MedicaidCoverageLow impact
AHCCCS DFSM Claims Clues - October 2020
Arizona Medicaid - AHCCCS·AZ · Emergency Medicine·Claims & Billing
Effective date
Oct 1, 2020
We identified it
Jun 17, 2026
Summary
AHCCCS (Arizona Medicaid) has expanded flu vaccine administration to include EMS providers (types 06, 97, TR) and members ages 3-18 can now receive flu shots at IHS, 638, or Optum network pharmacies. EMS providers must bill vaccine and administration separately, not with transport codes.
Action Required
For Arizona EMS providers only: Update billing procedures to bill flu vaccine and administration codes on separate claim forms, not combined with transport codes (ALS/BLS). Ensure flu vaccination services are delivered at stationary venues like vaccination drives, not during transport. Reference September 1, 2020 public notice for specific billing codes.