDER: NEMT Pick Up and Drop Off Address
EVV Update on Hard Claims Edits
Payment Error Rate Measurement (PERM) Audit
What is Payment Error Rate Measurement (PERM) Audit
January 2023
Effective 10/14/2022 Covered Dental Services at an IHS/638 Facility Are Unlimited
Reminder: Provider Participation Reporting Requirements
Diabetes Self-Management Training
Claim Denials Information
EVV Update on Hard Claims Edits
Payment Error Rate Measurement (PERM) Audit
How To Determine if a Prior Authorization Is Required
Reminder: Common PA Submission Errors
What is Payment Error Rate Measurement (PERM) Audit
APEP Reminder –Service Addresses Can Be Updated Directly in APEP
Prior Authorization Reminders
REMINDER: NEMT Pick Up and Drop Off Address
Reminder: Common PA Submission Errors
Provider Self-Service Tips AHCCCS Online Provider Portal
Pended Prior Authorization Request Information
2022
December 2022
Effective 10/14/2022 Covered Dental Services at an IHS/638 Facility Are Unlimited
Diabetes Self-Management Training
Public Health Emergency
Provider Participation Modifier Deadline Extended Until January 1, 2023
Missing Remittance Requests
Reminder: Electronic Visit Verification
Reminder: Common PA Submission Errors
Reminder: Paper Claim Submission Errors
Reminder: Billing Per Diem Codes
835/Electronic Remittance Advice (ERA)
AHCCCS To Start 10-Month Process to Disenroll Non-Compliant Providers
November 2022
Effective 10/14/2022 Covered Dental Services at an IHS/638 Facility Are Unlimited
Payment Error Rate Measurement (PERM) Audit
Important Updates
What is Payment Error Rate Measurement (PERM) Audit
Missing Remittance Requests
Serious Mental Illness (SMI) Changes Effective 10/1/2022
Reminders: Behavioral Health Residential Facility (BHRF) Admission
Important Update: Provider Participation Reporting Requirements Deadline Has Been Extended Until January 1, 2023
October 2022
Serious Mental Illness (SMI) Changes Effective 10/1/2022
Behavioral Health Residential Facility Policy 320-V Update
Payment Error Rate Measurement (PERM) Audit
What is Payment Error Rate Measurement (PERM) Audit
Important Update: Provider Participation Reporting Requirements Deadline Has Been Extended Until January 1, 2023
APEP Reminder - Service Addresses Can Be Updated Directly in APEP
Quick Reference Guide - What Services Require A FFS Prior Authorization
Missing Remittance Requests
Provider Self-Service Tips AHCCCS Online Provider Portal
September 2022
Serious Mental Illness (SMI) Changes Effective 10/1/2022
835/Electronic Remittance Advice (ERA)
Reminders: Behavioral Health Residential Facility (BHRF) Admission
Payment Error Rate Measurement (PERM) Audit
What is Payment Error Rate Measurement (PERM) Audit
Participating Provider Reporting Requirements Effective 10/1/2022
Provider Denial Resolution Guide
APEP FAQs
Reminders: Fee-for-Service Prior Authorizations
Reminder: Transaction Insight Portal- Important Information for Users
July/August 2022
Serious Mental Illness (SMI) Changes Effective 10/1/2022
Payment Error Measurement (PERM) Audit
Participating Provider Reporting Requirements Effective 10/1/2022
Provider Denial Resolution Guide
Tips: Behavioral Health Prior Authorization
Tips: BHRF Prior Authorization Reminders
DD-THP Tribal Health Program Prior Authorization Forms
Update: AHCCCS Prior Authorization and Concurrent Review Standards during the COVID-19 Emergency for Fee-for-Service Providers
AHCCCS Provider Enrollment Portal (APEP)
Review of Documentation Signature Requirements
Reminder: Non-Emergency Medical Transportation (NEMT) Policy Change for Local Community Based Support
Reminder: Transaction Insight Portal-Important Information for Users Reporting the Date of Service
Reminders: Important Billing Information for Paper Claims Submissions
March 2022
DD Tribal Health Plan (THP)
Office of the Inspector General (OIG) Provider Participation Agreement
Participating Provider Reporting Requirements
Payment Error Rate Measurement (PERM) Audit
Transaction Insight Portal-Important Information for Users Reporting the Date of Service and Provider Address Fields
Transaction Insight Portal-PWK Using the AHCCCS 12 Digit Claim Reference Number (CRN)
Important Billing Information for Providers-Common Billing Errors on Paper Claim Submissions
Transportation Requests
January/February 2022
Payment Error Rate Measurement(PERM) Audit
CMS Extension of “Four Walls” Grace Period for IHS and Tribal 638 Facilities
First Quarter Provider Training Schedule Posted
General Requirements for the Submission of Paper Claim Forms
Transportation Requests
Transportation Passes/Bus Passes
AHCCCS Prior Authorization and Concurrent Review Standards during the COVID-19 Emergency for Fee-for-Service Programs
