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AHCCCS DFSM Claims Clues - September 2020

Arizona Medicaid - AHCCCS·AZ·Claims & Billing
Effective date
Sep 1, 2020
We identified it
Jun 17, 2026
Days to comply

Summary

AHCCCS expanded flu vaccine access for members ages 3-18 to include pharmacies effective September 1, 2020. All ROPA (Referring, Ordering, Prescribing, Attending) providers must register with AHCCCS by January 1, 2021, or claims will be denied and members denied care.

Action Required

Action needed
By January 1, 2021: All providers who refer, order, prescribe, or attend patients must register with AHCCCS even if they don't directly submit Medicaid claims. Unregistered ROPA providers will cause claim denials and prevent members from receiving care. Contact AHCCCS Provider Registration at (602) 417-7670 Option 5 to complete registration immediately.