Bulletins and Newsletters
AHCCCS Guidelines for ROPA Care Providers
Referring, ordering, prescribing or attending (ROPA) care providers will be required to register with AHCCCS for claims reimbursement and UnitedHealthcare Community Plan of Arizona has implemented this requirement into our claims processing guidelines.
Review these alerts, bulletins and newsletters to stay up to date on news, policy changes and other issues important to your practice.
- 01.25.2022 - Mandatory Treatment Capacity Survey - Arizona Revised Statute §36-109 requires that each quarter, each hospital, health care facility and outpatient substance abuse treatment provider that provides substance abuse treatment submit to the Department the following information. For the 2021 quarter four (Q4), ending December 31, 2021, please use the above Survey Monkey link and complete the survey no later than January 28, 2022.
- 01.20.2022 - CMS Place of Service Changes - CMS changes to POS could be affecting your claims.
- 01.18.2022 - UnitedHealthcare Community Plan Quick Reference Guide
- 01.14.2022 - FQHC/RHC School Billing Guidelines
- 01.10.2022 - Service Model Quick Reference Guide
- 01.05.2022 - Behavioral Health Home
- 12.13.2021 - Arizona Service Area Map
- 11.30.2021 - Opioid Treatment Program (OTP) Requirements - Per new Arizona Revised Statute, AHCCCS is required to make reports submitted by registered AHCCCS Outpatient Treatment Programs (OTP) publicly available to allow for the 30-day public comment period. Those reports have been posted and are available.
- 11.30.2021 - Guidelines to Billing Multiple Months for HCBS Services
- 11.30.2021 - AHCCCS Provider Re-registration and Re-validation Request - AHCCCS has asked provider to “re-register” and confirm the data in the AHCCCS Provider Enrollment Portal (APEP) converted into the new portal accurately and is current. Re-validation is a process that occurs every four years from the initial date of enrollment. During the public health emergency, no re-validations were completed however all active providers were asked to re-register. AHCCCS is encouraging providers who have received their written invitation but have not completed the re-registration process to do so now. Email questions on the plan to APEPTrainingQuestions@azahcccs.gov.
- 11.29.2021 - HCBS Audit Letter Notice
- 11.16.2021 - AHCCCS Extends ROPA Registration Deadline Through the Duration of the Public Health Emergency - AHCCCS News and Updates (azahcccs.gov)
- 11.09.2021 - Mandatory Treatment Capacity Survey – Quarter 3
- 11.08.2021 - DUR Educational Newsletter: QTc Prolongation Agents
- 10.05.2021 - Want more information about Emergency Triage, Treat and Transport? ET3 is a voluntary, 5 year, CMS Innovation Center payment model designed to reduce unnecessary transport to emergency departments.
- 10.01.2021 - Update: Abuse and Neglect Prevention Task Force Seeks Survey Input from Long Term Care Providers - As part of the work of the Governor’s Abuse and Neglect Prevention Task Force, AHCCCS and the Arizona Department of Economic Security, are asking long term care health care providers who serve AHCCCS members to participate in a short survey conducted by the Sonoran Center for Excellence for Developmental Disabilities (UCEDD). The survey is anonymous and has been extended to October 15, 2021.
- 09.30.2021 - Combined Application for Provider Relief Phase 4 and ARPA Rural Funding Opens Sept. 29
- 09.17.2021 - Center of Excellence Location (COE) – Pima Pain Center - UnitedHealthcare Community Plan of Arizona members with chronic pain — including those with opioid use disorder — have an option to receive care from Pima Pain Center.
- 09.02.2021 - Opioid Treatment Program (OTP) Requirements - In accordance with ARS 36-.2907.14, AHCCCS is required to make reports submitted by registered AHCCCS Outpatient Treatment Programs (OTP) publicly available to allow for the 30-day public comment period. These reports have been posted and are available.
- 08.25.2021 - Increased Reimbursement for the COVID-19 Vaccine - The Arizona Healthcare Cost Containment System (AHCCCS) has changed the reimbursement rates as of August 8, 2021. Details are available in the COVID-19 Vaccine section.
- 08.24.2021 - Abuse and Neglect Prevention Task Force Seeks Survey Input from Long Term Care Providers - As part of the work of the Governor’s Abuse and Neglect Prevention Task Force, AHCCCS and the Arizona Department of Economic Security, are asking long term care health care providers who serve AHCCCS members to participate in a short survey conducted by the Sonoran Center for Excellence for Developmental Disabilities (UCEDD). The survey is anonymous and open through September 30, 2021.
