ahcccs provider phone number for claims

Well visits with your doctor can help keep you healthy. This service should not be used for emergency or urgent care needs. Please refer to your Member Handbook for details. This guide is available for providers to review the top 20 claim denial codes and steps to take to help resolve the edit. . Medical plan coverage offered by: UnitedHealthcare of Arizona, Inc.; Rocky Mountain Health Maintenance Organization Incorporated in CO; UnitedHealthcare of Florida, Inc.; UnitedHealthcare of Georgia, Inc; UnitedHealthcare of Illinois, Inc.; UnitedHealthcare Insurance Company in AL, KS, LA, MO, and TN; Optimum Choice, Inc. in MD and VA; UnitedHealthcare Community Plan, Inc. in MI; UnitedHealthcare of Mississippi, Inc.; UnitedHealthcare of North Carolina, Inc.; UnitedHealthcare of Ohio, Inc.; UnitedHealthcare of Oklahoma, Inc.; UnitedHealthcare of Texas, Inc.; and UnitedHealthcare of Oregon, Inc. in WA. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services. A nurse who specializes in breathing issues can really help. FFS providers who provided attestation through the MCO will be required to submit a separate FFS attestation prior to distribution of FFS payment. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Complete this online form: Access to Covered Medicaid Services (Web form), Or send an email with your name, AHCCCS identification number, date of birth, phone number, the name of the provider and a short description of the issue to: CQM@azahcccs.gov. Out-of-State Toll Free: 1-800-523-0231, How to Apply Contact your Network Management representative for more information about electronic billing. Fee-for-Service Fee Schedules, Contact Us Check your benefit plan to determine if these services are available. Including: Visit www.azahcccs.gov for more information. Referrals to specialists for certain conditions. Virtual visits conducted by telephone or video chat with a doctor are not an insurance product, health care provider or a health plan. Pay Your Premium Our plan includes the care and equipment needed to recover safely at home. Nh inlk'id nt'iiygo bsh bich'i' nltsogygo d bik'ehgo bil nlchd 1-855-432-7587 (TTY: 711). In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Pay Your Premium At UnitedHealthcare Community Plan, we care about our members; and as such, we value all of the cultural differences that our members possess. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs. Get supplies, including breast pumps for nursing moms. Please clearly state State Fair Hearing Request on your correspondence. New cars and trucks are packed with sensors and technology that protect and pamper drivers and passengers. Earn rewards for going to visits throughout your pregnancy and babys first 15 months of life. These services are provided at no cost to you. Bus passes may be available for local trips. In SFY 2022 ARP payments, AHCCCS distributed approximately $500 Million as calculated using a flat percentage rate to eligible providers prior Title XIX Medicaid payments from October 2020 - March 6024177670 (Option 5) . Tucson, AZ 85733-4156 If member is enrolled with managed care or a program contractor and services ARE provided at an IHS/Tribal 638 facility. UnitedHealthcare Community Plan puede proveer servicios de interpretacion/traduccion a ningun costo. We would like to show you a description here but the site won't allow us. Not speaking English well makes this difficult. Plans that are low cost or no-cost, Medicare dual eligible special needs plans Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) From 602, 623, 480 area codes: 602-417-4000 The service is not an insurance program and may be discontinued at any time. Looking for the federal governments Medicaid website? The six months of data will be doubled to approximate a full year of payments. Thats why our plan benefits include: If you have asthma, diabetes or another long-term condition, you can depend on us. A pregnancy is an incredible journey. Report Provider Fraud: 602-417-4045 To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. And pregnant moms get extra support to keep you and your baby healthy. Call UnitedHealthcare Community Plan Member Services at1-800-348-4058to file a verbal appeal. Are contracts needed to provide services to FFS members? UnitedHealthcare Community Plan provides member materials to you in a language or format that may be easier for you to understand. Genetic Testing Prior Authorization Correction, Reinstatement: Coverage of Podiatry Services Performed by a Licensed Podiatrist, Reminder: AHCCCS will be closed Monday, October 10, 2016, Long Acting Reversible Contraceptive (LARC), Reinstatement: