MedicaidAdministrativeHigh impact
AHCCCS DFSM Claims Clues - November/December 2020
Arizona Medicaid - AHCCCS·AZ·Claims & Billing
Effective date
Jan 1, 2021
We identified it
Jun 17, 2026
Summary
AHCCCS extends ROPA registration deadline to June 1, 2021, and implements EVV requirements starting January 1, 2021, with a grace period through March 31, 2021. New restrictions on NEMT billing for family member transportation are also introduced.
Action Required
By June 1, 2021: All referring, ordering, prescribing, and attending providers must complete ROPA registration with AHCCCS to continue receiving reimbursement. Contact ProviderTrainingFFS@azahcccs.gov for registration assistance. By January 1, 2021: Providers offering EVV services must begin using Electronic Visit Verification, complete Sandata training, and prepare contingency plans and attestation forms. By March 31, 2021: Ensure all EVV documentation standards are in place as hard claim edits begin April 1, 2021, which will deny payment for claims without required EVV visit data.