MedicaidCoverageMedium impact
AHCCCS DFSM Claims Clues - October 2016
Arizona Medicaid - AHCCCS·AZ · Podiatry, Dentistry·Claims & Billing
Effective date
Oct 1, 2016
We identified it
Jun 17, 2026
Summary
AHCCCS (Arizona Medicaid) has reinstated podiatry services coverage for adults 21+ effective October 1, 2016, and reinstated ALTCS dental benefits with a $1,000 annual limit. Additionally, genetic testing claims require prior authorization from laboratory providers, and new NEMT prior authorization requirements begin January 1, 2017 for behavioral health trips over 100 miles.
Action Required
Immediately: Update billing system to reflect podiatry coverage reinstatement for AHCCCS members age 21+ when ordered by PCP. Update ALTCS dental billing to reflect $1,000 annual benefit limit effective 10/1/16 through 9/30 contract years. Ensure laboratory providers obtain prior authorization for all genetic testing - claims will be denied without it. Prepare for 1/1/2017 NEMT prior authorization requirement for TRBHA members' behavioral health trips exceeding 100 miles.