MedicaidCoverageMedium impact
AHCCCS DFSM Claims Clues - November 2022
Arizona Medicaid - AHCCCS·AZ · Dentistry·Claims & Billing
Effective date
Oct 14, 2022
We identified it
Jun 17, 2026
Summary
AHCCCS updated multiple billing requirements including unlimited dental coverage for AI/AN members at IHS/638 facilities effective 10/14/2022, extended EVV hard claims edit enforcement to January 1, 2023, and provided guidance on per diem billing and prior authorization processes.
Action Required
By January 1, 2023: Ensure EVV compliance for all personal care services to avoid claim denials. Billing team must verify per diem units match date ranges to prevent AD357 denials. Update dental billing processes for AI/AN members at IHS/638 facilities - remove $1000 limits for services at these facilities only. Use servicedesk@azahcccs.gov for Transaction Insight Portal account issues.