MedicaidAdministrativeHigh impact
AHCCCS DFSM Claims Clues - March 2024
Arizona Medicaid - AHCCCS·AZ·Claims & Billing
Effective date
Jul 1, 2024
We identified it
Jun 17, 2026
Summary
AHCCCS requires all referring, ordering, and attending (ROPA) providers to register with AHCCCS by July 1, 2024, or fee-for-service claims will be denied. The policy also clarifies documentation signature requirements and extends provider enrollment moratorium for certain facility types through June 8, 2024.
Action Required
By July 1, 2024: Billing team must ensure all referring, ordering, and attending providers are registered with AHCCCS via the Provider Enrollment Portal (APEP). Verify ROPA provider registration status before submitting claims. Providers must also ensure all documentation meets signature requirements with legible name, credentials, and date. Claims with unregistered ROPA providers will be denied after July 1, 2024.