MedicaidAdministrativeMedium impact
AHCCCS DFSM Claims Clues - July 2014
Arizona Medicaid - AHCCCS·AZ·Claims & Billing
Effective date
Sep 1, 2014
We identified it
Jun 17, 2026
Summary
AHCCCS (Arizona Medicaid) has updated several billing requirements including mandatory single-sided document submissions to prevent claim denials, proper resubmission procedures with specific codes and reference numbers, and new NEMT provider requirements effective September and October 2014.
Action Required
Immediately: Ensure all document submissions to AHCCCS are single-sided only to prevent imaging issues and claim denials. For resubmissions, billing team must use Resubmission Code 'A' in Field 22 of 1500 forms with the 12-digit CRN in Original Ref. No. field. For UB-04 claims, write 'Resubmission' and CRN in Field 84. Continue using ICD-9 codes as ICD-10 transition is delayed until October 1, 2015.