MedicaidBilling CodesHigh impact
AHCCCS DFSM Claims Clues - October 2014
Arizona Medicaid - AHCCCS·AZ · Family Medicine, Internal Medicine, General Practice +2 more·Claims & Billing
Effective date
Jan 1, 2015
We identified it
Jun 17, 2026
Summary
Starting January 1, 2015, AHCCCS will change how FQHCs and RHCs are paid, moving from fee-for-service with annual reconciliation to paying the all-inclusive per visit PPS rate on each claim. All FQHC and RHC visits must use specific new G-codes for medical visits and D-codes for dental visits, with all other services bundled into the visit at $0 value.
Action Required
By January 1, 2015: FQHC and RHC billing teams must update billing systems to use new G-codes (G0466-G0470) for all medical/behavioral health visits on Form 1500 and D-codes (D0120, D0140, D0145, D0150, D0180) for dental visits on ADA forms. Configure systems to bundle all other services at $0 value with the visit code. Update encounter forms and train staff on new visit identification requirements. Also respond immediately to any A+ Government Solutions requests for PERM audit documentation from October-December 2013 claims to avoid fund recovery.