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Bulletins & Payment Policy Notifications

See the bulletins below to stay up-to-date on news, policy changes, and other issues important to your practice.

Credentialing Updates: Contact the National Credentialing Center at 1-877-842-3210.

 

UnitedHealthcare Community Plan Added to Electronic Payments & Statements (PDF 59.89 KB)

 

Current Bulletins 

Remember to check our website frequently for updates regarding reimbursement policies, provider manuals and bulletins, providing information to our provider network of changes throughout the year. 

Non-Emergent Ambulance and Transportation Reminder (PDF 63.08 KB) - 06.22.2018 

Circumcision Guidelines Reminder (PDF 48.4 KB) - 06.20.2018

AHCCCS Complete Care Program Frequently Asked Questions (PDF 46.93 KB) - 06.20.2018 

AHCCS Vaccines for Children (VFC) Re-Enrollment Notice: Ends June 30, 2018 - 06.19.2018 

Updated Billing Guidelines for Obstetrical (OB) Services (PDF 443.55 KB) - 6.19.2018

Vaccines For Children (VFC) Restitution Policy Reminder (PDF 139.65 KB) - 6.19.2018

Electronic Payments and Statements (EPS) is transitioning to OptumBank.com (PDF 333.37 KB) - 06.08.2018

OptumHealth Education (PDF 188.01 KB) - Optum HealthEducation offers accredited, on-demand webcasts and information regarding upcoming conferences for both physical and behavioral health providers. Some activities include Disease Management, Autism Spectrum Disorder, Behavioral Health, Intellectual and Developmental Disabilities. View the current OptumHealth Education Catalog (PDF 36.95 KB). Date posted 06.08.2018 

You’re Invited to a Class on Diabetes (PDF 89.41 KB) - 5.3.2018

Health Current Information Exchange (PDF 40.7 KB) - 4.18.2018

Medication-Assisted Treatment (PDF 49.05 KB) - 4.9.2018 

Health Current – Health Information Exchange

Reminder: NDC Billing Guidelines - 3.7.2018 

AHCCCS Electronic Visit Verification Provider Survey - 3.6.2018 

Secondary Timely Filing and Coordination of Benefits Agreement (PDF 44.69 KB) - 2.12.2018

Reimbursement Reminder for Long Acting Reversible Contraceptives (LARC) (PDF 62.57 KB) - 2.12.2018

Claim Adjustment and Remittance Advice Codes (CARC/RARC) - 2.12.2018

AHCCCS Guidelines Regarding the Use of Social Determinants (PDF 92.23 KB) - 2.9.2018

Incontinence Supplier Change for Adult Long Term Care Members - Effective Feb. 1, 2018 (PDF 732.91 KB) - 1.23.2018

You’re Invited to a Class on Medications ( 43.03 KB) - 1.19.2018

AHCCCS Re-Enrollment Reminder (PDF 36.47 KB) - 1.19.2018 

Indian Health Service (HIS), Tribally Operated 638 Programs, and Urban Indian Health Programs in Arizona - 1.18.2018

Revenue Codes Requiring Procedure Codes Reimbursement Policy Clarification For Care Providers at Facilities and Hospitals (PDF 65.36 KB) - 12.22.2017

Laboratory Services Update (PDF 61.01 KB) - 12.20.2017 

New Therapy Codes (PDF 21.76 KB) - 12.1.2017

AHCCCS Managed Care Providers 2017 Provider Survey (PDF 38.88 KB) - 11.30.2017
AHCCCS is conducting a survey to determine its contracted Managed Care Organizations' (MCO's) performance and responsiveness to its providers.

Claims Routing Issue for Children’s Rehabilitative Services (PDF 21.97 KB) - 10.13.2017

Dental and Occupational Therapy Benefit Changes - Effective Oct. 1, 2017 (PDF 42.16 KB) - 10.9.2017

Introduction to Link: Care providers can use Link to verify eligibility, check claims status, submit reconsiderations electronically and submit/review prior authorization requests. Go to UHCprovider.com/Link to learn more. - 8.9.2017 

Interactive Voice Response Resource (PDF 22.34 KB) - 8.8.2017

Secondary Claim Timely Filing Guidelines (PDF 32.02 KB) - 8.8.2017

Electronic Payments & Statements (EPS) Changes - Effective Aug. 1, 2017 (PDF 70.42 KB) - 7.10.2017 

Submitting Corrected Claims Electronically (PDF 54.01 KB) - 6.2.2017

CEU Credit – Establishing Effective Communication with Patients with Intellectual Disabilities Part 1 (PDF 845.89 KB) - 5.16.2017