Tribal ALTCS Digital Tool
COVID-19
Transaction Insight Portal – Important Information for Users Who Select Non-Person Entity
Electronic Visit Verification (EVV)
AIHP Transportation Request Process
2021
October 2021
CMS Extension of “Four Walls” Grace Period for IHS and Tribal Providers
AIHP Transportation Request Process
Transportation Requests
Transportation Passes/Bus Passes
Electronic Visit Verification (EVV)
Emergency Triage, Treat and Transport (ET3)
COVID-19 Information
Tribal ALTCS Digital Toolbox
Transaction Insight Portal – Important Information for Users Who Select Non-Person Entity
Prior Authorization Updates and Reminders
September 2021
Emergency Triage, Treat and Transport (ET3)
Medical Review Documentation Requirements
Documentation Requirements and the Transaction Insight Portal
Transaction Insight Portal - Important Information for Users Who Select Non-Person Entity
COVID-19 Prior Authorization and Concurrent Review Standards During the Publich Health Emergency for Fee-for-Service Programs
APEP FAQs
Prior Authorization Updates and Reminders
APEP Updates - Service Addresses May Now Be Updated Directly in APEP
ROPA: Referring, Ordering, Prescribing, Attending (ROPA) Providers Required to Register with AHCCCS
Tribal ALTCS Digital Toolbox
August 2021
APEP Updates – Service Addresses May Now Be Updated Directly in APEP
APEP FAQs
IHS & 638 Tribal Facility / Pharmacy Authorization Form for Submission to OptumRx
Transaction Insight Portal - Important Information for Users Who Select Non-Person Entity
ROPA
Fee for Service Authorization Reminders
Quality Management (QM) Housekeeping Tips
NEMT Daily Trip Report Instructions
July 2021
Transaction Insight Portal – Important Information for Users Who Select Non-Person Entity
Court Ordered Treatment FAQ Update
DFSM Provider Training Team’s Third Quarter Schedule Posted
APEP
APEP and Adding Service Locations
BHRF Notifications
Medicare EOB
ROPA
Quality Management Housekeeping Tips
AHCCCS Prior Authorization (PA) and Concurrent Review (CR) Standards during COVID-19 for Fee-for-Service Health Programs
Behavioral Health Residential Facility (BHRF) Notification
Behavioral Health Residential Facility (BHRF) – Per Diem Rate Information
May/June 2021
ROPA
Recoupment (Applies to All Providers)
Fee For Service Prior Authorization
Non-Emergency Medical Transportation (NEMT) Daily Trip Report Instructions
NEMT Resources
NEMT – Transportation of Family Members is Not Permitted
General Reminders for All Providers
Attendant Care Non-Emergency Medical Transportation & Special Considerations
Use of the AHCCCS Online Provider Portal – Why NOT Sharing Your User ID and Login Information is VERY Important
Upcoming APEP Training Sessions
What is the AHCCCS Provider Enrollment Portal (APEP)?
APEP and Adding Service Locations
Payment Error Measurement (PERM) Audit Information for Providers
Telehealth Resources
Telehealth Services and IHS/638 Providers
Second Quarter Training Schedule Posted
COVID-19 Information on the AHCCCS Website & Billing for Services
COVID-19 Billing for Services
March/April 2021
Upcoming APEP training sessions
Medicare EOB
Quality Management (QM) Housekeeping Tips
Preferred Provider Lists
Vaccination Memos
2021 All Inclusive Rate
Payment Error Measurement Audit Information for Providers
Telehealth
Electronic Visit Verification (EVV)
Second Quarter Training Schedule Posted
COVID-19 Billing for Services
COVID-19 Information
COVID_19 FAQs
The U.S. Department of Health and Human Services (HHS) Releases COVID-19 Care and Vaccine Access Fact Sheets
AHCCCS Prior Authorization (PA) and Concurrent Review (CR) Standards during COVID-19 Emergency for Fee-for-Service Health Programs
AHCCCS Provider Enrollment Portal (APEP)
January/February 2021
2021 All Inclusive Rate Update
First Quarter Provider Training Schedule Posted
Vaccination Memos for Providers
COVID-19 Information
2020
November/December 2020
ROPA Update – Extension of Timelines
Sandata EVV System Users – Preparation for the Welcome Kit Release
Non-Emergency Medical Transportation Updates and Reminders
Documentation Requirements on the Transaction Insight Portal (TI)
Claim Tips Corner – Claim Submission Errors on CMS 1500 Claim Forms
Online Prior Authorization Reminders
IHS 638 Nursing Facility and Skilled Nursing Facilities AIR Updates
COVID-19 Information
COVID-19 Modifier Use
Provider Location within the United States
Long Acting Reversible Contraceptives (LARC)
Behavioral Health Matrix Reminder
Vaccination Billing Information for IHS & Tribal Providers
October 2020
EMS Providers and Flu Shots