Coverage of Podiatry Services Performed by a Licensed Podiatrist, Referrals for NEMT Trips Beyond "nearest facility", Dental Review Process for Deep Sedation/General Anesthesia, Provider Registration Required for Licensed Board Certified Behavior Analysts (BCBA), New Provider Type: Free-Standing Emergency Departments (FrEDs), Proposed Reinstatement: ALTCS Dental Benefit, Reinstated: Coverage of Podiatry Services Performed by a Licensed Podiatrist, KidsCare is Reinstated Effective September 1, 2016, Reminder: Tribal Regional Behavioral Health Authority Provider Notification, KidsCare is Re-Instated Effective September 1, 2016, Provider Registration Required for Licensed Board Certified Behavior The AHCCS Complete Care plan specialists can answer questions and help you enroll. Frequently asked questions It contains enrollment and billing information. Looking to become a Magellan Health Provider? AHCCCS Complete Care (ACC) Health Plan Contact Information; A0998 Article - Billing Manual Update; October 2019. Get the care you need to stay healthy or to get better if you are injured or sick. The SFY 2022 provider payments total more than $500 million and will be paid by the AHCCCS managed care organizations (MCOs) and the fee-for-service (FFS) administration to providers serving members enrolled in all AHCCCS programs. Here are some resources for people with Medicaid and Medicare. For more information, refer to the Provider Manual. AHCCCS approved all three applications. R9-34-401 et seq.). Provider Services Call Center Operation Hours: The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Under Mercy Care Provider payments may be made by multiple MCOs and involve multiple transactions in the same proportion that claims payments from the specified period were received. Of note, the Department of Economic Security/Division of Developmental Disabilities (DES/DDD) will make direct payments to its contracted providers using a methodology similar to that used by AHCCCS. For questions concerning a Fee-For-Service claim dispute: For claim disputes involving enrolled members, the written dispute must be filed Call from 602, 623, or 480 area codes: 602-417-4232 Questions may be directed to SSI Help Desk at 800.880.3032. Under federal law, American Indians may not be required to choose a managed care plan. And we make getting your medicine easy. All claim disputes must be filed in writing, within the following timelines: All claim disputes must comply with the requirements of Arizona Careers All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Providers should use the on-line claim status as the first step in checking the status of claims/payments. If you do not want to leave our website, please click the X. If you need a ride to an appointment, ask a friend, a family member or neighbor first. It is important to note that balance billing members is prohibited under all Mercy Care health plans. 1-800-259-3449, Arizona Statewide Crisis Hotline: This policy has exclusions, limitations, reductions of benefits, and terms under which the policy may be continued in force or discontinued. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) AHCCCS will vet the data request and return an acknowledgement of receipt. Medically Unlikely Edits (MUEs) AHCCCSOnline Website Please visit the Providers will be required to complete a SFY 2023 attestation prior to distribution of SFY 2023 payments. Provider payments may be made by multiple MCOs and involve multiple transactions in the same proportion that claims payments from the specified period were received. Your health information is kept confidential in accordance with the law. Arizona Department of Education. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. This way you will be familiar with it. This service is provided at no cost to you. Getting a flu vaccine is your best protection against the flu. 602-222-9444or1-800-631-1314, Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties: All three then applied to be medical providers for the Arizona Health Care Cost Containment System (AHCCCS), Arizona's Medicaid agency - HFS applied in 2019, HFS II applied in 2020, and LFH applied in 2022. AHCCCS Contact Information: Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. and Provider Registration Changes for Provider Type 40 - Update, Revised NEMT Trip Report and Instructions, Provider Registration Changes for Provider Type 40, Reminder: Transition from ICD-9 to ICD-10 effective 10/1/2015, Correction - Coding Changes Effective 01/01/2015, Correction - Provider Training Email Address, Reminder - FQHC/RHC Payment Process Change Delayed, Re-enrollments for NEMT & Group Billing Providers, No Claims Load Into