MedicaidDocumentationMedium impact
AHCCCS DFSM Claims Clues - September 2023
Arizona Medicaid - AHCCCS·AZ · Psychiatry·Claims & Billing
Effective date
Oct 1, 2023
We identified it
Jun 17, 2026
Summary
AHCCCS Arizona Medicaid updated billing requirements for behavioral health providers, requiring participating provider information and NPI numbers on all claims. Claims missing required documentation or provider information will be denied with specific error codes H482.1 and H482.7.
Action Required
Immediately: Behavioral health providers (types 77, IC, 05) must include participating provider NPI information on all FFS claims and ensure signed consent forms, comprehensive assessments, progress notes and medical documentation are attached via TIBCO portal. Use upper case 'A' in PWK numbers and match NPI numbers between claims and documentation attachments. Claims missing this information will be denied with codes H482.1 or H482.7.