AHCCCS Reimbursement Options for EMS Agencies Administering Flu Vaccine
Flu Vaccine Administration for Members 3-18 Years of Age
Electronic Visit Verification Information
Provider Location within the United States
COVID-19 Information
COVID-19 Modifier Use
Referring, Ordering, Prescribing and Attending (ROPA) Providers
IHS 638 Nursing Facility and Skilled Nursing Facilities AIR Updates
Long Acting Reversible Contraceptives (LARC)
Claim Tips Corner – Claim Submission Errors on CMS 1500 Claim Forms
Documentation Requirements and the Transaction Insight (TI) Portal
Behavioral Health Matrix Reminder
AHCCCS Prior Authorization (PA) and Concurrent Review (CR) Standards during COVID-19 Emergency Fee-for-Service Health Programs
Behavioral Health Transportation Responses (Questions and Answers)
September 2020
Flu Vaccine Administration for Members 3-18 Years of Age
Documentation Requirements and the Transaction Insight Portal (TI)
Referring, Ordering, Prescribing and Attending (ROPA) Provider Notification “Don’t Be the Weak Link in the Chain!”
Electronic Visit Verification (EVV) Reminders and Training Information
Please note EVV announcements are only applicable to providers subject to EVV requirements. For additional information on EVV please visit the AHCCCS EVV web page .
COVID-19 Information
COVID-19 FAQs
COVID-19 “CR” Modifier Use
IHS 638 Nursing Facility and Skilled Nursing Facilities AIR Updates
Claim Dispute Process – Office of Administrative Legal Services (OALS)
AHCCCS Announces Provider Enrollment Portal (APEP) Launch
Telehealth Reminders
Behavioral Health Facilities Providing Personal Care Services
Behavioral Health Residential Facility (BHRF) – Prior Authorization Documentation Requests
Behavioral Health Residential Facility (BHRF) Trainings
AHCCCS Prior Authorization (PA) and Concurrent Review (CR) Standards during COVID-19 Emergency for Fee-for-Service Health Programs
Provider Training Schedule Fourth Quarter 2020
July/August 2020
COVID-19 - FAQs and CR Modifier Use
Long Acting Reversible Contraceptives (LARC)
Telehealth Materials on the AHCCCS Website
The "Four Walls" Provision and IHS & 638 Providers
Billing for Telehealth and Telephonic Services as an IHS/638 Provider
AHCCCS Provider Enrollment Portal (APEP) Information - Launch Date of August 31, 2020
AHCCCS Prior Authorization (PA) and Concurrent Review Standards during COVID-19 Emergency for Fee-for-Service (FFS) Health Programs
Behavioral Health Services Matrix
Claim Dispute Process - Office of Administrative Legal Services (OALS)
Referring, Ordering, Prescribing, and Attending (ROPA) Providers Flier - Register by January 1, 2021
June 2020
COVID-19 & FAQs
Telehealth
Contact Information
The "Four Walls" Provision and IHS & 638 Providers
Billing for Telehealth and Telephonic Services as an IHS/638 Provider
AHCCCS Announces Provider Enrollment Portal (APEP) Launch Date Change - August 31st, 2020
Electronic Visit Verification (EVV) Update
Claims - How to Register as a Provider and Receive Payment for Services Rendered
Prior Authorization and Concurrent Updates
Tribal Relations Corner
Upcoming AHCCCS Special Tribal Consultation Meetings
Providers Can Be Reimbursed for COVID-19 Testing and Treatment for Uninsured Arizonans Through Federal HRSA Web Portal
AHCCCS Policies Open for Tribal Consultation as of 5/21/2020
Upcoming Training Schedule - June 2020
April/May 2020
COVID-19
COVID-19 FAQs
Telehealth
Contacts
EVV
APEP Updates
American Indian Medical Home (AIMH)
Claims Disputes Process - OALS
Federal Emergency Services Recipients
Medicare Savings Programs - FFS
2020 All Inclusive Rate (AIR) Updates
March 2020
Long Active Reversible Contraceptives (LARC)
Arizona Court Care Website – Involuntary Treatment or “Civil Treatment” Process
Behavioral Health Residential Facility (BHRF) Notification for Codes H0031 an H2019
General Requirements for the Submission of Paper Claim Forms
Tribal ALTCS Web Page
Billing Reminders for the CMS 1500 and UB-04 Claim Forms
AHCCCS Provider Enrollment Portal (APEP) to Launch June 1st, 2020
New Standards and Reporting Requirements for Opioid Treatment Programs
Electronic Visit Verification (EVV)
Provider Training Web Page
Federal Emergency Service Recipients
Upcoming Provider Trainings
January/February 2020
Tribal ALTCS Web Page
AHCCCS Provider Enrollment Portal (APEP) Updates- Launching on June 1st, 2020
Electronic Visit Verification (EVV) Updates
Covered Behavioral Health Services Guide (CBHSG) Transition Reminder
Telehealth Services Reminder
New Standards and Reporting Requirements for Opioid Treatment Programs
Provider Training Web Page
Upcoming Provider Training Sessions
2019
November/December 2019
Tribal ALTCS Web Page - NEW!