System 9/24 - 9/30/14, When AHCCCS Requests Medical Documentation, REMINDER: Transition from ICD-9 to ICD-10 code sets delayed until 10/1/2015, NEMT Policy - Tribal Business Licenses Required, NOTICE: Transition from ICD-9 to ICD-10 delayed until 10/1/2015, PERM Cycle 3 Provider Education Webinar/Conference Calls, AHCCCS PROVIDER PARTICIPATION TO BE TERMINATED FOR INACTIVITY, REMINDERS FROM THE Care Management Systems UnitS PRIOR AUTHORIZATION UNIT, AHCCCS Fee for Service Non-Emergency Medical Transportation (NEMT) Changes, CMS Approved Supplemental Waiver Payments for Option 1 & Option 2 Ends 12/31/13, Reporting Vaccine Administration Codes with E/M Codes, Important Arizona Department of Corrections (ADOC) Information, General Reminders From the UM/CM's Prior Authorization Unit, Payment Error Rate Measurement (PERM) 2014, Changes coming for Non-Emergency Transport Claims, Reminders From the UM/CM's Prior Authorization Unit, General Care Management Systems Unit Reminders, Update on Govenor Brewer's Medicaid Restoration Plan, Information from The Office of The Inspector General, Primary Care Provider Enhanced Fee Attestation for AHCCCS Registered Providers, Vaccine Administration Reporting Changes - Including the VFC Program, New Requirements for Submission of Claims for Vaccine Administration - FAQ's, General Reminders from the Care Management Systems Unit's PA Unit, Enhanced Payments to Primary Care Providers. Claims Disputes: Call from 602, 623, or 480 area codes: . This could result in the claim being denied for untimely filing. to challenge payments or denials of claims. Still Submitting Paper Claims to AHCCCS FFS? Data rates may apply. AHCCCS anticipates making the SFY 2023 payments in the spring of 2023. Choose a pregnancy provider and a pediatrician (childs doctor). Our program will help you take the right steps to keep you and your baby healthy. Our plan covers medical equipment ordered by your doctor. If you dont have a doctor or if your doctor is not in our network, we can help you find a new one close to you. Espaol Apply for AHCCCS. [go to full article] MyBanner Patient Portal 02/10/2023 24/7 online access to your health information for Banner patients. Fee-for-Service Fee Schedules, Contact Us Get extras not covered by Medicaid. American Indian Health Program: from area codes 602, 480, or 623, In addition, the total payment amount across all three years, the SFY 2023 payment values, and the SFY 2023 payment percentages, are subject to change. Please refer to your Member Handbook for details. Provider Services call (602) 417-7670. The benefits described may not be offered in all plans or in all states. If youre affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you. Children in the plan receive vision coverage up to age 21. Preventive services include: You will not have a copayment for preventive care. Behavioral Health Crisis Hotlines by County Maricopa County: 602-222-9444 or 1-800-631-1314 Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties: 1-866-495-6735 Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties: 1-877-756-4090 AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES . Its a journey you want to make with the help of friends, family and a pregnancy doctor, or OB-GYN. Subscribe to Newsletters Provider Services Operation Hours: Monday-Friday from 7:30 A.M. - 5:00 P.M. Can't find what you're looking for? Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Rates: Questions on AHCCCS FFS rates should be directed to the rates team at FFSRates@azahcccs.gov, Coding: Questions on AHCCCS coding should be directed to the coding team at CodingPolicyQuestions@azahcccs.gov, If you have questions about warrants, paper EOBs, or provider payments please email the Division of Business & Finance (DBF) at ahcccswarrantinquiries@azahcccs.gov or call (602)417-5500, To check the status of your EFT please email the Division of Business & Finance (DBF) at ahcccsfinanceeft@azahcccs.gov, For questions on the 835 Transaction Remittance also known as Electronic EOB please contact ISD at servicedesk@azahcccs.gov. Explain what to expect at each stage of your pregnancy. Call from other area codes: 1-800-654-8713 ext. You can call this toll-free number from anywhere in the state. To reach Provider Services call (602) 417-7670. provider level will differ. Provider Enrollment AHCCCSOnline Website Policy Manuals Fee-for-Service Fee Schedules. Call1-888-700-6822for transportation assistance. Lets update your browser so you can enjoy a faster, more secure site experience. If you feel unsafe or need emergency services, call 911. If you choose to send via fax, please fax your disputes to 602 351-2300. Fee-for-Service Fee Schedules, Contact