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MedicaidReimbursementMedium impact

Differential Adjusted Payment (DAP) Decisions for Contract Year 2022 Posted

Arizona Medicaid - AHCCCS·AZ·Claims & Billing
Effective date
Oct 1, 2021
We identified it
Jun 17, 2026
Days to comply

Summary

AHCCCS published final Differential Adjusted Payment (DAP) decisions for Arizona providers for contract year 2022 (October 1, 2021 - September 30, 2022). Current DAP rates expire after September 30, 2021 dates of service, and new performance-based payment adjustments will be implemented for qualifying registered Arizona providers.

Action Required

Action needed
Before October 1, 2021: Arizona providers should review the DAP public notice to determine eligibility for performance-based payment adjustments. Billing team must verify provider registration status with AHCCCS and update reimbursement expectations for services provided after September 30, 2021. Monitor future guidance for CYE 2023 DAP strategies.