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September 1, 2023

AHCCCS Releases Updated Provider Payment Suspension Fact Sheet with New Resources

PHOENIX – AHCCCS updated the Provider Payment Suspension Fact Sheet on Aug. 23, 2023 to provide new information and resources about its efforts to stop fraudulent behavioral health billing and to protect members in tribal communities who’ve been targeted.

The Provider Payment Suspensions Fact Sheet includes additional provider enrollment and claims payment system changes made since June 14, 2023, a flow chart of the Credible Allegation of Fraud payment suspension process, and a flier about the 4 Steps to Review Provider Credibility.

Additional system-wide improvements to the Medicaid claims payment system include:

Additional changes to the AHCCCS provider enrollment process include:

Additional changes to the AHCCCS member enrollment process include:

Anyone can report suspicion of provider or member fraud using the AHCCCS 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).

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