MedicaidCoverageHigh impact
AHCCCS DFSM Claims Clues - September 2016
Arizona Medicaid - AHCCCS·AZ · OB-GYN, Podiatry, Dentistry·Claims & Billing
Effective date
Oct 1, 2016
We identified it
Jun 17, 2026
Summary
AHCCCS (Arizona Medicaid) is implementing several billing changes effective October 1, 2016, including separate reimbursement for LARC devices outside APR-DRG payments, reinstatement of podiatry services coverage for adults 21+, and restoration of ALTCS dental benefits with a $1,000 annual limit.
Action Required
By October 1, 2016: Billing team must update system to bill LARC devices (J7297, J7298, J7300, J7301, J7307) separately on CMS 1500 forms outside of APR-DRG payments for hospital discharges. Update billing procedures to require primary care provider orders for podiatry services for adults 21+. For ALTCS dental providers, implement $1,000 annual benefit limit tracking (contract year 10/1-9/30) and update fee schedules to dental FFS rates.