AHCCCS News & Updates 
June 20, 2023

Changes to AHCCCS Provider Enrollment and Billing System Close Ability for Fraudulent Behavioral Health Claims Payments

In response to the discovery of significant fraudulent Medicaid behavioral health billing in Arizona, AHCCCS has made numerous system changes to stop deceptive providers who bill for services that are or were not provided, not appropriate, or not necessary. See the Provider Payment Suspensions Fact Sheet updated 6/14/2023.

Some of the holistic, system-wide improvements to the Medicaid payment system include:

A few of the changes to the AHCCCS provider enrollment process include:

Anyone can report suspicion of provider or member fraud using the Report Fraud web page or by calling 602-417-4045 or, outside of Arizona, 888-ITS-NOT-OK (888-487-6686).

Any AHCCCS member who needs help because of a sober living home closure can call 2-1-1 (press option 7).

Can't find what you're looking for? Please visit the AHCCCS Document Archive.
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