AHCCCS Guidelines for ROPA Care Providers
Starting Jan. 1, 2021, referring, ordering, prescribing or attending (ROPA) care providers will be required to register with AHCCCS for claims reimbursement.
Review these alerts, bulletins and newsletters to stay up to date on news, policy changes and other issues important to your practice.
- 09.14.2020 - Register for the upcoming C3 Cultural Competency Conference Virtual Presentation Sept. 28th
- AHCCCS Independent Oversight Committee Overview presented by Fredreaka Graham & CJ Loiselle
- 08.28.2020 - The 2020 Community Plan Provider Forum WebEx’s have been scheduled. Please register below.
- 08.20.2020 - Guidelines for Electronic Claim Corrections
- 08.18.2020 - AHCCCS Provider Enrollment Portal – Training Begins August 31, 2020
- 08.03.2020 - Register for the Upcoming Flu Summit provided by the Arizona Partnership for Immunization (TAPI)
- 07.28.2020 - Using the Arizona Health Information Exchange (HIE)
- 07.22.2020 - How to Search for a Mental Health Provider by the Member’s Plan Type
- 07.10.2020 - Ordering, Referring and Supervising Provider Guidelines (Billing changes effective 01/01/21)
- 07.01.2020 - 3rd Quarter 2020 Preferred Drug List Updates
- 06.22.2020 - EPSDT Billing Guidelines
- 05.27.2020 - AHCCCS Electronic Visit Verification (EVV) Information
- 03.17.2020 - COVID-19 Testing Information for Care Providers - UnitedHealthcare Community Plan of Arizona
- 03.12.2020 - Treating a Member in Crisis Benefit Information
- 03.12.2020 - 2nd Quarter 2020 Preferred Drug List Update
- 02.28.2020 - Expanded Community Plan Notification/Prior Authorization Requirements and Site of Service Medical Necessity Reviews for Certain Surgical Procedures Frequently Asked Questions
- 02.27.2020 - Behavioral Health Home Information
- 02.25.2020 - ADHS 2019 Novel Coronavirus Provider Resources
- 02.20.2020 - Guide: Behavioral Health Care after an ER or IP Hospitalization
- 02.12.2020 - AHCCCS Information Regarding Demographics, Social Determinants and Outcomes
- 02.12.2020 - DUR Educational Newsletter: Respiratory Therapy
- 01.30.2020 - Social Determinants of Health Billing Guidelines
- Information regarding the use of Social Determinants ICD-10 codes in the primary diagnosis position.
- Information regarding the use of Social Determinants ICD-10 codes in the primary diagnosis position.
- 01.29.2020 - 2019 Novel Coronavirus Outbreak Update and Healthcare Provider Guidance
- 01.28.2020 - PCP Letter from the Division of Developmental Disabilities (DDD)
- DDD provided this letter to Primary Care Providers (PCPs) regarding the requirement of the Plan Of Care (POC) to include dated signature and NPI for continuing therapy services.
- 01.22.2020 - AHCCCS Medical Coding Resources
- Information regarding coding changes for CPTs 96150 - 96155 including 2020 codes not covered or listed with limited coverage.
