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AHCCCS DFSM Claims Clues - June 2017

Arizona Medicaid - AHCCCS·AZ · Emergency Medicine·Claims & Billing
Effective date
Not stated
We identified it
Jun 17, 2026
Days to comply

Summary

This AHCCCS Claims Clues newsletter provides guidance on the Federal Emergency Services Program (FESP) billing requirements for non-citizen emergency services. Billers must check emergency boxes on claims forms and submit documentation supporting the emergent nature of services, as all FESP claims are reviewed case-by-case.

Action Required

Action needed
For FESP recipients: Billing team must check emergency box (Field 24I) on CMS 1500 forms and enter '1' in Admit Type (Field 19) on UB-04 forms. Ensure all claims include documentation supporting emergent nature of services or provide AHCCCS remote access to medical records. Paper claims must use Lucinda Console font size 10 with proper alignment to avoid OCR reading errors.