MedicaidAdministrativeMedium impact
AHCCCS DFSM Claims Clues - July/August 2024
Arizona Medicaid - AHCCCS·AZ · Emergency Medicine, Psychiatry·Claims & Billing
Effective date
Oct 1, 2024
We identified it
Jun 17, 2026
Summary
AHCCCS published their July/August 2024 Claims Clues newsletter with important updates for Fee-for-Service providers including new behavioral health services guide effective 10/1/2024, extension of provider moratorium through June 8, 2024, and clarification that Federal Emergency Services inpatient hospital services do not require prior authorization except for outpatient dialysis.
Action Required
By October 1, 2024: Review the new AHCCCS Covered Behavioral Health Services Guide (CBHSG) and submit any questions to CBHSGCodingQuestions@azahcccs.gov by September 15, 2024. For Non-Emergency Medical Transportation providers: Ensure all daily trip reports are completed correctly with required signatures, driver information, and accurate mileage reporting. For Federal Emergency Services members: Stop submitting prior authorization requests for inpatient hospital emergency services (except outpatient dialysis). Ensure all elective sterilization claims include completed AMPM Exhibit 420A Federal Sterilization Consent Form.