MedicaidPrior AuthMedium impact
AHCCCS DFSM Claims Clues - December 2016
Arizona Medicaid - AHCCCS·AZ · Psychiatry·Claims & Billing
Effective date
Jan 1, 2017
We identified it
Jun 17, 2026
Summary
AHCCCS (Arizona Medicaid) is implementing new prior authorization requirements for non-emergency medical transportation over 100 miles for behavioral health members starting January 1, 2017. Additionally, phone-based prior authorization services are being limited, with providers required to use the online portal or fax submissions instead.
Action Required
By January 1, 2017: Transportation providers serving TRBHA members must obtain prior authorization before providing non-emergency medical transport over 100 miles for behavioral health services. Submit requests through AHCCCS Online portal or by fax with required FFS forms. Immediately: Stop relying on phone-based prior authorizations except for pending hospital discharges - use online portal or fax instead. Check member eligibility and authorization status online rather than calling.