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AHCCCS: Overview & New Changes A conversation on what AHCCCS is, its benefits (physical and mental health insurance, long term care, cash, and Medicare Savings Programs), eligibility requirements, and the new Work Requirements (to start in 2020).

Episode 2: AHCCCS Explains… ALTCS, the Arizona Long Term Care System. Learn who qualifies for ALTCS and the services covered under the program. Learn more at azahcccs.gov/ALTCS.

This presentation provides an overview for Behavioral Health Residential Facilities (BHRFs) on what services are covered under the per diem rate, when billing for procedure code H0018. H0018 - Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem AHCCCS' policy on Behavioral ...

On October 1, 2018, 1.5 million AHCCCS members will move to an AHCCCS Complete Care integrated health care plan that provides both physical and behavioral health services. Here's what members need to know.

In our first episode of AHCCCS Explains, learn about Medicaid eligibility and the different AHCCCS programs available to those who qualify.

An overview for Fee-for-Service providers on how to navigate the AHCCCS website. Additional information, including both technical and policy trainings, can be found on the DFSM Provider Training web page 24 hours a day, 7 days a week, 365 days a year at: https://www.azahcccs.gov/Resources/Training/DFSM_Training.html Please note that this video ...

Credit: Arizona Commission for the Deaf and Hard of Hearing In partnership with ACDHH, this video was created to ensure those who are hard of hearing or deaf can access vital AHCCCS information, such as initiatives, programs, and more.

This video provides Behavioral Health Residential Facilities (BHRFs) an overview of AHCCCS policies. AHCCCS' policy on Behavioral Health Residential Facilities can be found in the AHCCCS Medical Policy Manual, AMPM 320-V, at: https://www.azahcccs.gov/shared/Downloads/MedicalPolicyManual/300/320V.pdf Prior Authorization requirements for BHRFs ...

This presentation provides an overview for Behavioral Health Residential Facilities (BHRFs) on how to submit claims using the AHCCCS Online Provider Portal. AHCCCS' policy on Behavioral Health Residential Facilities can be found in the AHCCCS Medical Policy Manual, AMPM 320-V, at: https://www.azahcccs.gov/shared/Downloads/MedicalPolicyManual ...

This video shows a provider how to use the AHCCCS Online Provider Portal to verify a member's enrollment status. The AHCCCS Online Provider Portal is the quickest and most efficient way to check a member's eligibility, to submit for prior authorization, to submit a claim and also to check on a claim's status. The AHCCCS Online Provider Portal ...

Training for providers who are interested in enrolling with AHCCCS.

This presentation shows Behavioral Health Residential Facilities (BHRFs) where the most up-to-date prior authorization requirements can be found on the AHCCCS website. AHCCCS' policy on Behavioral Health Residential Facilities can be found in the AHCCCS Medical Policy Manual, AMPM 320-V, at: https://www.azahcccs.gov/shared/Downloads ...

Learn about Arizona's Medicaid agency!

Learn more about Health-e-Arizona Plus and how to update your contact information using the online platorm at www.healthearizonaplus.gov.

An overview of the Federal Emergency Services Program (FESP). The Federal Emergency Services Program (FESP) allows certain non-citizens who meet all other requirements for Title XIX (Medicaid) eligibility to be entitled to receive only emergency services. [A.R.S. § 36- 2903.03; 42 U.S.C. § 1396b(v)]. These services include outpatient dialysis ...

A conversation on AHCCCS: Healthcare in Arizona, including a brief history of the passage of Social Security and Medicare & Medicaid, CHIP, Long Term Care, and ACA, with especial emphasis on ALTCS (Arizona Long Term Care System).

This video provides an overview of Fee for Service (FFS) health plans, including the American Indian Health Program (AIHP), Tribal Arizona Long Term Care System (Tribal ALTCS), the Federal Emergency Services Program (FES or FESP), and Tribal Regional Behavioral Health Authorities (TRBHA). The Division of Fee-for-Service Management's (DFSM ...

Training for 638 FQHC providers in regards to provider types, claim submissions, and the 4 walls. Additional information on 638 FQHCs can be found in Chapter 20, 638 FQHS, of the IHS/Tribal Provider Billing Manual, located at: https://www.azahcccs.gov/PlansProviders/RatesAndBilling/ProviderManuals/IHStribalbillingManual.html Additional ...

If you are experiencing a life threatening emergency, please call 911. This video providers information on AHCCCS coverage of emergency services, and is not medical advice. This video does not provider information on coverage under the Federal Emergency Services (FES) Program (information on the FES Program can be found in a separate video ...

This video is an overview of AHCCCS Prior Authorization (PA) Requirements, and directs providers to resources on the AHCCCS website. Prior Authorization is a process in which a health plan determines, in advance, whether a service (one that requires prior approval) will be covered, based on the initial information received from the provider ...

This video shows providers how to submit a request for Prior Authorization using the AHCCCS Online Provider Portal. The AHCCCS Online Provider Portal can be found here: https://azweb.statemedicaid.us/Account/Login.aspx?ReturnUrl=/ Prior Authorization Requirements for Fee-for-Service Providers can be found on the FFS Web Page: https://www ...

This training provides an overview of where information on the APR-DRG based payment system can be found on the AHCCCS website. Effective 10/1/2014, AHCCCS began reimbursing inpatient hospital services using a DRG-based payment system. APR-DRG information can be found here: https://www.azahcccs.gov/PlansProviders/RatesAndBilling/FFS/APRDRGrates ...