Us 74232 Filing a Claim Dispute Involving Enrolled Members Search for doctors, hospitals, and specialists. Download this fillable Request for Data Form, complete all fields, including a valid digital/electronic signature, and email it to missingpersons@azahcccs.gov. Limitations, co-payments, and restrictions may apply. Submissions by entities other than law enforcement will be returned. We are proud to serve you and your family and to provide you with the quality health care . In an emergency, call 911 or go to the nearest emergency room. Exams and cleanings every six months help teeth and gums stay strong and healthy. Providers who are contracted with Mercy Care can use electronic billing software. Select the appropriate claim form (refer to table below): Hospital inpatient, outpatient, skilled nursing and emergency room services, Dental services that are considered medical services (oral surgery, anesthesiology), Mercy Care Claims DepartmentP. O. Email:info@phxautism.org, Autism Society Southern Arizona Chapter Subscribe to Newsletters All State Fair Hearing Requests must be sent in writing to the follow address: Attention: Hearing Coordinator4500 E. Cotton Center Blvd.Phoenix, AZ 85040, Vendor: Southwestern Provider Services (SPSI). A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Use the Doctor Lookup tool to see if your doctor is in our network. Nd k'ehgo ynt'i'ygo Nd biyt''h bee kich'' diih beegoz d' do ht' ileegoda. Find a dentist near you. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. This benefit has limitations. Fee-for-Service Fee Schedules, Contact Us A provider may file a claim dispute based on: Before a provider initiates a claims dispute, the following needs to occur: o Within 12 months after the date of service. Not only do we now have the ability to receive disputes by fax, but we can also respond back to our providers via fax, allowing you to receive faster decisions. Although the total amount to distribute will be approximately the same between SFY 2022 and SFY 2023, the amounts at a Provider Enrollment Services Available Online Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. PO Box 10543 AHCCCSOnline Website The Claims Customer Service Unit is designed to assist providers with complex claim inquiries. Plan specifics and benefits vary by coverage area and by plan category. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Maricopa, Phone: (520) 770-1541 If you havent already, you may need to recertify to keep getting UnitedHealthcare coverage. If the Notice of Decision is unfavorable, the provider has 30 days Services may not be available at all times, or in all locations, or for all members, and visit limits may apply. 1-877-756-4090, Gila River and Ak-Chin Indian Communities: You must arrange your ride 3 days prior to your health care visit. Claims are submitted to AHCCCS/DFSM. This process is available only to law enforcement agencies. Working adults, people with disabilities, pregnant women, and children who qualify for Medicaid should check out UnitedHealthcare Community Plan. Please visit the, Resources for Foster/Kinship/Adoptive Families, Accessing Behavioral Health Services in Schools, AHCCCS Whole Person Care Initiative (WPCI), Emergency Triage, Treat and Transport (ET3), Report Concerns About Quality of Care Received, ALTCS Electronic Member Change Request (EMCR), Quality Assessment and Performance Improvement Strategy, Pre-Admission Screening and Resident Review (PASRR), Demographics, Social Determinants and Outcomes, Tribal Court Procedures for Involuntary Commitment, Contracted Health Plan Audited Financial Statements, Monkeypox Virus and Vaccination Information, Federal Funding Accountability and Transparency Act, To report a change to the Social Security Administration: call. Careers A full list of eligibility requirements and application information can be found on theArizona Health Care Cost Containment System (AHCCCS)website. Revised Statutes (A.R.S. AIHP, FES (Federal Emergency Services), Tribal ALTCS (including Gila River Indian Community, Hopi Tribe, Navajo Nation, Pascua Yaqui Tribe, San Carlos Apache Tribe, Tohono OOdham Nation, White Mountain Apache Tribe, and Native American Community Health), and QMB Only. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability. Health Insurance for Children, Provider Enrollment Email: AHCCCSFraud@azahcccs.gov. We have the Medicaid benefits and extras that can make a real difference in your life. indicate the facts and the relief requested. Or you can call our Customer Service Center. This site contains documents in PDF format. