Division of Fee for Service Management: Training Resources
AHCCCS Provider Training offers both in person and online training to Fee-For-Service (FFS) providers on how to submit claims, prior authorization requests, additional documentation (i.e. the AHCCCS Daily Trip report or requested medical records), etc. using the AHCCCS Online Provider Portal and the Transaction Insight Portal.
The AHCCCS Provider Training team also offers periodic trainings whenever there are significant changes in AHCCCS policy or to the AHCCCS billing manuals.
This web page provides information on:
- The DFSM Claims Clues Newsletter,
- How to sign up for DFSM email alerts,
- The DFSM Provider Training Schedule,
- Access to Power Point Presentations for past trainings, and
- Contact information for the Division’s Training Team.
By reading the DFSM Claims Clues Newsletter and signing up for email alerts providers will be alerted to system and program changes, and claims and billing updates.
DFSM Claims Clues Newsletter
DFSM publishes a monthly newsletter for providers. It is available online and provides information about the following:
- Claims and billing updates,
- Billing policies and requirements,
- System changes, and
- Changes to program benefits.
Past issues are available on the Claims Clues webpage.
Provider Denial Resolution Guide
Provider Denial Resolution Guide (10/02/2024)
The Edit Resolution Guide is a tool that was created to help providers understand the denial edits, descriptions, and actionable next steps. New denial edits will be added periodically to the guide. Providers maintain the responsibility to ensure all claims are billed appropriately.
2/26/2024 Important Notice Remittance Advice Claim Denial Code AD364
AHCCCS is aware that the claim denial code AD364 "No Records Submitted With Claim" is not consistently showing up on the providers Explanation of Benefits (EOB) and on the AHCCCS Online Provider Portal. If you receive a denial on a behavioral health outpatient claim and the denial reason and description is not present, it may be due to this denial reason code. We are working diligently to resolve this issue as quickly as possible.
Receive Email News Updates
Providers are invited to subscribe to DFSM email news alerts regarding changes to the program, claims and billing updates and requirements, system changes, upcoming trainings, forums and other business news.
Subscribe to receive notifications about upcoming trainings, forums, and important business updates.
CBHSG Provider Training Schedule
Provider Training Schedule Covered Behavioral Health Services Guide
Training Schedules
Quick Training Guides
Provider Training Video Library
New Provider Video Series
Resources
Provider Enrollment
AHCCCS Online Provider Portal Series
Transaction Insight Portal Series
Federal Emergency Services (FES) Program Information
AHCCCS Coverage (Benefit and Policy Information)
IHS and 638 Specific Trainings
Behavioral Health Residential Facility Information
Direct Care Worker Agency (DCWA) Trainings
Rates
APR-DRG Information
* This training provides an overview of where information on the APR-DRG based payment system can be found on the AHCCCS website.
Training Presentations
AHCCCS Complete Care (ACC) & the American Indian Health Program (AIHP)
AHCCCS - General Information for Providers
Alternate Care Sites (ACS)
Arizona Long Term Care System (ALTCS)
Behavioral Health Residential Facility
Behavioral Health Services Overview
Claim Submission Training - CMS 1500, UB-04 and ADA Form Types
Covered Behavioral Health Services Guide
COVID-19 Prior Authorization & Concurrent Review Updates (FFS Providers)
COVID-19: Tribal ALTCS Updates and How to Bill During COVID-19
DDD Tribal Health Program
Direct Care Service Agency
Federal Emergency Services (FES) Program
Emergency Triage, Treat and Transport (ET3)
IHS/638 Quarterly Billing Forums
- IHS/638 Billing Forum (September 25th, 2024)
- IHS/638 Billing Forum (June 26th, 2024)
- IHS/638 Billing Forum (March 27th, 2024)
- IHS/638 Billing Forum (August 30th, 2023)
- IHS/638 Billing Forum (May 17th, 2023)
- IHS/638 Billing Forum (February 14th, 2023)
- IHS/638 Billing Forum (November 9th, 2022)
