Provider Notices

Notice to Providers

BCBSAZ Health Choice is committed to ensuring that you have an open line of communication with us at all times. We want to make sure you have updated contact information for your Provider Representative.

Provider Escalation Notice

Recent Notices
Archived Notices

Recent Notices

2025

January

System and Policy Updates, Billing Requirements & Added/Deleted Codes
2025 BCBSAZ Health Choice Behavioral Health Medical Necessity Criteria
Provider Satisfaction Survey Open Through February 4, 2025
Syphilis Testing During Pregnancy by Maternity Providers
Updates to AHCCCS Medical Policy Manual (AMPM) Policy 320-V – Behavioral Health Residential Facilities
Revised Behavioral Health Out-of-Home Prior Authorization and Continued Stay form for Residential Treatment
Updated Prior Authorization (PA) Grids

Archived Provider Notices


December	Updates to the EviCore Provider Portal Provider Compliance Notice for AIHP and Tribal ALTCS Services Cultural and Linguistic Requirements for Delivering Quality Care Training Arizona Association of Health Plans (AzAHP) Update – CYE 2024
November	6th Annual Statewide Tribal Veteran Symposium BCBSAZ Health Choice Provider Manuals URGENT: Continuity and Coordination of Care Practitioner Survey March of Dimes e-learning: Dismantling Implicit Bias in Maternal & Infant Healthcare Dental Prior Authorization Updates for BCBSAZ Health Choice System and Policy, Billing Requirements & Added/Deleted Codes
October	System and Policy Updates, Billing Requirements & Added/Deleted Codes Important Update – Transition of Enteral/Oral Nutrition Services AHCCCS Covered Behavioral Health Services Guide, Behavioral Health Services Matrix and FAQs Allergy and Immunotherapy Services AHCCCS DAP Qualifying Providers and DAP VFC Clarification UPDATE: AHCCCS Covered Behavioral Health Services Guide and Behavioral Health Services Matrix Change in Minimum Subcontract Provisions Effective 10/01/2024 BCBSAZ Health Choice is Not Impacted by Phoenix Children’s Hospital Contract Discussions Oxbryta Discontinued Use Effective Immediately Cultural and Linguistic Requirements for Delivering Quality Care Training Updates to the EviCore Provider Portal
September	CALOCUS Self-Paced Online Training National Substance Use and Mental Health Services (N-SUMHSS) Survey REMINDER: Save the Date Q3 Provider Forum Updates to the EviCore Provider Portal System and Policy Updates, Billing Requirements & Added/Deleted Codes
August	AHCCCS Vaccine for Children (VFC) Coding and Reimbursement Update – Effective 10/1/2024 AHCCCS NOTICE: Provider Disenrollment System and Policy Updates, Billing Requirements & Added/Deleted Codes Change in Minimum Subcontract Provisions Effective 10/01/2024 AHCCCS Partners with Health Management Systems to Conduct Regular Claims Audits AHCCCS Covered Behavioral Health Services Guide and Behavioral Health Services Matrix Provider Forum Save the Date
July	AHCCCS Releases Covered Behavioral Health Services Guide
June	BCBSAZ Health Choice & BCBSAZ Health Choice Pathway Q2 Provider Forum No Cost e-Learning Course – Dismantling Implicit Bias in Maternal and Infant Healthcare CNE/CME Opportunity Change in Minimum Subcontract Provisions Effective 10/01/2024 Behavioral Health Residential Providers (B8) – Required Claim Information – Admission Date Fields AHCCCS Dental Requirement Periodicity Schedule and Uniform Warranty
May	Obstetrical Ultrasound Billing 2024 Arizona Healthcare Workforce Goals and Metrics Assessment
April	Prior authorization, and Continued Stay Form for Behavioral Health Inpatient Facility (BHIF), Behavioral Health Residential Facility (BHRF), and Therapeutic Foster Care (TFC) System and Policy Updates, Billing Requirements & Added/Deleted Codes Clarify AHCCCS Billing and Coding Update – Effective 12/1/2023 Impacting Behavioral Health Services Reminder: Intensive Outpatient Program (IOP) Coding Clarification – S9480 and H0015 Clarification of appropriate use of Respite Services S5150 and/or S5151 – AMPM 310-B and 1250-D
March	Alternative Claims Submission Clearinghouse, Optum iEDI – Change Healthcare Incident Response System and Policy Updates, Billing Requirements & Added/Deleted Codes REMINDER: Q1 Provider Forum Solution for Providers – Change Healthcare Cybersecurity Incident SAVE THE DATE: Q1 Provider Forum
February	Change Healthcare Cybersecurity Incident System and Policy Updates, Billing Requirements & Added/Deleted Codes AHCCCS Releases Billing Guidance for Differential Adjusted Payment (DAP) Maternal RSV Vaccine (Abrysvo)
January	Provider Office Lab Testing (POLT) List effective January 1, 2024 Online Training Resources Available for Providers and Staff No Cost Professional Training Certification Opportunity HCBS Providers: Application for Round 2 of ARP Program Awards Open – Apply for up to $1,000,000 for Your Projects AHCCCS Billing and Coding Updates Effective 12/1/2023 Impacting Behavioral Health Services


