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Provider Participation Modifier Deadline Extended Until October 1, 2022


May 23, 2022

AHCCCS has extended the deadline for providers to begin reporting the individual practitioner who rendered services on professional and dental service claims until October 1, 2022. This requirement impacts all claims for AHCCCS providers registered as integrated clinics (Provider Type IC), behavioral health outpatient clinics (Provider Type 77) and clinics (Provider Type 05).

AHCCCS and its Managed Care Organizations will deny claims for dates of service on and after October 1, 2022 if the individual practitioner who performed the services associated with the clinic visit is not reported.

See Exhibit 10-1 of the AHCCCS Fee-For-Service Provider Billing Manual for billing instructions for proper claims submissions.

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