- IHS/638 Billing Forum (August 24th, 2022)
- IHS/638 Billing Forum (May 11th, 2022)
- IHS/638 Billing Forum (February 9th, 2022)
- IHS/638 Billing Forum (November 17th, 2021)
- IHS/638 Billing Forum (August 25th, 2021)
- IHS/638 Billing Forum (May 12th, 2021)
- IHS/638 Billing Forum (February 10th, 2021)
- IHS/638 Billing Forum (November 4th, 2020)
- IHS/638 Billing Forum (August 4th, 2020)
- IHS/638 Billing Forum (May 5th, 2020)
- IHS/638 Billing Forum (February 11th, 2020)
- IHS/638 Billing Forum (November 6th, 2019)
- IHS/638 Billing Forum (August 1st, 2019)
IHS/638 Ambulatory Surgery Center Billing
IHS 638 Billing Inpatient Medicare Part B Claims
IHS/638 Tribal Providers Billing The All Inclusive Rate (AIR)
Medical Documentation Training
Medical Equipment & Appliances (DME), Medical Supplies, Orthotics and Prosthetics
Member Eligibility and Verification
Non-emergency Medical Transportation (NEMT)
Nursing Facility/Skilled Nursing Facility
Participating/Performing Provider Requirements
Remittance Advice Training
Social Determinants of Health
Targeted Investments Program
Third Party Liability (TPL)/Medicare
Transaction Insight Portal
Travel and Lodging Services
Claim Submission Training - Voids and Replacements
2021
Power Point Presentations
- Emergency Triage, Treat and Transport (ET3): ET3 Billing Training Slides Effective October 1, 2021; Updated November 2, 2021
- ET3 Presentation for AHCCCS Health Plans (November 2, 2021)
- ET3 and Alternative Destination Partners (ADPs) (November 2, 2021)
- 100% FMAP Care Coordination Agreement (CCA) Overview (November 2, 2021)
- Non-Emergency Medical Transportation (NEMT) Public Transportation/Bus Passes (October 2021)
- Non-Emergency Medical Transportation (NEMT) Daily Trip Report(November 2021)
- Non-Emergency Medical Transportation (NEMT) Reminders (November 1, 2021)
- Non-Emergency Medical Transportation (NEMT) Claim Submission and TI Portal (November 1, 2021)
- Voids and Replacements of Claims (October 1, 2021)
- Prior Authorization - General Requirements, How to Submit for PA, and How to Status a PA Using the AHCCCS Online Provider Portal (October 1, 2021)
- Medical Equipment & Appliances (DME), Medical Supplies, Orthotics and Prosthetics (October 1, 2021)
- Social Determinants of Health (October 1, 2021)
- Third Party Liability (TPL) (September 22, 2021)
- Alternate Care Site (ACS) Training: IHS and 638 ACS Training (June 16, 2021)
- Dental Services and the Arizona Long Term Care System (ALTCS) (June 11, 2021)
- Transaction Insight Portal (November 14, 2023)
- TIBCO Foresight Transaction Web Upload Attachment Guide (275) (June 11, 2021)
- Podiatry(June 11, 2021)
- Dental (ADA 2012) Claim Submission on the AHCCCS Online Provider Portal (June 11, 2021)
- American Indian Health Program (AIHP) & AHCCCS Complete Care (ACC) Overview (October 10, 2018; Updated 2021)
- AHCCCS Complete Care (August 16, 2018; Updated 2021)
- AHCCCS Overview and Basic Provider Information (June 10, 2021)
- Behavioral Health Residential Facility (BHRF) Prior Authorization (PA) Request (June 10, 2021)
- Paper Claim Form Submission Requirements and Tips (June 10, 2021)
- Claim Form Types (June 10, 2021)
- Professional Claim (CMS 1500 Claim Form) Submission on the AHCCCS Online Provider Portal (June 10, 2021)
- Institutional Claim (UB-04 Claim Form) Submission on the AHCCCS Online Provider Portal (June 10, 2021)
- Email News Alerts (June 10, 2021)
- Claims Clues Newsletter (June 10, 2021)
- Emergency Dental Benefit for AHCCCS Members 21 years of age and older (June 10, 2021)
- Direct Care Service Agencies (June 10, 2021)
- Federal Emergency Services Program – Overview of Coverage (June 10, 2021)
- Federal Emergency Services Program – Dialysis Services (June 10, 2021)
- Behavioral Health Residential Facility (BHRF) Prior Authorization (PA) Request (June 10, 2021)
- Telehealth Services for IHS and 638 Providers (May 1st, 2021)
- Tribal 638 FQHC Updated (May 1, 2021)
- This training only pertains to provider types 05/77 who elect to become recognized as a 638 FQHC.
- Tribal IHS/638 Quarterly Billing Forum (February 10, 2021)
- This training only pertains to provider types 05/77 who elect to become recognized as a 638 FQHC.