Autism Spectrum Disorder (ASD) Diagnosis and Treatment Resources (PDF 56.76 KB) - 5.19.2017

Reminder: Billing for CPT Code 96110 (PDF 81.08 KB) - 4.8.2017 | Updated 11.27.2017

New Fax Number for EPSDT Forms and Missed Appointments (PDF 51.81 KB) - 4.7.2017 

Retirement of Moderate Sedation, Physical Medicine and Rehabilitation: Supervised Modalities Policies; and Changes to Procedure to Modifier and IMRT Policies ‒ Effective May and June 2017 (PDF 184.12 KB) - 3.21.2017

2017 Therapy Code Changes (PDF 41.65 KB) - 3.15.2017 

Billing Reminder for Home Health Codes G0299 and G0300 (PDF 34.36 KB) - 3.13.2017

New Required Information for FQHC Rendering Care Providers (PDF 54.98 KB) - 3.13.2017 

Arizona Opioid Prescribing Guidelines

Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain (PDF 3.01 MB) - 2.15.2017

Maricopa Health Plan Member Transition Letter to Providers (PDF 38.24 KB) - 02.10.2017

Transportation Vendor Change for Long Term Care Members (PDF 51.89 KB) - 02.10.2017

Transportation Vendor Change for Members Transitioned to UnitedHeathcare Community Plan (PDF 51.89 KB) - 02.10.2017

Therapy Providers Roster Changes Notice (PDF 111.94 KB) - 2.01.2017

KidsCare Overview (PDF 116.25 KB) - 12.20.2016

Revision to Behavioral Health Covered Services Guide Regarding T1016 Unit Billing Guidelines (PDF 179.93 KB) - 12.20.2016

KidsCare Information (PDF 116.25 KB)

Podiatry Benefit Changes Frequently Asked Questions - Effective 10/01/16 (PDF 158.63 KB)

Change in Coverage for Dental Benefits for ALTCS Members Who Are 21 Years and Older (PDF 33.44 KB) - 10.12.2016

Payment Responsibility for Behavioral or Physical Health Services (PDF 96.67 KB) - Information about submission of services that can help determine if services are considered behavioral health or physical health.

AHCCCS EHR Incentive Program – IMPORTANT DEADLINE (PDF 147.84 KB)

Podiatry Benefit Changes and ALTCS Dental Benefit Changes Notice - 2016 (PDF 40.81 KB)

 

UnitedHealthcare Community Plan Bilateral Procedures and Maximum Frequency Per Day Policies – Effective Nov. 11, 2017 (PDF 49.39 KB) - 8.17.2017

Claim Reprocessing for Rebundling Code 96160 (PDF 48.51 KB) - 7.27.2017

Revision to the Intrauterine Device (IUD) Supply Policy (PDF 52.81 KB) - 7.14.2017

Two Place-of-Service (POS) Codes Added to Facility POS Code List in Two Policies (PDF 54.98 KB) - 7.5.2017

New Drug Testing Reimbursement Policy Effective Sep. 1, 2017 (PDF 50 KB) - 6.19.2017

Implementation of the new Clinical Laboratory Improvement Amendments Identification Requirements Policy and the Replacement Codes Policy-Effective August 1 and November 1, 2016. Changes to the Non-Covered Codes, Ambulance, and Nonphysician Health Care Professionals Billing Evaluation and Management Codes Policies-Effective in November and December 2016 (PDF 207.51 KB) - 4.28.2017

Nonphysician Health Care Professionals Billing Evaluation and Management Codes Policy – Acupuncturist Update (PDF 216.94 KB) - 4.10.2017

UnitedHealthcare Community Plan Medicare Claims Processing System Is Being Upgraded – Effective May 20, 2017 (PDF 39.84 KB) - 4.6.2017

Washington Publishing Company Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) Listings - 3.6.2017

New National Drug Code Requirement Policy - Effective May 1, 2017 (PDF 48.38 KB) - 1.31.2017 

Coding Reminder: How to Report Multiple Surgeons for One Operative Session (PDF 366.47 KB)  Date Posted 12.01.2016 

Policy Change for the Multiple Procedure Payment Reduction of Diagnostic Imaging Services - Effective January 1, 2017 (PDF 352.93 KB)  Date Posted 12.01.2016 

Revision to Maximum Frequency per Day and Bilateral Procedures Policies for Procedure Codes with Bilateral Surgery Indicator of “2”-Effective February 12, 2017  (PDF 110.97 KB)

Revision to Lupron Policy-Effective January 1, 2017 (PDF 203.22 KB)

New Facility Reimbursement Policy-Appropriate Patient Status for Type of Bill Policy-Effective December 1, 2016  (PDF 180.99 KB)