MedicaidDocumentationMedium impact
AHCCCS DFSM Claims Clues - September 2017
Arizona Medicaid - AHCCCS·AZ · Family Medicine, Internal Medicine, General Practice·Claims & Billing
Effective date
Sep 1, 2017
We identified it
Jun 17, 2026
Summary
AHCCCS (Arizona Medicaid) updated guidance on face-to-face requirements for home health services and DME orders, billing submission requirements, and coverage clarifications for sports physicals and immunizations. Key changes include stricter documentation requirements and claim submission standards.
Action Required
Immediately: Ensure all home health and DME orders include documentation of face-to-face encounters within required timeframes (6 months for DME). Stop using handwritten corrections or white-out on paper claims - submit new clean claims instead. Verify medical documentation matches correct member before submission. Update billing staff training on proper claim alignment and submission requirements.