2020
Power Point Presentations
- Alternate Care Site (ACS) Training: IHS and 638 ACS Training (June 1, 2020)
- IHS 638 Nursing Facility and Skilled Nursing Facility AIR Updates (October 5th, 2020)
- How to Status a Claim Using the AHCCCS Online Provider Portal (October 5th, 2020)
- Behavioral Health Residential Facility (BHRF) AMPM Policy 320-V (October 5th, 2020)
- Behavioral Health Residential Facility (BHRF) - Claim Submissions Using the AHCCCS Online Provider Portal (October 5th, 2020)
- OALS Claims Dispute Training (October 5th, 2020)
- Claim Submission via the AHCCCS Online Provider Portal (October 5th, 2020)
- COVID-19 Prior Authorization and Concurrent Review Updates (FFS) Providers (October 5th, 2020)
- IHS/638 Quarterly Billing Forum (November 4th, 2020)
- Medical Documentation Training (October 5th, 2020)
- Member Eligibility and Verification (October 5th, 2020)
- Non-Emergency Medical Transportation (NEMT) Daily Trip Report (October 5th, 2020)
- Helpful Materials for Providers (January 24th, 2024)
- How to Read the Remittance Advice Training (October 5th, 2020)
- Telehealth Services for FFS Providers (October 5th, 2020)
- Telehealth Services for IHS and 638 Providers (October 5th, 2020)
- IHS/638 Forum (August 4th, 2020)
- IHS/638 Forum (May 5th, 2020)
- COVID-19: Tribal ALTCS Updates and How to Bill During COVID-19 (May 5th, 2020)
- Telehealth Services for IHS and 638 Providers (April/May 2020)
- Telehealth and the "Four Walls"
- IHS/638 Forum (February 11th, 2020)
2019
Power Point Presentations
- IHS/638 Forum (November 6th, 2019)
- Non-Emergency Medical Transportation (NEMT) Daily Trip Report (October 1st, 2019)
- AHCCCS Online Claim Submission Training /TI Portal NEMT Providers (October 1st, 2019)
- Telehealth (October 2nd, 2019)
- AHCCCS Overview and Basic Provider Information (October 2nd, 2019)
- Provider Registration Overview and Basic Provider Overview (October 3rd, 2019)
- IHS/638 Forum (August 1st, 2019)
- Behavioral Health Residential Facility AMPM 320-V (June 11, 2019)
- Behavioral Health Residential Facility - Online Prior Authorization Submission Guide (March 20, 2019)
- Non-Emergency Medical Transportation (NEMT) Daily Trip Report (April 24, 2019)
- Direct Care Agencies (March 14, 2019)
- Non-Emergency Medical Transportation (NEMT) Reminders (February 7, 2019)
- Direct Care Services Agencies (January 16, 2019)
2018
Power Point Presentations
- American Indian Health Program (AIHP) & AHCCCS Complete Care (ACC) Overview (October 10, 2018)
- AHCCCS Complete Care (August 16, 2018)
- Non-Emergency Medical Transportation (NEMT): Filling out the Daily Trip Report (June 12, 2018)
- Online Prior Authorization Submission – Updated Training (May 17, 2018)
- National Drug Code (NDC): How to submit your pharmacy claims using the NDC codes (May 10, 2018)
- Online Behavioral Health PA Submission Update (April 19, 2018)
- Online Prior Authorization Submission (March 22, 2018)
- 638 FQHC Training (Only for Provider Types 05/77) (March 14, 2018)
- This training only pertains to provider types 05/77 who elect to become recognized as a 638 FQHC.
- Online Claim Submission: Dental Claims (March 8, 2018)
- Emergency Dental Training Benefit 21+ (March 1, 2018)
- Online Claim Submission: Institutional Claims (February 22, 2018)
- Online Claims Submission: Professional Claims (February 9, 2018)
- Replacements and Voids (February 1, 2018)
- Member Eligibility (January 16, 2018)
2017
Power Point Presentations
- Dental Updates (September 27, 2017)
- Podiatry(September 1, 2017)
- Claims Clues (July 27, 2017)
- Constant Contact (July 20, 2017)
- Prior Authorization (June 22, 2017)
- Voids & Replacements (June 12, 2017)
- Summary of Coverage for Podiatry Services (May 24, 2017)
- Behavioral Health Prior
Authorization Process
For Providers (May 11, 2017)
- Navigating the AHCCCS website(April 10, 2017)
- Medicare Part D Billing (April 20, 2017)
- Arizona Long Term Care System (ALTCS) Dental Benefit (April 3, 2017)
- How to Status a Claim Using the AHCCCS Online Portal (March 17, 2017)
- Prior Authorization (PA) (March 10, 2017)
- Behavioral Health Non-Emergency Medical Transportation (BH NEMT) (March 1, 2017)
- Claims Submission using the AHCCCS OnLine Portal (February 16, 2017)
- National Drug Code (NDC): How to submit your pharmacy claims using the NDC codes (January 12, 2017)
2016
Power Point Presentations
Claims Status
To check the status of your claim, providers can use the AHCCCS Online Provider Portal. If you are unable to resolve a claim issue using the Online Provider portal or after reviewing your remittance advice, please contact DMPS Call Center at 602-417-7670, between 7:30 am and 5:00 pm Monday through Friday.
If you require technical assistance, please contact our Customer Support Center by emailing your request to servicedesk@azahcccs.gov or call 602-417-4451.
Provider Training Contact Information
The DFSM Provider Training team can be reached at: ProviderTrainingFFS@azahcccs.gov
IHS/638 COVID-19 Vaccine Billing Guidelines (3/1/2021)
- Note: DFSM Provider Training is unable to assist with medical billing and coding questions in preparation of claims submittal for services/procedures rendered.
Alternate Care Sites (ACS)
Vaccination Memos
Additional Resources
Provider Enrollment Information
For information on provider enrollment please visit our provider enrollment webpage.