MedicaidAdministrativeMedium impact
AHCCCS DFSM Claims Clues - August 2017
Arizona Medicaid - AHCCCS·AZ·Claims & Billing
We identified it
Jun 17, 2026
Summary
AHCCCS (Arizona Medicaid) has updated billing requirements and processes, including mandatory use of online portal for prior authorizations (except facility discharges), new document attachment feature for PA requests, coverage of Transcranial Magnetic Stimulation with prior auth required, and specific formatting requirements for paper claims.
Action Required
Immediately: Switch to online AHCCCS Web Portal for all prior authorization submissions except facility discharges and inter-facility transfers. Billing team must ensure dates of service on CMS 1500 forms match authorization dates exactly to avoid denials. Update paper claim submissions to use Lucinda Console font size 10 with proper alignment. For TMS services, obtain prior authorization with medical necessity documentation before rendering services.