A presentation for dental providers detailing Emergency Dental Benefit information, for AHCCCS members who are 21 years of age and older. AHCCCS members, 21 years of age and older, receive a $1000 emergency dental benefit per benefit year. Details are outlined in this presentation and in the AHCCCS Medical Policy Manual, AMPM 310-D1. https ...

Bienvenido a AHCCCS explica… Health-e-Arizona Plus en español.

This video provides information on AHCCCS Coverage of Physical Therapy (PT) and Occupational Therapy (OT) services. For additional information on PT and OT coverage, please visit the AHCCCS Medical Policy Manual at: https://www.azahcccs.gov/shared/Downloads/MedicalPolicyManual/300/310-X.pdf

This video provides general guidance on AHCCCS documentation requirements for Claim Submission and Concurrent Review, and assists providers in how to find more specific information pertaining to their provider type. It is a provider's responsibility to respond to requests for additional documentation to ensure timely claim processing. The ...

An overview of how to submit a UB-04 Professional claim via the AHCCCS Online Provider Portal (for Fee-for-Service providers). The AHCCCS Online Provider Portal can be accessed at the below link: https://azweb.statemedicaid.us/Account/Login.aspx?ReturnUrl=/ Additional information, including both technical and policy trainings, can be found on ...

When newly registered AHCCCS providers register for access to the AHCCCS Online Provider Portal (a portal that allows providers to check a member's eligibility status, to submit for Prior Authorization, to check PA requests, to submit claims, and to status claims to see if they are pending, approved or denied) their organization's Master ...

Recorded Nov. 20, 2020 for providers who serve AHCCCS members with in-home services.

This video shows providers how to submit Dental Claims using the AHCCCS Online Provider Portal, for AHCCCS Medicaid members enrolled in a Fee for Service Program. Additional information, including both technical and policy trainings, can be found on the DFSM Provider Training web page at: https://www.azahcccs.gov/Resources/Training/DFSM ...

An overview of how to submit a CMS 1500 Professional claim via the AHCCCS Online Provider Portal (for Fee-for-Service providers). The AHCCCS Online Provider Portal can be accessed at the below link: https://azweb.statemedicaid.us/Account/Login.aspx?ReturnUrl=/ Additional information, including both technical and policy trainings, can be found ...

This video shows providers how to register for an account on the AHCCCS Provider Enrollment Portal (APEP). The AHCCCS Provider Enrollment Portal allows new providers to register to become an AHCCCS-registered provider, and allows existing providers to update their billing and contact information, licenses and credentials, and much more. https ...

Beginning April 1, millions of Arizonans must begin requalifying for the Arizona Health Care Cost Containment System (AHCCCS). About 2.5 million people are on AHCCCS – 160,000 are over the age of 65. What is the requalification process and how will it impact the elderly and disabled? (Video by Maria Staubs/Cronkite News)

Community HealthChoices (CHC) Team Improving the Quality of Life for Philadelphia’s Aging Community Caring for our senior citizens and populations with physical limitations is a priority at CBH—especially for those restricted to their homes due to physical limitations. CBH’s CHC Team was created to improve the coordination of behavioral ...

This video details billing resources for new providers, that can be found on the AHCCCS website. BIlling resources include: 1) The Fee-for-Service and IHS/Tribal Provider Billing Manuals; 2) The Medical Coding Resources Web Page; 3) The Division of Fee-for-Service Management's (DFSM) Provider Training Web Page, which provides PowerPoint, Video ...

This video shows providers how to register for an account on the AHCCCS Online Provider Portal. The AHCCCS Online Provider Portal allows AHCCCS-registered providers to check a member's eligibility, to submit a Prior Authorization (PA) request, to check the status of a PA request, to submit a claim (institutional, professional, or dental), and ...

This fall, DHCS will host 6 learning collaborative sessions in addition to trainings on the JI Screening Portal and claiming/billing training to assist implementation partners. On September 26, 2024, DHCS convened the third of these learning collaborative sessions, which featured information on Behavioral Health Services, including requirements ...

This video covers information on the AHP application process. Go in depth into the online application form and learn what is important in filling out a housing application for the AHP.

Dive deep into the heart of Arizona's healthcare with our comprehensive guide to the Arizona Health Care Cost Containment System (AHCCCS), also known as Arizona Medicaid. Whether you're applying for the first time, looking to understand your coverage, or curious about the benefits and services available, this video is your one-stop resource for ...

What began as a safeguard against unnecessary drug spending has become a significant barrier to patient access.

12News digs deeper into the list of providers on the suspended list, suspected of fraud.

Medicaid agency sets out to transform business operations and support its mission of delivering health care to those in need

Changing Lives Through Behavioral Health Services presented by All Access with Andy Garcia. "All Access with Andy Garcia" is a dynamic and engaging program dedicated to educating audiences on a wide range of important and cutting-edge stories. With a focus on integrity, quality, and creativity, the show brings to light the most pressing issues ...

A top official with AHCCS explained what the agency is doing to prevent another sober living home scandal, but some criticize the response. For more Local News from KPHO: https://www.azfamily.com/ For more YouTube Content: https://www.youtube.com/channel/UCIrgpHvUm1FMtv-C1xwkJtw

Steve Large reports.

A monthly call to update behavioral health providers on popular topics.

A monthly call to update behavioral health providers on popular topics.

Learn more about essential benefits at HealthCare.gov from real customers. During Open Enrollment at HealthCare.gov, you can a find variety of health plans to meet your needs. All plans cover doctor visits, prescriptions, emergency care, and more. 4 out of 5 customers can find a plan for $10 or less per month with financial help. Final deadline ...

Gov. DeWine announces plan for expansion of mobile behavioral health service