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MedicaidBilling CodesMedium impact

AHCCCS DFSM Claims Clues - November/December 2019

Arizona Medicaid - AHCCCS·AZ · Psychiatry·Claims & Billing
Effective date
Oct 1, 2019
We identified it
Jun 17, 2026
Days to comply

Summary

AHCCCS (Arizona Medicaid) published updated billing guidance including new personal care billing codes for behavioral health facilities, transition of telehealth and behavioral health policies to formal manuals, and launch of new provider enrollment portal in June 2020.

Action Required

Action needed
Immediately: Behavioral Health Residential Facilities licensed to provide personal care services must begin using H0018 with TF modifier for personal care services effective 10/1/2019. Update billing systems to include this code combination. Ensure proper documentation of medical assessment indicating need for personal care before billing.

Affected Billing Codes

H0018