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AHCCCS DFSM Claims Clues - Updated Correction Notice - Updated Guidance on T1016 Code Allowance fora Provider with a Counseling Facility License
Act
immediately
Effective date
May 19, 2025
Identified
Jun 17, 2026
Summary
AHCCCS has corrected previous guidance and now allows Counseling Facility providers to bill T1016 (case management services) within their scope of practice. This reverses an April 29, 2025 notice that previously indicated T1016 was not covered for counseling facility providers.
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What to do
immediately · 3 steps
01Counseling Facility providers can now bill T1016 (case management services) for AHCCCS patients when medically necessary and within scope of counseling activities.
02Update billing system to allow T1016 for CF provider types.
03Verify provider registration shows CF status and includes all approved HCPCS codes: H0001, H0002, H0004, H0023, H0031, H2011, T1016.
Codes mentioned
H0001H0002H0004H0023H0031H2011T1016
Original notice
AHCCCS DFSM Claims Clues - Updated Correction Notice - Updated Guidance on T1016 Code Allowance fora Provider with a Counseling Facility License
azahcccs.gov · Always check the source before changing claims.
Related changes
See all Arizona Medicaid - AHCCCS changes →AHCCCS DFSM Claims Clues - March 2025MediumNo effective date · Claims & BillingAHCCCS DFSM Claims Clues - October 2018MediumEffective Oct 1, 2018 · Claims & BillingAHCCCS DFSM Claims Clues - May 2023 - Clarification of Billing Requirements for Behavioral Health Outpatient ClaimsHighEffective May 3, 2023 · Claims & BillingAHCCCS DFSM Claims Clues - May 2023 - Transaction Insight Portal for Outpatient Behavioral Health ProvidersMediumEffective May 9, 2023 · Claims & BillingBrowse every Arizona Medicaid - AHCCCS change in the policy list