AHCCCS Provider Enrollment Portal (APEP) to Launch June 1st, 2020 - Launch Date Changed!
Telehealth Services - Important Update
APR-DRG Payment Policy Update
Covered Behavioral Health Services Guide - Important Update
Behavioral Health Facilities Provider Personal Care Services
Behavioral Health Residential Facility - Prior Authorization Documentation Requests
Transaction Insight Portal (TI)
Claims Status Inquiries using the AHCCCS Online Provider Portal and via the Claims Customer Service Phone Line
Claim Submission - Medicare/Third Party Liability
AHCCCS Complete Care (ACC) Health Plan Contact Information
A0998 Article - Billing Manual Update
October 2019
AHCCCS Provider Enrollment Portal (APEP) to Launch in 2020
Vaccine Administration and Point of Sale System Billing to Optum
Electronic Prescribing of Controlled Substances (EPCS) - Memo Regarding State of Arizona House Bill 2075, Dated October 23rd, 2019
Arizona Controlled Substances Prescription Monitoring Program
House Bill 2075 Reminders with Additional Resource Information
AHCCCS Fee for Service Drug List & T(RBHA) Drug List Effective 10/01/2019
APR-DRG Payment Policy Update
Covered Behavioral Health Services Guide – Important Update
Telehealth Services – Important Update
Behavioral Health Facilities Providing Personal Care Services
Non-Emergency Medical Transportation Daily Trip Report Reminders
Naturopathic Physicians
September 2019
***Additional Trainings Added for 3rd Quarter
Assistant Surgeon Modifier (AS) and Modifier AS Notification
Multi-Specialty Interdisciplinary Clinic Update (MSIC)
Provider Enrollment Updates
Master PDF Documents of the Fee-for-Service and IHS/Tribal Provider Billing Manuals to Replace ZIP Files
Telehealth Policy Updates
BHRFs Providing Personal Care Services
August 2019
APR-DRG Policy
Provider Enrollment Updates (Automated Online Provider Enrollment System to Launch in 2020)
Master PDF Documents of the Fee-for-Service and IHS/Tribal Provider Billing Manuals to Replace ZIP Files
Retroactive Coverage (also called Prior Quarter Coverage)
Adult Immunization Coverage
Behavioral Health Residential Facilities Notification
Direct Care Worker Agency Monitoring
Four Walls Requirement
Training Schedule for the 3rd Quarter
July 2019
AHCCCS Adult Immunization Coverage at County Health Departments
Retroactive Coverage (also called Prior Quarter Coverage)
Retroactive Coverage
Direct Care Worker Agency Monitoring
Behavioral Health Residential Facility (BHRF) Per Diem Rate Information
Covered Behavioral Health Services Guide - Important Notice
Training Schedule for 3rd Quarter
June 2019
Provider Welcome Letter
Provider Office Check List
Retroactive Coverage
Behavioral Health Residential Facility (BHRF) Notification
Behavioral Health Residential Facility (BHRF) Per Diem Rate Information
Transition of Covered Behavioral Health Services Guide
3D Mammograms
Upcoming Trainings
May 2019
Covered Behavioral Health Services Guide - Important Update
Automated Online Provider Enrollment System to Launch in 2019
Training Opportunities (Technical Assistance Webinar; BHRF PA Submission Training; General Direct Care Agency Worker; One-on-Ones; Claims and Disputes)
Electronic Visit Verification Differential Adjusted Payment Notice (DUE 05/20/2019)
Request for Electronic Remittance Advice (ERA) or 835 Transaction Setup (FAQs)
Accessing Behavioral Health Services in Schools
BHRF Notification
3D Mammograms
April 2019
BHRF Notification/Update
Covered Behavioral Health Services Guide - Important Update
OALS Claims Dispute Process
Notice of Non-Discrimination
Provider Registration (Enrollment) Updates
Accessing Behavioral Health Services in Schools
Coordination of Care
What is the AIMH?
