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MedicaidAdministrativeMedium impact

AHCCCS DFSM Claims Clues - Fee For Service NEMT Authorization Update June 2017

Arizona Medicaid - AHCCCS·AZ · Psychiatry·Claims & Billing
Effective date
Jun 15, 2017
We identified it
Jun 17, 2026
Days to comply

Summary

AHCCCS Fee For Service implemented a new NEMT authorization Event type 'BT' specifically for behavioral health transports effective June 15, 2017. Providers must now use the BT event type when submitting NEMT requests with behavioral health diagnosis codes for TRBHA enrolled members, while continuing to use OT, OR, or RR event types for medical transports.

Action Required

Action needed
Immediately: Transportation coordinators must update NEMT authorization request procedures to use Event type 'BT' for all behavioral health transports for TRBHA enrolled members. Continue using Event types OT, OR, or RR for AIHP members' medical transports. Update staff training on the online authorization system at https://azweb.statemedicaid.us/ and ensure behavioral health diagnosis codes are included with BT event type requests.