January 14, 2022

Arizona: New School POS Billing Guidelines

Starting 03/01/2022, the Arizona Health Care Cost Containment System (AHCCCS) requires the place of service of the member for all services. The AHCCCS updated their Fee-for-Service Provider Billing Manual Chapter 10 for billing school place of service. Health care professionals using the CMS-1500 claim form (includes those using digital billing) should follow these new guidelines or the state may deny claims.

These updated billing requirements include medical and dental services:

  • List the Rural Health Clinic (RHC)/Federally Qualified Health Center (FQHC) as the rendering provider
  • List the 0B qualifier (indicates a state license) followed by:

To report 1 participating health care professional

screenshot showing the information used when submitting a claim with 1 participating provider.

To report 2 participating health care professionals

screenshot showing the information used when submitting a claim with 2 participating providers.
PCA-1-21-04631-C&S-News_01032022