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.
What does AHCCCS cover for Non-Emergency Transportation?
AHCCCS covers medically necessary non-emergency ground and air transportation to
and from a required medical service for most recipients. Non-emergency transportation
is not covered for Federal Emergency Services
How do Non-Emergency Transportation Providers Bill?
Non-emergency transportation providers must bill the number of trips and the number
of loaded miles as units of service on the CMS 1500 claim form. Loaded mileage is
defined as the distance traveled, measured in statute miles, with a recipient on
board the vehicle and being transported to receive medically necessary covered services.
Here is the link for online claims submission:
If multiple transports are authorized for the same day, providers must bill the
second trip (and any subsequent trips) as follows:
When does Non-Emergency Transportation require Prior
Roundtrip Ground Transportation over 100 miles
Roundtrip transports OVER 100 miles will
continue to require authorization from either the AHCCCS Prior Authorization (acute
care recipients) or a case manager (ALTCS recipients). Only codes for base and mileage
will be authorized, unless billed by an IHS or Tribally Operated 638 Provider.
Prior Authorization requests for Fee For Service Acute Care recipients should be
entered online at https://azweb.statemedicaid.us/Home.asp
How do Providers know where to submit claims?
What documentation must NEMT Providers maintain?
AHCCCS will conduct retrospective audits of non-emergency ground transportation
providers to verify that the mileage, medical condition, and specific location are
correct and justifiable. AHCCCS recommends documentation of the member’s current
medical concern and specific medical service to which member is being transported.
Where can you go for answers to further questions regarding
Online Claims Submission
FFS Billing Manual, Chapter 14
IHS Billing Manual, Chapter 11