You are invited to participate in a survey regarding your experience using the AHCCCS
website. This survey will take approximately two minutes. Your responses will help
us ensure that you have a high quality experience.
Effective January 1, 2015, AHCCCS and its contracted Managed Care Organizations (MCOs) will
begin paying the all-inclusive per visit PPS rate on a per claim basis, replacing the current
method of reimbursing claims by the capped fee-for-service fee schedule and annually reconciling to
the PPS rate. The method for calculating the all-inclusive per visit PPS rates will not change.
AHCCCS will continue to perform annual reimbursement reconciliations. Additionally, AHCCCS
anticipates that quarterly supplemental payments will continue, though in amounts appropriate to the
expectation that the MCOs will, in most cases, be paying the PPS rate. MCOs may continue to establish
sub-capitated reimbursement arrangements.
All questions related to FQHC/RHC reimbursements should be directed to Victoria Burns
at (602) 417-4049 or by email at
AHCCCS has established a unique provider type for FQHCs and FQHC Look-Alikes (C2) and a unique
provider type for RHCs (29). AHCCCS is requiring that all FQHCs, FQHC Look-Alikes, and RHCs re-register
under the applicable provider types. AHCCCS is also requiring that FQHCs, FQHC Look-Alikes, and RHCs
obtain a unique NPI, not already associated with another active AHCCCS provider ID, for each clinic
covered by the CMS FQHC, FQHC Look-Alike, or RHC designation. The new NPIs will be used for claim
submissions beginning with dates of service on and after January 1, 2015.
For questions related to provider registration, please contact Veronica Valenzuela at (602) 417-7516
or by email at Veronica.Valenzuela@azahcccs.gov.
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