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Bulletins and newsletters

Review these alerts, bulletins and newsletters to stay up to date on news, policy changes and other issues important to your practice.

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  • 12.31.2024 - Covered Behavioral Health Services Guide
    The Arizona Health Care Cost Containment System (AHCCCS) has published revisions to the AHCCCS Covered Behavioral Health Services Guide (CBHSG) and the AHCCCS Same Day Disallow Table on December 23, 2024, with an effective date of January 1, 2025. 

    Please refer to the footnotes included in the CBHSG and the Same Day Disallow Table, which indicate revisions to the previous version: https://azahcccs.gov/PlansProviders/MedicalCodingResources.html


    Additional Questions?     Email CBHSGCodingQuestions@azahcccs.gov.  

    The guide has been published to the Medical Coding Resources web page (go to the Behavioral Health Services Matrix, Guide, and Same Day Disallow Table drop down menu).

  • 12.17.2024 - Arizona Pet Project
  • 12.10.2024 - Perinatal Mental Health Certification (PMH-C) is now a recognized Area of Expertise in the UHCCP provider directory. Individuals can search for providers who have completed focused education in perinatal mental health, as recognized by Postpartum Support International.
  • 12.01.2024 - Medicaid: Understanding claims-based member assignments and capitated payments
  • 09.18.2024- Revised AHCCCS Minimum Subcontract Provisions effective October 1, 2024
  • 09.06.2024 - Arizona Health Care Cost Containment System (AHCCCS) has approved the use of Certified Doula Services effective October 1, 2024. Doula’s provide continuous physical, emotional, and information support to people before, during and shortly after childbirth. FAQ’s and additional details can be found at: Doula Providers (azahcccs.gov).
  • 08.23.2024 - Impact of Medications on risk of heat-related illness
  • 08.06.2024 - Important update from AHCCCS on VFC Vaccines Coding and Reimbursement
  • 07.29.2024 - Effective August 1st, branded Humira will be moved to non-preferred status. AHCCCS has approved 3 different biosimilar manufacturers for preferred status:
    • Simlandi products (FDA approved for interchangeability with Humira)
    • Hadlima products (FDA has accepted their application for interchangeability with Humira)
    • Unbranded Adalimumab-ABDM products manufactured by Boehringer Ingelheim (not currently FDA approved for interchangeability with Humira)
  • 07.09.2024 - IMPORTANT: Covered Behavioral Health Services Guide (CBHSG) with an effective date of October 1, 2024

    This resource will be available to Providers by COB Friday, July 12, 2024.

    The CBHSG is not subject to public comment; however, AHCCCS will be collecting questions on the guide between July 15, 2024  and September 15, 2024. Questions will be used to inform a frequently asked questions (FAQ) document as well as develop training materials for providers and stakeholders. Please submit all questions via email to CBHSGCodingQuestions@azahcccs.gov.

    The guide has been published to the Medical Coding Resources page and can be found under the Behavioral Health Service Matrix and Guide drop down https://www.azahcccs.gov/PlansProviders/MedicalCodingResources.html.

    We encourage you to review this material and submit questions as outlined above.
  • 05.29.2024 - Updated AHCCCS Minimum Subcontract Provisions (MSP) Effective October 1, 2024 for all AHCCCS Registered Providers
  • 04.26.2024 - Physician certification is required for member hospice care
    AHCCCS has always required a physician certification for member hospice care.  To ensure compliance, we are requiring physician certifications to be submitted with hospice claims starting June 1, 2024 for ACC members. Please be sure the certification meets the requirements of AMPM 310-J and lists the dates of service for each initial and subsequent recertification. For more information, please see AHCCCS FFS Provider Manual Ch. 23 and AHCCCS AMPM Policy 310-J.

    A physician must certify that the member is terminally ill. Hospice care is limited to those members who are in the final stages of a terminal illness (i.e., members who have a prognosis of death within six months). The initial physician certification is effective for 90 days. If the member continues to need services, the physician must recertify for a second 90-day period. Subsequent recertifications for 60-day periods are required if the member continues to require hospice services. Use the attached links for additional information.

    https://www.azahcccs.gov/shared/Downloads/MedicalPolicyManual/300/310-J.pdf
    https://www.azahcccs.gov/PlansProviders/Downloads/FFSProviderManual/FFS_Chap23Hospice.pdf

Click here to access the Monthly Network News articles

Access the articles shared in the monthly network news emails. Arizona-specific information is identified along with the date the article was shared. Review this regularly to keep up to date on the Community Plan of Arizona updates and reminders.

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