March 2019
Care Coordination: FFS Programs
Notice of Non-Discrimination
Addressing the Increase of Syphilis in Arizona
BHRF Notification
Covered Behavioral Health Services Guide – Important Update
Pharmacy Updates
February 2019
CBHSG Updates
BHRF Notification
QMB Only, QMB Dual, and Non-QMB Dual Member Copays
What Does a Tribal ALTCS Membership Card Look Like?
January 2019
Pharmacy Services for AIHP Members
Remittance Advice FAQs
Billing the Global OB When Delivery Occurs at a Different Facility
General Reminders
Paper Claim Reminders
Member Eligibility – How to Check if a Member is Designated SMI
Are Contracts Needed for FFS Members? (No)
Covered Behavioral Health Services Guide Transition – Important Updates
The American Indian Health Program (AIHP) – An integration topic.
Behavioral Health - An integration topic.
Billing Considerations – An integration topic.
Integration Special Edition
This edition of Claims Clues is dedicated to providing providers with information about Integration, which begins on 10/01/2018. It contains enrollment and billing information.
The Future of Integrated Healthcare
10/1/18 Enrollment Changes for Members
The American Indian Health Program
Behavioral Health
This article includes a screenshot detailing what a member's eligibility screen will look like, after 10/01/2018, if they are receiving behavioral health services through AIHP.
Billing Considerations for:
AIHP/AIHP-enrolled members,
AIHP/TRBHA-enrolled members, and
AHCCCS Complete Care (ACC) enrolled members.
CRS Updates
Provider Training Information
ACC Training will be held by our Provider Training division and dates and sign-up information is included.
Answers to the following questions:
Are contracts needed to provide services to FFS members?
How can I submit a claim for a FFS member?
How can I submit a PA request for a FFS member?
2018
December 2018
Covered Behavioral Health Service Guide Transition - Important Update
Behavioral Health Residential Facility (BHRF) Notice
What is the difference between AIHP and IHS?
Reminder for NEMT Providers (Registration Process of Employees)
Direct Care Worker Agency Monitoring
Training dates for January:
Wednesday, January 16th
Wednesday, January 23rd
NEMT Reminders and Unloaded Mileage
Privacy Rules and Continuity of Care
Claims - How to Register as a Provider and Receive Payment for Services Rendered
Provider Registration
Enrolling in AHCCCS Online
Electronic Remittance Advice (ERA/835) Setup
Claim Submission
Documentation Submission & Enrolling for the Transaction Insight Portal
Payments
Field 43 and Reporting the Medicaid Drug Rebate Data (NDC Number)
CMS 1500 Claim Form Updates
Updates/Clarifications on Fields 24I, 24J, 33a, and 33b
Reminder that Fee-For-Service providers do not need to contract with AHCCCS AIHP, Tribal ALTCS, or a TRBHA to continue providing Medicaid Title XIX/XXI services to FFS members. A provider simply must be an AHCCCS registered provider. Contracts are not needed.
November 2018
Emergency Dental Services
Request for Electronic Remittance Advice (ERA) or 835 Transaction Setup (FAQs)
Integration Billing Information
NEMT AHCCCS Daily Trip Report Reminders
Pharmacy Services for AIHP Members
Direct Care Worker Agencies
Reminder Regarding the FFS & IHS/Tribal Provider Billing Manual Usage
Fee-for-Service Authorization Reminders
Crisis Services
Crisis Hotline Phone Numbers
Global OB Billing for IHS/638 Facilities
October 2018
October Provider Training
Crisis Services
AHCCCS Online Claim Disputes
Billing Reminders for the CMS 1500 and UB-04 Claim Forms
Paper Claim Reminders
Acronyms
Where to Go if You Have ACC Questions
Integration Special Edition
This edition of Claims Clues is dedicated to providing providers with information about Integration, which begins on 10/01/2018. It contains enrollment and billing information.
The Future of Integrated Healthcare
10/1/18 Enrollment Changes for Members
The American Indian Health Program
Behavioral Health
This article includes a screenshot detailing what a member's eligibility screen will look like, after 10/01/2018, if they are receiving behavioral health services through AIHP.
Billing Considerations for:
AIHP/AIHP-enrolled members,
AIHP/TRBHA-enrolled members, and
AHCCCS Complete Care (ACC) enrolled members.
CRS Updates
Provider Training Information
ACC Training will be held by our Provider Training division and dates and sign-up information is included.
Answers to the following questions:
Are contracts needed to provide services to FFS members?
How can I submit a claim for a FFS member?
How can I submit a PA request for a FFS member?