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Learn more: www.211arizona.org/MMIP. Sometimes, you might need a little extra help. Nurse Hotlineat1-877-440-0255available 24 hours per day / 7 days a week. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. Our goal is to help you take charge of your health by helping you to take good care of yourself and your family. The DFSM Claims Clues is a monthly newsletter produced by the AHCCCS Claims Department for Fee-For-Service (FFS) providers. Based on this significant number of impacted providers, and the application of nearly 70 procedure codes, only approved and adjudicated encounters in the AHCCCS database will be utilized in the computations. ACC Training will be held by our Provider Training division and dates and sign-up information is included. Please visit the, Resources for Foster/Kinship/Adoptive Families, Accessing Behavioral Health Services in Schools, AHCCCS Whole Person Care Initiative (WPCI), Emergency Triage, Treat and Transport (ET3), Report Concerns About Quality of Care Received, ALTCS Electronic Member Change Request (EMCR), Quality Assessment and Performance Improvement Strategy, Pre-Admission Screening and Resident Review (PASRR), Demographics, Social Determinants and Outcomes, Tribal Court Procedures for Involuntary Commitment, Contracted Health Plan Audited Financial Statements, Monkeypox Virus and Vaccination Information, Federal Funding Accountability and Transparency Act, Videos (enrollment process and registration), Getting Ready to Enroll: Prerequisite Steps for Providers, Provider Enrollment Application and Provider Participation Agreement, How to Become a Training and Testing Program, AIHP/FFS/TRBHA Prior Authorization Information, Claim Resubmission and Reconsideration Process, Fee For Service NEMT Authorization Update June 2017, FFS Behavioral Health NEMT Updates and Reminders, FFS Billing Specialty NF & HCBS Rate Increase Effective 1-1-17, Required Documentation For Outpatient Behavioral Health Claims, AHCCCS Audio Only Telehealth Changes Modifier FQ, Transaction Insight Portal (TIBCO) File Size and Types, Reminder: Non-Emergency Medical Transport Diagnosis Codes, New and Revalidating Behavioral Health Providers Subject to High-Risk Screening, Behavioral Health Services Billing and Coding H2016 and H0038 Same Day Billing Denial Edit L237.4, Provider Type 02 Hospital - Prior Authorization Submission Reminders, AHCCCS Restricts Providers Ability to Bill on Behalf of Others, Psychiatric Hospital Provider Type 71 Prior Authorization Diagnosis Code Mismatch, Reminder: Non-Emergency Medical Transportation (NEMT) Policy Change for Local Community Based Support Programs, Prior Authorization Tips For Provider Type 71 Psychiatric Hospital, Electronic Visit Verification (EVV) Edit Tips Edit Denial Code: L227.1 Claim Line Failed For Unmatched Units, Field is Missing, CR Modifier and DR Condition Code Covid-19 Emergency Related, Medical Coding Resources - Code Coverage Changes, Community Health Workers and Community Health Representatives (CHW/CHR), Transaction Insight Portal for Outpatient Behavioral Health Providers How to Attach Documentation for Specific BH Service Codes, Principal Diagnosis versus Admitting Diagnosis Codes UB-04, All Patient Refined Diagnosis Related Groups (APR-DRG) Classification System DRG Ungroupable Denials, Filing a Reconsideration for APR-DRG Payments, Reminder: Billing Vaccines for Children (VFC), Reminder: Missing AHCCCS 835 and Paper Remittance Advice, Alternate Care Site (ASC) Flexibility Ending for Indian Health Service (IHS) and Tribally Owned/Operated (638) Facilities, Reminder: Claim Date Span Billing Requirement, Attendant Care Provider Type 40 Non-Emergency Medical Transportation Services, Selecting the Correct Event Type for Medical and Behavioral Health Admissions, Common Prior Authorization Submission Errors, When is a Faxed Prior Authorization Request Acceptable, Verifying if a Service Requires a Prior Authorization, PA Tip: Outpatient Surgery Physician Prior Authorization Request, PA Tip: BHRF (Provider Type B8) Prior Authorization Request, Inpatient Psychiatric Facility (Provider Type 71) Prior Authorization Submission Tips, Uploading Documentation To A Prior Authorization Request, How to Add the Missing Event Information To An Existing PA, How to Add the Missing Activity Information To An Existing PA, Payment Error Rate Measurement (PERM) Audit, What is Payment Error Rate Measurement (PERM) Audit, How to Attach Documentation for Specific BH Service Codes, H0004 (Behavioral Health Counseling and Therapy), H2015 (Comprehensive Community Support Services), H2017 (Psychosocial Rehabilitation Services), H0025 (Behavioral Health Prevention Education Service), S5150 (Unskilled Respite Care, Not Hospice), Service Ticket