- 08.10.2021 - Updated: Minimum Subcontract Provisions - Effective October 1, 2021
- 07.30.2021 - Medication management and medication assisted treatment
- 07.26.2021 - Social Determinants of Health (SDOH) – Avoid claim denials
- 07.09.2021 - Provider Enrollment Process Change for Paper Update/Modification Requests - Effective 08/01/21, the Division of Member and Provider Services, Provider Enrollment will no longer accept paper submitted updates or modifications by email, mail or fax.
- 07.06.2021 - Health Equity Education Series
- 06.16.2021 - AHCCCS LOCUS – 07/01/2021 Deadline - AHCCCS has contracted with Deerfield Behavioral Health (Deerfield) to license the Child and Adolescent Level of Care Utilization System (CALOCUS) and Level of Care Utilization System (LOCUS) software, as well as access to online training for those who have familiarity with instruments that measure level of service acuity instruments. Reach out to Matthew Monago at mmonago@journeyhealth.org before 07/01/2021 and identify your organization as an AHCCCS provider when emailing. Please look for more information in our July 1st Network Bulletin email.
- 04.20.2021- AHCCCS 2021 Provider Survey Notice – open from 04/15/21 - 05/17/21
- 04.16.2021 - DUR Educational Newsletter: Montelukast FDA Update
- 04.02.2021 - Differential Adjusted Payment (DAP) Program is expanding for Social Determinants of Health (SDOH)
- AHCCCS announced that several additional provider types are now eligible for a 1% DAP incentive if they submit an SDOH Registration Form and a SDOH Closed-Loop Referral Excel Spreadsheet by May 14, 2021.
- 03.30.2021 - In-Home Palliative Care Resources for Community Plan Members
- 03.22.2021 - Ordering, Referring, and Supervising Provider Guidelines - Updated 2021
- 03.11.2021 - Claim Resubmission Requirements
- 01.06.2021 - AHCCCS Independent Oversight Committee (IOC) Requests and Inquiries Requirement
- 12.28.2020 - AHCCCS COVID-19 Vaccine Administration Billing Guidelines as of 12/14/2020
- 12.15.2020 - Pandemic Vaccine Provider Onboarding Form 1
- 12.15.2020 - Be Vaccine Ready! Information regarding the COVID-19 Vaccine guidelines
- 11.23.2020 - Reporting and Coding Deaths Due to COVID-19
- As doctors certify deaths involving COVID-19 in Arizona, an Arizona Department of Health Services (ADHS) review of these death certificates reveal some inaccuracies in the specified cause of death. Please review for additional information.
- 11.17.2020 - Retiring Admission Notification Fax Number Reminder for UnitedHealthcare Community Plan
- 11.16.2020 - Arizona Department of Health Services Pandemic Vaccine Provider Onboarding Tool
- How to get started
- 11.13.2020 - AHCCCS Electronic Visit Verification (EVV) Notice
- 10.15.2020 - Provider Onboarding Requirements for Pandemic Vaccinations
- 10.05.2020 - Plan of Care (POC) Requirement for Therapy Services
- A letter from DDD regarding the POC requirement specifically for Occupational, Physical and Speech Therapy
- 09.29.2020 - AHCCCS Flu Vaccine Initiative
- 09.29.2020 - New Inappropriate Primary Diagnosis Facility Policy - Effective Nov. 1, 2020
- 09.22.2020 - Mandatory Treatment Capacity Survey – Extended to October 16, 2020
- Arizona Revised Statute §36-109 requires that each quarter, each hospital, health care facility and outpatient substance abuse treatment providers that provide substance abuse treatment submit to the Department the following information. Please use the Survey Monkey link above and complete the survey no later than October 16, 2020
- 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
- 08.03.2020 - 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
- 07.01.2020 - 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
- 02.27.2020 - 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.
- 12.02.2019 - AHCCCS Online Provider Enrollment Portal – Launches 08.31.20
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.
Mental Health Resources for Health Care Professionals
Oct. 2, 2020
You’re important to us. That’s why we’re gathering resources and support for health care professionals across UnitedHealth Group to help you focus on, manage and understand your mental and physical well-being during the national public health emergency.
Click here to access the Monthly Network News Brief articles
Access the articles shared in the monthly network news brief emails. Arizona-specific information is identified along with the date the article was shared. Review this regularly to keep up to date on the Community Plan of Arizona updates and reminders.
Network Bulletin
Visit the Network Bulletin page to view updates and articles.
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