September 2018
Open House Announcement
Direct Care Workers
Billing Manual Purpose Reminder
Fee for Service Authorization Reminders
1500 Paper Claim Forms (Box 21) ICD-10 Diagnosis Reminder
Integration
Ground Ambulance
August 2018
Provider Education Dates
Non-Emergency Medical Transportation Updates
New: Open House
What is Integration and Who is Affected?
Integration Billing Information
Policies Rescinded
July 2018
Linking between AHCCCS Online and the Transaction Insight Portal
Medical Documentation Reminders
What is Integration and Who is Affected?
PERM Audit - Where do you stand?
June 2018
Behavioral Health Prior Authorization Requests
Online Prior Authorization (PA) Submission Requirements for FFS Providers Effective 07/01/2018
Federal Emergency Service Plan (FESP) Member Prior Authorization Requirements
Medical Authorization Reminders
The Updated AHCCCS Daily Trip Report is Now Available
638 FQHCs
May 2018
Participants in the Targeted Investments Program
Behavioral Health Prior Authorization Requests
Online Prior Authorization (PA) Submission Requirements for FFS Providers Effective 7/1/18
Federal Emergency Service Plan (FESP) Member Prior Authorization Requirements
FAQ Round Up (Case Management & FQHCs; Group Therapy & FQHCS; and American Indian Medical Homes that are also an FQHC or a 638 FQHC)
April 2018
638 FQHCs
General Requirements for the Submission of Paper Claim Forms
All Inclusive Rate (AIR) Provider Billing Manual Updates
Coding Updates for Modifiers JG and TB
March 2018
AMPM 320-N - Prior Authorization Requests for Direct
Acting Antiviral Medication Treatment for AHCCCS Members
Age 18 Years and Older
Occupational Therapy
Demographic Transition Communication
Transportation Reminders
Medical Authorization Reminders
February 2018
Fee-For-Service Authorization Reminders
Transportation
Medical Authorization
Home Health Services
Family Planning
Orthotics and Prosthetics
Use of Social Determinants of Health Codes for Member Outcomes
January 2018
Billing 59 Modifier
Inpatient Outlier Review Process
PERM Audit: Where Do You Stand?
Online Prior Authorization Submission–New Document Attachment Feature
2017
December 2017
Home Infusion
Non-Physician Billing of Vaccinations & Emergency Injections
Combatting the Opioid Use Disorder Crisis with Medication Assisted Treatment (MAT)
Online Prior Authorization Submission–New Document Attachment Feature
November 2017
Podiatric Services
DFSM Billing Tips
Home Health Services
Notification to Applicants of the Targeted Investments Program
October 2017
Dental Benefits
Billing - 59 Modifier
Home Health Services
September 2017
Home Health Services - Face to Face Requirements
DFSM Billing Tips
August 2017
July 2017
June 2017
Federal Emergency Services Program (FESP)
Paper Claims Submission Font Issue
May 2017
BH PA Process Training notice
DFSM Training Schedule
April 2017
Article on TRBHAs and List of TRBHAs
DFSM Training Schedule
AHCCCS Contacts and links
February 2017
Overpayments
Fee-For-Service (FFS) Prior Authorization Information and Reminders
DFSM Training Schedule
UPDATE: AHCCCS - Constant Contacts replaces ListServ
Claim Reminders
UB Medical Review - Suggested Documentation
AHCCCS Contacts, Links and Resources
January 2017
Reminder: AHCCCS will be closed February 20, 2017 (Monday) to observe President’s Day
Fee-For-Service (FFS) Prior Authorization Reminder
Behavioral Health NEMT Updates and Reminders
DFSM Training Schedule
AHCCCS Contacts and links
2016
December 2016
Reminder: AHCCCS will be closed January 2, 2017 (Monday) to observe New Year’s Day.
Non-Emergency Medical Transportation (NEMT)
DFSM Training schedule
AHCCCS Contacts and links
November 2016
Week of December 12, 2016 Fee-For-Service Payments and Remits Will Be Delayed One Day
Reminder: AHCCCS will be closed December 26, 2016 (Monday) to observe Christmas Day.
