AHCCCS DFSM Claims Clues - February 2018

Immediately: Update authorization submission processes to use online Web Portal instead of phone requests for status checks. Ensure NEMT authorization requests include specific transport reasons and are submitted prior to service delivery. For home health services, verify Face-to-Face encounter documentation occurs within required timeframes (90 days prior to or 30 days following start of services). Add family planning services and augmentative communication devices to covered services list. Begin using Social Determinants of Health ICD-10 codes when screening identifies relevant conditions.