MedicaidAdministrativeMedium impact
AHCCCS DFSM Claims Clues - November 2023
Arizona Medicaid - AHCCCS·AZ · Psychiatry·Claims & Billing
Effective date
May 18, 2023
We identified it
Jun 17, 2026
Summary
AHCCCS has implemented a 6-month moratorium on enrollment of specific behavioral health and transportation providers (effective June 9, 2023 through December 9, 2023), restricted providers' ability to bill on behalf of others as of May 18, 2023, and updated master account management procedures for the AHCCCS online portal.
Action Required
Immediately: Verify all providers can only submit claims through AHCCCS Online for their own Provider IDs or approved affiliated providers shown in drop-down list. If billing for other providers not listed as affiliates, create new AHCCCS Online accounts for those providers. Billing team must ensure master account holders designate successors before leaving organization to prevent service disruption. Review tribal self-insurance documentation requirements for third-party liability processing.