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    • November 27, 2017

    AHCCCS has determined that there is an issue with the medically unlikely edits (MUE) allowable units on a few procedure codes. DFSM is in the process of identifying the impacted procedure codes and resolve the discrepancies as quickly as possible. Once the corrections have been made, DFSM will run a report of the impacted claims and recycle the... more


    • June 27, 2017

    Some of the claims for AHCCCS members who are Dual Eligible are being denied due to the system not reading the Medicare eligibility begin and end date segments. These two issues in total comprise a small number of claims. The AHCCCS Information Services Division (ISD) has analyzed and built system logic that will address and correct the issue.... more


    • April 27, 2015

    The State of Arizona is currently facing a significant funding shortfall with a projected budget deficit of up to $1 billion anticipated for State Fiscal Year 2016 (July 1, 2015 – June 30, 2016). To help address this shortfall, the Legislature enacted Laws 2015, Chapter 14 (SB 1475) on March 12, 2015, which authorizes AHCCCS to reduce rates for... more


    • June 24, 2015

    Arizona's Medicaid program has canceled a planned 5 percent cut in payments to hospitals, doctors and other medical professionals after they objected and lower than expected insurance costs gave the program leeway to avoid the cuts. The decision came just three months after the governor signed a plan for the budget year that begins July 1 that... more