MedicaidDocumentationMedium impact
AHCCCS DFSM Claims Clues - March 2014
Arizona Medicaid - AHCCCS·AZ·Claims & Billing
Effective date
Apr 1, 2014
We identified it
Jun 17, 2026
Summary
AHCCCS corrected billing rules for the -TN modifier (not billable for Phoenix/Tucson NEMT trips), reinforced that medical records must be submitted with -59 modifier claims and cannot be double-sided, and requires NEMT providers to obtain Tribal business licenses and display company signage effective April 1, 2014.
Action Required
By April 1, 2014: NEMT providers must obtain Tribal business license from applicable Tribes and submit copy to AHCCCS Provider Registration. Display company name/logo on all transport vehicles. Billing team must ensure medical records submitted with -59 modifier claims are single-sided only and include appropriate documentation. Claims with -59 modifier will trigger medical review.