December	Provider Satisfaction Survey Supplemental Benefits for 2024 Introduction to ACA StandardHealth with Health Choice System and Policy Updates, Billing Requirements & Added/Deleted Codes 2023 Annual Model of Care Training: Special Needs Plans (SNP) BCBSAZ Health Choice Q4 All Provider Forum AHCCCS Billing and Coding Updates Effective 12/1/2023 Impacting Behavioral Health Services Prior Authorization Grid Updates for BCBSAZ Health Choice Pathway
November	System and Policy Updates, Billing Requirements & Added/Deleted Codes Dental Prior Authorization Updates effective 1/1/2024 SAVE THE DATE: BCBSAZ Health Choice Q4 All Provider Forum 2023 Annual Model of Care Training: Special Needs Plans (SNP) 5th Annual Statewide Tribal Veteran Symposium
October	System and Policy Updates, Billing Requirements & Added/Deleted Codes ^{(Updated - 10/20/2023)} Prior Authorization Grid Updates ^{(Updated - 11/14/2023)} Arizona Association of Health Plans (AzAHP) Update ^{(Updated - 10/10/2023)}
September	REMINDER: BCBSAZ Health Choice Q3 All Provider Forum BCBSAZ Health Choice Q3 All Provider Forum ^{(Updated - 09/11/2023)} Mental Health and Diabetes CEU Opportunities for Behavioral Health Providers ^{(Updated - 09/08/2023)}
August	Payment Processing Documentation ^{(Updated - 08/21/2023)} Admission Notification Reminder ^{(Updated - 08/21/2023)} System and Policy Updates, Billing Requirements & Added/Deleted Codes ^{(Updated - 08/18/2023)} National Substance Use and Mental Health Services (N-SUMHSS) Survey
July	Reminder: 2023 Quarter 2 Treatment Capacity Survey ^{(Updated - 07/30/2023)} AHCCCS Dental Requirement Periodicity Schedule and Uniform Warranty ^{(Updated - 07/24/2023)} 10th Annual Tribal Summit ^{(Updated - 07/21/2023)} Prior Authorization Grid Updates for BCBSAZ Health Choice Pathway ^{(Updated - 07/11/2023)} Changes to AHCCCS Provider Enrollment and Billing System Close Ability for Fraudulent Behavioral Health Claims Payments ^{(Updated - 07/11/2023)} System and Policy Updates, Billing Requirements & Added/Deleted Codes ^{(Updated - 07/04/2023)}
June	Update to Physical and Correspondence Address ^{(Updated - 06/30/2023)} AHCCCS REMINDER: Audio Only Telehealth Changes – FQ Modifier ^{(Updated - 06/27/2023)} 2023 Back to School Campaign ^{(Updated - 06/26/2023)} Continuity of Care for Members Who Lose AHCCCS Coverage ^{(Updated - 06/23/2023)} REMINDER: BCBSAZ Health Choice Q2 All Provider Forum ^{(Updated - 06/21/2023)} BCBSAZ Health Choice 2SLGBTQ Health Matters Conference ^{(Updated - 06/09/2023)} SAVE THE DATE: BCBSAZ Health Choice Q2 All Provider Forum ^{(Updated - 06/09/2023)}
May	Augmentative and Alternative Communication (ACC) Evaluations and Devices Providers ^{(Updated - 05/18/2023)} System and Policy Updates, Billing Requirements & Added/Deleted Codes ^{(Updated - 05/13/2023)} Prior authorization, and Continued Stay Form for Behavioral Health Inpatient Facility (BHIF), Behavioral Health Residential Facility (BHRF), and Therapeutic Foster Care (TFC) ^{(Updated - 05/09/2023)}
April	System and Policy Updates, Billing Requirements & Added/Deleted Codes ^{(Updated - 04/21/2023)} AHCCCS Opens a New Award Program to Strengthen HCBS Services in Arizona on April 17, 2023 ^{(Updated - 04/20/2023)} Allergy and Immunotherapy Services ^{(Updated - 04/19/2023)} 2023 Quarter 1 Treatment Capacity Survey ^{(Updated - 04/14/2023)} Termination from Network – Loloma House ^{(Updated - 04/12/2023)} Prior Authorization Grid Updates for BCBSAZ Health Choice Pathway ^{(Updated - 04/05/2023)}
March	REMINDER: Enteral Therapy Services – Aveanna ^{(Updated - 03/21/2023)} REMINDER: BCBSAZ Health Choice Q1 All Provider Forum ^{(Updated - 03/20/2023)}
February	BCBSAZ Health Choice Provider Portal – New Features and Upgrades ^{(Updated - 02/24/2023)} SAVE THE DATE: BCBSAZ Health Choice Q1 All Provider Forum ^{(Updated - 03/03/2023)} System and Policy Updates, Billing Requirements & Added/Deleted Codes ^{(Updated - 02/21/2023)} BCBSAZ Health Choice is Not Impacted by Yavapai Regional Medical Center Contract Changes ^{(Updated - 02/13/2023)} BCBSAZ Health Choice is Not Impacted by Yavapai Regional Medical Center Contract Discussions ^{(Updated - 02/02/2023)}
January	CY2023 Supplemental Benefits and Flex Card Benefit ^{(Updated - 01/24/2023 01:17 PM)} Provider Office Lab Testing (POLT) List effective January 1, 2023


