MedicaidReimbursementMedium impact
AHCCCS DFSM Claims Clues - March/April 2021
Arizona Medicaid - AHCCCS·AZ·Claims & Billing
Effective date
Jan 1, 2021
We identified it
Jun 17, 2026
Summary
AHCCCS published updated guidance for Fee-for-Service providers including new 2021 All Inclusive Rates ($3,631 inpatient, $519 outpatient), Medicare EOB requirements for claim processing, and various training opportunities for APEP enrollment and telehealth services.
Action Required
Immediately: IHS/638 providers must begin billing 2021 All Inclusive Rates ($3,631 inpatient, $519 outpatient) for dates of service on or after 1/1/21. Resubmit any claims billed at 2020 rates to receive correct 2021 payment. Ensure all claims with Medicare or other primary coverage include primary payer's EOB or claims will be denied.