Request For Electronic Remittance Advice (ERA) 835 Setup, Denial Edit - L013.5 Claim Service Requires Prior Authorization, PA Not Found, Effective 10/14/2022 Covered Dental Services at an IHS/638 Facility Are Unlimited, Additional Reimbursements of the Pharmacy All Inclusive Rate (AIR) for the Administration of COVID-19 and Influenza Immunizations are Ending, Reminder: Referring/Ordering Provider Requirement, AHCCCS FFS New Vendor Notification Medicaid Travel Services Provider, Easy Access to Provider Training Presentations via Constant Contact, Denial Edit AD962 Referring/Ordering Provider NPI Is Not Listed, Tribal Self-Insurance and Required Documentation, APEP Reminder Service Addresses Can Be Updated Directly in APEP, Who Can Become an American Indian Medical Home (AIMH), REMINDER: NEMT Pick Up and Drop Off Address, Reminder: Provider Participation Reporting Requirements, How To Determine if a Prior Authorization Is Required, Provider Self-Service Tips AHCCCS Online Provider Portal, Pended Prior Authorization Request Information, Provider Participation Modifier Deadline Extended Until January 1, 2023, AHCCCS To Start 10-Month Process to Disenroll Non-Compliant Providers, Serious Mental Illness (SMI) Changes Effective 10/1/2022, Reminders: Behavioral Health Residential Facility (BHRF) Admission, Important Update: Provider Participation Reporting Requirements Deadline Has Been Extended Until January 1, 2023, Behavioral Health Residential Facility Policy 320-V Update, APEP Reminder - Service Addresses Can Be Updated Directly in APEP, Quick Reference Guide - What Services Require A FFS Prior Authorization, Participating Provider Reporting Requirements Effective 10/1/2022, Reminders: Fee-for-Service Prior Authorizations, Reminder: Transaction Insight Portal- Important Information for Users, Tips: Behavioral Health Prior Authorization, DD-THP Tribal Health Program Prior Authorization Forms, Update: AHCCCS Prior Authorization and Concurrent Review Standards during the COVID-19 Emergency for Fee-for-Service Providers, Review of Documentation Signature Requirements, Reminder: Non-Emergency Medical Transportation (NEMT) Policy Change for Local Community Based Support, Reminder: Transaction Insight Portal-Important Information for Users Reporting the Date of Service, Reminders: Important Billing Information for Paper Claims Submissions, Office of the Inspector General (OIG) Provider Participation Agreement, Participating Provider Reporting Requirements, Transaction Insight Portal-Important Information for Users Reporting the Date of Service and Provider Address Fields, Transaction Insight Portal-PWK Using the AHCCCS 12 Digit Claim Reference Number (CRN), Important Billing Information for Providers-Common Billing Errors on Paper Claim Submissions, Payment Error Rate Measurement(PERM) Audit, CMS Extension of Four Walls Grace Period for IHS and Tribal 638 Facilities, First Quarter Provider Training Schedule Posted, General Requirements for the Submission of Paper Claim Forms, AHCCCS Prior Authorization and Concurrent Review Standards during the COVID-19 Emergency for Fee-for-Service Programs, Transaction Insight Portal Important Information for Users Who Select Non-Person Entity, CMS Extension of Four Walls Grace Period for IHS and Tribal Providers, Prior Authorization Updates and Reminders, Medical Review Documentation Requirements, Documentation Requirements and the Transaction Insight Portal, Transaction Insight Portal - Important Information for Users Who Select Non-Person Entity, COVID-19 Prior Authorization and Concurrent Review Standards During the Publich Health Emergency for Fee-for-Service Programs, APEP Updates - Service Addresses May Now Be Updated Directly in APEP, ROPA: Referring, Ordering, Prescribing, Attending (ROPA) Providers Required to Register with AHCCCS, APEP Updates Service Addresses May Now Be Updated Directly in APEP, IHS & 638 Tribal Facility / Pharmacy Authorization Form for Submission to OptumRx, Quality Management (QM) Housekeeping Tips, DFSM Provider Training Teams Third Quarter Schedule Posted, AHCCCS Prior Authorization (PA) and Concurrent Review (CR) Standards during COVID-19 for Fee-for-Service Health Programs, Behavioral Health Residential Facility (BHRF) Notification, Behavioral Health Residential Facility (BHRF) Per Diem Rate Information, Non-Emergency Medical Transportation (NEMT) Daily Trip Report Instructions, NEMT Transportation of Family Members is Not Permitted, Attendant Care Non-Emergency Medical Transportation & Special Considerations, Use of the AHCCCS Online Provider Portal Why NOT Sharing Your User ID and Login Information is VERY Important.
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