December	Prior Authorization Grid Updates for BCBSAZ Health Choice Medicaid and Health Choice Pathway Reminder: Member Notices Available on BCBSAZ Health Choice Websites Reminder: System and Policy Updates, Billing Requirements & Added/Deleted Codes Action Needed: BCBSAZ Health Choice 2022 Provider Satisfaction Survey Reminder: Health Choice Q4 All Provider Forum Centers of Excellence 2022 Annual Model of Care Training: Special Needs Plans (SNP)
November	Electronic Visit Verification (EVV) Health Choice Q4 All Provider Forum AHCCCS Rules and Policy regarding billing for Arizona Physicians and Advance Practitioners System and Policy Updates, Billing Requirements & Added/Deleted Codes Provider Disenrollment Period Announced
October	Prior Authorization Grid Updates for BCBSAZ Health Choice Medicaid and Health Choice Pathway
September	Health Choice Q3 All Provider Forum 2022 R&R Recruitment and Retention Conference Aperture Health is now Verisys Dental Prior Authorization 2022 Quarter 2 Treatment Capacity Survey
August	Health Choice Q3 Provider Forum System and Policy Updates, Billing Requirements & Added/Deleted Codes Social Determinants of Health and Health Equities Virtual Speaker Program – Featuring Leah Miller SAVE THE DATE: Arizona’s Annual 2022 Health Literacy Conference – Virtual
July	System and Policy Updates, Billing Requirements & Added/Deleted Codes Upcoming Launch of 988 To Support Suicide Prevention Efforts Important Upcoming Changes – RBHA Transition AHCCCS Dental Requirement – Periodicity Schedule and Uniform Warranty
June	Social Determinants of Health and Health Equities Virtual Speaker Program – Housing 101 for Case Managers and Housing Specialists Health Choice 2022 Q2 All Provider Forum Well- Woman Preventive and Family Planning Services Online Training Resources Available for Providers and Staff Health Choice Provider Portal – New Features and Upgrades 2022 Quarter 1 Treatment Capacity Survey Get Connected to Complete Data Through the Arizona HIE – New Financial Incentive Program Get Connected to Complete Data Through the Arizona HIE – New Financial Incentive Program (CTRX)
May	EPSDT Services- Eyeglass Replacement and Repair – Coverage Clarification Provider Office Lab Testing (POLT List) Tribal Training Session – Building Bridges, Connecting Two Worlds Health Choice Provider Manuals Social Determinants of Health and Health Equities Virtual Speaker Program Featuring Mike Newcomb New Lockbox for Overpayment and Refund Payments
April	POSTPONED: Social Determinants of Health and Health Equities Virtual Speaker Program Featuring Mike Newcomb Electronic 835 Transaction Remit Posting
March	Prior Authorization Grid Updates for BCBSAZ Health Choice and BCBSAZ Health Choice Pathway EPSDT Services- Eyeglass replacement and Repair Health Choice Q1 All Provider Forum Change in Member Service Hours of Operation AHCCCS EPSDT Periodicity Schedule SAVE THE DATE: Health Choice Q1 All Provider Forum Provider Portal Resource – COVID Vaccine Status Report
February	FDA Warning – Dissolvable Buprenorphine Social Determinants of Health and Health Equities Virtual Speaker Program Featuring Dr. Anne Newland EPSDT Developmental Screening – AHCCCS Update
January	Health Choice Provider Billing Health Choice Member ID Numbers Training Resources Available for Providers and Staff Notice: Dental Prior Authorization Updates AHCCCS Provider Enrollment Portal (APEP) Re-registration and Re-validation Requested


