MedicaidReimbursementHigh impact
AHCCCS DFSM Claims Clues - January/February 2021
Arizona Medicaid - AHCCCS·AZ·Claims & Billing
Effective date
Jan 1, 2021
We identified it
Jun 17, 2026
Summary
AHCCCS updated 2021 All Inclusive Rates (AIR) for IHS/638 providers effective January 1, 2021, with inpatient rate at $3,631 and outpatient rate at $519. Any claims billed at 2020 rates must be resubmitted with 2021 rates to receive proper reimbursement.
Action Required
Immediately: Billing team must update all IHS/638 provider claims to use 2021 All Inclusive Rates - $3,631 for inpatient and $519 for outpatient services. Resubmit any claims from 1/1/21 forward that were billed at 2020 rates. Update billing system with new rate schedules. Claims billed at incorrect rates will not receive proper 2021 reimbursement.