Non-Emergency Medical Transportation (NEMT)
DFSM Training schedule
AHCCCS Contacts and links
October 2016
Genetic Testing Prior Authorization – Correction
Reinstatement: Coverage of Podiatry Services Performed by a Licensed Podiatrist
Reinstatement : ALTCS Dental
Third Party Liability (TPL)
Non-Emergency Medical Transportation (NEMT)
AHCCCS Contacts and Links
September 2016
Reminder: AHCCCS will be closed Monday, October 10, 2016
Long Acting Reversible Contraceptive (LARC)
Reinstatement: Coverage of Podiatry Services Performed by a Licensed Podiatrist
ALTCS Dental Benefit
Referrals for NEMT Trips Beyond "nearest facility"
Dental Review Process for Deep Sedation/General Anesthesia
Prior Authorization Request Timeframes
Provider Registration Required for Licensed Board Certified Behavior Analysts (BCBA)
August 2016
New Provider Type: Free-Standing Emergency Departments (FrEDs)
Proposed Reinstatement: ALTCS Dental Benefit
Reinstated: Coverage of Podiatry Services Performed by a Licensed Podiatrist
KidsCare is Reinstated Effective September 1, 2016
Reminder: Tribal Regional Behavioral Health Authority Provider Notification
Paper Claim Submission Issues
July 2016
KidsCare is Re-Instated Effective September 1, 2016
Prior Authorization Request Timeframes
Provider Registration Required for Licensed Board Certified Behavior
Analysts (BCBA)
June 2016
UM/CM Unit Name Change to CMSU Effective 7/1/2016
Provider Registration Required for Licensed Board Certified Behavior Analysts (BCBA)
Provider Records Retention Requirements
Provider "Going Out of Business" Process
May 2016
Genetic Testing Requires Prior Authorization
Tribal Regional Behavioral Health Authority Provider Notification
Dental Review Process Change for Deep Sedation/General Anesthesia
Claims Customer Service Tips
April 2016
Tribal Regional Behavioral Health Authority Provider Notification
Dental Review Process Change For Deep Sedation/General Anesthesia
APR-DRG On Interim Claims
Submitting Medical Records For An EDI Claim
When Your Claim Is Denied For Medical Documentation
NEMT Providers - Provider Registration Records Update
AHCCCS Provider Participation Terminated For Inactivity
DFSM Claims Customer Service Reminders
Are You Signed Up for Important Provider Notices?
March 2016
Hospital Presumptive Eligibility HPE
DFSM Claims Customer Service Tips
Are You Signed Up for Important Provider Notices?
February 2016
Provider Records Retention Requirements
Provider "Going Out of Business" Process
Claims Customer Service Tips - Using AHCCCS Online
Inpatient Outlier Review Process
January 2016
Attention Providers: Claim Submission System Downtime
AHCCCS Webpage Has a New Look!!
When Other Coverage is Primary
NEMT Providers: Provider Registration Records Update
Referrals for NEMT Trips Beyond "nearest facility" for AIHP
Behavioral Health Fee Schedule
Reminder: FREE Online Services for AHCCCS Providers
2015
November 2015
NEMT Coverage & Limitations
Prior Authorization Submission
Continuous Glucose Monitoring (CGM)
Home Infusion of Inotropic Medications
Provider Training Email Address
Mandated Hospice Rate Changes Effective 01/01/2016
Fee-For-Service Claims Payment Questions?
October 2015 Special Edition
Greater Arizona Integrated Care Update
September 2015
Reminder: Transition from ICD-9 to ICD-10 on 10/01/2015
ICD-10 Diagnosis Code on ADA Form - Correction
ICD-10 Implementation and Prior Authorization Changes
Reminder: Claims Received 9/28/15 and 9/29/15
Delayed: Changes to AHCCCS Covered Behavioral Health Services
Dental Service Requirements for IHS and Tribal 638 Providers
August 2015
Reminder: Transition from ICD-9 to ICD-10 on 10/01/2015
Adult Orthotic Benefit Change Effective 8/1/2015
Significant Changes to AHCCCS Covered Behavioral Health Services
Visiting the AHCCCS Administration Office?
Claims Submitted 9/28/15 and 9/29/15
July 2015
Coding/POS Updates
NEMT Trip Report Issues
Reminder: Revised Trip Report & Instructions
Billing FQHC/RHC Claims with a Primary Payer - Correction
Reminder: FREE Online Services for AHCCCS Providers
Are You Signed Up for Important Provider Notices?
June 2015
Reminder: Fee for Service (FFS) Provider Payment Changes
Digital X-rays
Billing FQHC/RHC Claims with a Primary Payor
Still Submitting Paper Claims to AHCCCS FFS?
May 2015
Fee For Service Provider Payment Changes
Still Submitting Paper Claims to AHCCCS FFS?
Provider Registration Changes for Provider Type 40 - Update
April 2015
Medically Unlikely Edits (MUEs)
Revised NEMT Trip Report and Instructions
Reminder: Paper Claim Submissions
Provider Registration Changes for Provider Type 40
March 2015
Coding Changes/Updates
FQHC / RHC
February 2015
Reminder: Claim Status - Pending
Reminder: Transition from ICD-9 to ICD-10 effective 10/1/2015
Coding Changes/Updates
January 2015
Correction - Coding Changes Effective 01/01/2015
Correction - Provider Training Email Address
Claims Status - Pending
Recipient Signature on NEMT Trip Report
Reminder - FQHC/RHC Payment Process Change Delayed
2014
December 2014
FQHC/RHC Changes Delayed
Coding Changes Effective 01/01/2015
NEMT Provider Reminder
New Provider Training Email Address
IHS/638 Claim Audit Memo
October 2014
Re-enrollments for NEMT & Group Billing Providers
FQHC AND RHC PAYMENT PROCESS CHANGE
PERM Audit Reminder
System Notice September 2014
No Claims Load Into System 9/24 - 9/30/14
August 2014
Billing Reminder
Did You Know...?