December	Arizona Early Intervention Program (AzEIP) Submissions Therapeutic Foster Care Code S5145 Billing Update
November	Reissuing Contracts to Existing Providers 2021 Quarter 3 Treatment Capacity Survey Health Choice Q4 All Provider Forum AHCCCS Provider Enrollment Portal (APEP) Re-registration and Re-validation Requested Change to Health Choice Member ID Numbers Reissuing Contracts to Existing Providers 2021 Quarter 3 Treatment Capacity Survey
September	HHS Announces Combines Application For Provider Relief Phase 4 and ARPA Rural Funding – Opens September 29, 2021 Reminder: Health Choice Q3 All Provider Forum Prior Authorization Grid Updates for BCBSAZ Health Choice and BCBSAZ Health Choice Pathway Preferred Skin Substitute Products Calculating Total Daily Dose of Opioids
August	Save the Date: Health Choice Q3 All Provider Forum Reminder: Dental Sealants Arizona Association of Health Plans (AzAHP) Update Code Update – Therapeutic Foster Care 2021 Quarter 2 Treatment Capacity Survey axialHealthcare Program Overview American Rescue Plan Act Grants Notice HRSA-22-109
June	Child and Adolescent Level of Care Utilization System (CALOCUS/LOCUS) AHCCCS Provider Enrollment Portal (APEP) Process Change Reminder: AHCCCS Dental Requirement – Periodicity Schedule and Uniform Warranty Change in Minimum Subcontract Provisions Effective 10/01/2021 Reminder: Well-Woman Preventative and Family Planning Services Update: Electronic Visit Verification Reminder: Workers’ Compensation Reminder: Nurse Practitioner Board Certificate AHCCCS Extends ROPA Registration Reminder: Health Choice Q2 All Provider Forum
May	Health Choice Provider Manuals 2021 Quarter 1 Treatment Capacity Fluoride Varnish 99188 Coverage Update Upcoming AHCCCS Provider Enrollment Portal (APEP) Training Sessions Health Choice Q2 All Provider Forum
March	Prior Authorization Grid Updates for BCBSAZ Health Choice and BCBSAZ Health Choice Pathway Claim and Mail Correspondence
February	AHCCCS Bed Capacity Survey Outpatient Laboratory Services Preferred Drugs – Hyaluronate knee injection products Health Choice Q1 All Provider Forum
January	Reminder: Prior Authorization for Substance Use Disorder Behavioral Health Facilities 2020 Quarter 4 Treatment Capacity Survey Electronic Visit Verification (EVV)


December	Arizona Early Intervention Program (AzEIP) Submissions Therapeutic Foster Care Code S5145 Billing Update
November	Reissuing Contracts to Existing Providers 2021 Quarter 3 Treatment Capacity Survey Health Choice Q4 All Provider Forum AHCCCS Provider Enrollment Portal (APEP) Re-registration and Re-validation Requested Change to Health Choice Member ID Numbers Reissuing Contracts to Existing Providers 2021 Quarter 3 Treatment Capacity Survey
September	HHS Announces Combines Application For Provider Relief Phase 4 and ARPA Rural Funding – Opens September 29, 2021 Reminder: Health Choice Q3 All Provider Forum Prior Authorization Grid Updates for BCBSAZ Health Choice and BCBSAZ Health Choice Pathway Preferred Skin Substitute Products Calculating Total Daily Dose of Opioids
August	Save the Date: Health Choice Q3 All Provider Forum Reminder: Dental Sealants Arizona Association of Health Plans (AzAHP) Update Code Update – Therapeutic Foster Care 2021 Quarter 2 Treatment Capacity Survey axialHealthcare Program Overview American Rescue Plan Act Grants Notice HRSA-22-109
June	Child and Adolescent Level of Care Utilization System (CALOCUS/LOCUS) AHCCCS Provider Enrollment Portal (APEP) Process Change Reminder: AHCCCS Dental Requirement – Periodicity Schedule and Uniform Warranty Change in Minimum Subcontract Provisions Effective 10/01/2021 Reminder: Well-Woman Preventative and Family Planning Services Update: Electronic Visit Verification Reminder: Workers’ Compensation Reminder: Nurse Practitioner Board Certificate AHCCCS Extends ROPA Registration Reminder: Health Choice Q2 All Provider Forum
May	Health Choice Provider Manuals 2021 Quarter 1 Treatment Capacity Fluoride Varnish 99188 Coverage Update Upcoming AHCCCS Provider Enrollment Portal (APEP) Training Sessions Health Choice Q2 All Provider Forum
March	Prior Authorization Grid Updates for BCBSAZ Health Choice and BCBSAZ Health Choice Pathway Claim and Mail Correspondence
February	AHCCCS Bed Capacity Survey Outpatient Laboratory Services Preferred Drugs – Hyaluronate knee injection products Health Choice Q1 All Provider Forum
January	Reminder: Prior Authorization for Substance Use Disorder Behavioral Health Facilities 2020 Quarter 4 Treatment Capacity Survey Electronic Visit Verification (EVV)