MedicaidReimbursementMedium impact
AHCCCS Sets a Rate for Behavioral Health Intensive Outpatient Treatment Services
Arizona Medicaid - AHCCCS·AZ · Psychiatry·Claims & Billing
Effective date
May 1, 2023
We identified it
Jun 17, 2026
Summary
AHCCCS has set a new fixed reimbursement rate of $157.86 for intensive outpatient behavioral health services (code H0015), replacing the previous methodology that paid 58.66% of billed charges. This affects fee-for-service providers only, as managed care plans can set their own rates.
Action Required
Immediately: Billing team must update fee schedules and billing system to reflect the new fixed rate of $157.86 for HCPCS code H0015 (intensive outpatient behavioral health treatment) for AHCCCS fee-for-service claims. Verify that H0015 is only billed once per day per patient. Update financial projections as this rate may be lower than previous percentage-based reimbursements for some providers.