When AHCCCS Requests Medical Documentation
2 Policy Changes for NEMT Providers
REMINDER: Transition from ICD-9 to ICD-10 code sets delayed until 10/1/2015
July 2014
Billing Reminder
Did You Know...?
Timely Filing Denials
Claims Process Definitions
New Policy Changes for NEMT Providers
Reminder - ICD-10 Transition Delay
June 2014
NEMT Policy - Tribal Business Licenses Required
2014 1st Quarter NEMT Quality Audits
Reminder - Transition to ICD-10 Delayed
Reminder - New ADA 2012 Version
PERM 2014 Cycle "Save the Date" Webinars
May Claims Clues Supplemental
AZ DOC Special Edition Notice
May 2014
Billing Reminder
UB04 Date Discrepancies
NOTICE: Transition from ICD-9 to ICD-10 delayed until 10/1/2015
New ADA form 2012 Version
PERM 2014 Cycle CMS Provider Education
Monthly NEMT Quality Audits
April 2014
Billing Reminders
Note from Provider Registration
PERM Cycle 3 Provider Education Webinar/Conference Calls
March 2014
Correction of February 2014 NEMT Article
Billing Reminders
NEMT Policy Changes Effective 4/1/2014
PERM Cycle 3 Arizona
PERM 2014 "Save The Date"
February 2014
OVER USE & MISUSE of 99285
Submitting Claim Documentation
NEMT (Provider Type 28) Policy Changes
PERM 2014 CYCLE
October 2013 NEMT Claim Audit
2013
December 2013
PERM 2014 CYCLE
NEMT TRIP REPORT REVISED
AHCCCS PROVIDER PARTICIPATION TO BE TERMINATED FOR INACTIVITY
MEDICARE LIABILITY
November 2013
NEMT TRIP REPORT REVISED
SEPTEMBER 2013 NEMT CLAIM AUDIT RESULTS
REMINDERS FROM THE Care Management Systems Unit’S PRIOR AUTHORIZATION UNIT
MEDICARE LIABILITY
October 2013
PAYMENT ERROR RATE MEASUREMENT (PERM)
PRIOR QUARTER COVERAGE ELIGIBILITY
REMINDERS FROM THE Care Management Systems Unit’S PRIOR AUTHORIZATION UNIT
October 2013 - Special Edition
Prior Quarter Coverage Eligibility
August 2013
AHCCCS Fee for Service Non-Emergency Medical Transportation (NEMT) Changes
CMS Approved Supplemental Waiver Payments for Option 1 & Option 2 Ends 12/31/13
PERM Audit - Where do you stand?
Reporting Vaccine Administration Codes with E/M Codes
July 2013
Important Arizona Department of Corrections (ADOC) Information
General Reminders From the UM/CM's Prior Authorization Unit
2013 FFS Provider Training Schedule
Payment Error Rate Measurement (PERM) 2014
Reporting Vaccine Administration Codes with E/M Codes
June 2013
Important Arizona Department of Corrections (ADOC) Information
Changes coming for Non-Emergency Transport Claims
Reminders From the UM/CM's Prior Authorization Unit
Enhanced Rates for Primary Care Services
May 2013
Changes coming for Non-Emergency Transport Claims
Reminders From the UM/CM's Prior Authorization Unit
Enhanced Rates for Primary Care Services
April 2013
Enhanced Rates for Primary Care Services
General Care Management Systems Unit Reminders
AHCCCS' Tribal Health Care Coordinator
Update on Govenor Brewer's Medicaid Restoration Plan
March 2013
Information from The Office of The Inspector General
Correction to January 2013 Article
A Bit of Claims Trivia
Reminders From the UM/CM's Prior Authorization Unit
February 2013 - Supplemental
Primary Care Provider Enhanced Fee Attestation for AHCCCS Registered Providers
February 2013
Information from The Office of The Inspector General
Claims Tips and Reminders
PERM 2012 Errors
Vaccine Administration Reporting Changes - Including the VFC Program
New Requirements for Submission of Claims for Vaccine Administration - FAQ's
General Reminders from the Care Management Systems Unit's PA Unit
January 2013
Enhanced Payments to Primary Care Providers
Agency with Choice
Reminders from UM/CM Prior Authorization