- 01.22.2020 - Ordering, Referring and Supervising Provider Billing Requirements
- 01.08.2020 - Retro Authorization Notice For Therapy Services
- 12.04.2019 - Responding to Division of Developmental Disabilities (DDD) Requests for Member Information
- 12.02.2019 - AHCCCS Online Provider Enrollment Portal – Launches 08.31.20
- 11.22.2019 - AHCCCS Performance Measure Study Provider Communication
- 11.05.2019 - New Infusion and Enteral Provider Information – Effective 12.01.19
- 11.04.2019 - Electronic Prescribing of Controlled Substances
- 10.07.2019 - Ambulatory Surgical Center Claim Form Reminder
- 10.07.2019 - Language Line - New Phone Numbers for Interpretation Services
- 10.07.2019 - Updated: Billing the Correct Member ID Number
- 10.07.2019 - Laboratory Services Update
- 10.07.2019 - Updated Guidelines for Checking Member Eligibility
- 10.04.2019 - AZ PT/OT/ST FAQ
- 09.26.2019 - Arizona Early Intervention Program (AzEIP) Reconciliation Notice
- 09.23.2019 - Rendering Provider Field Requirements
- 09.20.2019 - Reimbursement Notice for Evaluation and Management Services Performed During Global Obstetrical Care
- 08.16.2019 - DUR Educational Newsletter: Opioid and Buprenorphine Use for Treating Opioid Use Disorder
- 08.16.2019 - 2019 In-Person Provider Expo Invitation
- 08.13.2019 - UnitedHealthcare Community Plan Service Area Map - Effective 10.01.19
- 08.05.2019 - 2019 Provider Forum WebEx Invitation
- Register to join a Forum that works with your schedule.
- Register to join a Forum that works with your schedule.
- 07.29.2019 - Adult Immunization Notice - Effective 07.01.19
- 07.29.2019 - Ordering, Referring and Supervising Provider Billing Requirements
- 07.16.2019 - Interactive Voice Response System
- 06.26.2019 - Free Buprenorphine Waiver Training for Physicians, Nurse Practitioners & PA's – 07.16.19
- 06.19.2019 - Changes are coming to your Developmentally Disabled Program.
- 05.31.2019 - Coordination of Benefits Memo from AHCCCS
- 05.17.2019 - Medication Management and Medication-Assisted Treatment
- 05.17.2019 - Claim Resubmission Requirements
- 05.16.2019 - Obstetrical (OB) Billing Guidelines: Updated OB Billing Guidelines
- 05.06.2019 - Voluntary Behavioral Health Evaluation Guidelines
- 03.19.2019 - Access to Care for Opioid Use Disorder
- 03.18.2019 - Information regarding Electronic Payments and Statements (EPS)
- 03.15.2019 - URGENT - Confirmed Measles Case in Pima County
- 03.11.2019 - 2019 Statewide Symposium in Support of Service Members, Veterans & Their Families
- Symposium information and registration
- Symposium information and registration
- 03.05.2019 - Claims Reminder: Timely Filing and Coordination of Benefits Agreement
- 03.04.2019 - FQHC/RHC Claim Submission Guidelines
- 03.04.2019 - National Drug Code (NDC) Billing Guidelines
- 02.28.2019 - Appointment Availability Standards and Surveys
- 02.25.2019 - Arizona Health Care Cost Containment System (AHCCCS) and Arizona Department of Health Services notice on Arizona Syphilis Outbreak
- 02.20.2019 - Office of Individual and Family Affairs (OIFA)
- Information on working together to help members on their path to recovery
- Information on working together to help members on their path to recovery
- 02.12.2019 - Indian Health Service (HIS), Tribally Operated 638 Programs, and Urban Indian Health Programs in Arizona
- 02.11.2019 - UnitedHealthcare Community Plan Service Area Map - Effective 10.01.18 - 09.30.19
- 11.13.2018 - AHCCCS Related Provider Duplicate (Z340) Edit
- 11.12.2018 - AHCCCS Provider Registration Notice
- 11.02.2018 - Obstetrical Ultrasound Reimbursement Policy Update: Quantity Limitations
- 11.02.2018 - Updated Emergency and Non-Emergent Transportation and Billing Guidelines
- 11.01.2018 - Provider Alert: Obstetrical Ultrasound Reimbursement Policy Update: Quantity Limitations, Effective December 1, 2018
For Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, Utilization Review Guidelines and corresponding update bulletins for UnitedHealthcare Community Plan, visit the Policies and Protocols section.
Visit the Payment Policy Notifications page to view updates.
Visit the News and Network Bulletin page to view updates and articles.
Contact Provider Call Center
1-800-445-1638 - Available from 8:00 a.m. - 5:00 p.m. Central Time