Providers

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

2023 Plan Year
September	REMINDER: BCBSAZ Health Choice Q3 All Provider Forum BCBSAZ Health Choice Q3 All Provider Forum Mental Health and Diabetes CEU Opportunities for Behavioral Health Providers

August	Admission Notification Reminder Payment Processing Documentation System and Policy Updates, Billing Requirements & Added/Deleted Codes National Substance Use and Mental Health Services (N-SUMHSS) Survey
July	Reminder: 2023 Quarter 2 Treatment Capacity Survey AHCCCS Dental Requirement Periodicity Schedule and Uniform Warranty 10th Annual Tribal Summit Prior Authorization Grid Updates for BCBSAZ Health Choice Changes to AHCCCS Provider Enrollment and Billing System Close Ability for Fraudulent Behavioral Health Claims Payments System and Policy Updates, Billing Requirements & Added/Deleted Codes
June	Update to Physical and Correspondence Address AHCCCS Reminder: Audio Only Telehealth Changes – FQ Modifier 2023 Back to School Campaign Continuity of Care for Members Who Lose AHCCCS Coverage REMINDER: BCBSAZ Health Choice Q2 All Provider Forum BCBSAZ Health Choice 2SLGBTQ Health Matters Conference SAVE THE DATE: BCBSAZ Health Choice Q2 All Provider Forum
May	Augmentative and Alternative Communication (ACC) Evaluations and Devices Providers System and Policy Updates, Billing Requirements & Added/Deleted Codes Prior authorization, and Continued Stay Form for Behavioral Health Inpatient Facility (BHIF), Behavioral Health Residential Facility (BHRF), and Therapeutic Foster Care (TFC)
April	System and Policy Updates, Billing Requirements & Added/Deleted Codes AHCCCS Opens a New Award Program to Strengthen HCBS Services in Arizona on April 17, 2023 Allergy and Immunotherapy Services 2023 Quarter 1 Treatment Capacity Survey Termination from Network – Loloma House Prior Authorization Grid Updates for BCBSAZ Health Choice
March	Claim Submission of Postpartum Visit Enteral Therapy Services – Aveanna AHCCCS REMINDER: Dental Services Members 21 and Older REMINDER: BCBSAZ Health Choice Q1 All Provider Forum 2022 Quarter 4 Treatment Capacity Survey
February	BCBSAZ Health Choice Provider Portal – New Features and Upgrades SAVE THE DATE: BCBSAZ Health Choice Q1 All Provider Forum System and Policy Updates, Billing Requirements & Added/Deleted Codes BCBSAZ Health Choice is Not Impacted by Yavapai Regional Medical Center Contract Changes BCBSAZ Health Choice is Not Impacted by Yavapai Regional Medical Center Contract Discussions
January	Update to BCBSAZ Health Choice Provider Manual Chapter 18.18 Dental Prior Authorization Updates for Health Choice Provider Office Lab Testing (POLT) List

2022 Plan Year
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

2021

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)

2020

December	Health Choice Generations is now BCBSAZ Health Choice Pathway! Integrated Care Management Plan Survey 2021 E/M Coding & Guideline Changes AHCCCS Substance Abuse Block Grant (SABG) Priority Waitlist Application Prior Authorization Grid Updates for BCBSAZ Health Choice and BCBSAZ Health Choice Pathway
November	REMINDER: Health Choice Q4 All Provider Forum Arizona Immunization Program Pandemic Provider Onboarding Health Choice Q4 All Provider Forum
October	2020-2021 Synagis Prior Authorization Dedicated Fax Line Applied Behavior Analysis Reminder: AHCCCS Dental Requirement – Periodicity Schedule Provider Office Lab Testing (POLT) List
September	Flu Vaccinations at Pharmacies for the 2020-2021 Flu Season – Adults and Children 2020 Quarter 3 Treatment Capacity Reminder: Health Choice Q3 All Provider Forum Reminder: Home Infusion and Injectables Health Choice Q3 All Provider Forum Health Choice is now part of Blue Cross Blue Shield of Arizona! Change in Minimum Subcontract Provisions Prior Authorization Grid Updates for BCBSAZ Health Choice and Health Choice Generations
August	Provider Directory Maintenance Reminder: AHCCCS Provider Enrollment Portal (APEP) Launches Aug. 31 2020 Quarter 2 Treatment Capacity Survey Claim and Mail Correspondence
July	Medicaid & CHIP Provider Relief Fund EPSDT Tracking Order Form Reminder Prior Authorization Updates – Provider Administered Drugs
June	BCBSAZ Health Choice Celebrates & Honors Pride Month Full HHS Announcement HHS Announces Enhanced Provider Portal, Relief Fund Payments for Safety Net Hospitals, Medicaid & CHIP Providers Referring, Ordering, Prescribing and Attending Provider Requirements Dental Code Frequency Exceptions for 2020 Reminder: Health Choice Q2 All Provider Forum
May	Notice: Providers Can Be Reimbursed for COVID-19 Testing and Treatment of Uninsured Arizonans through Federal HRSA Web Portal Resources for Patients Impacted by COVID-19 Loss of Health Insurance Coverage axialHealthcare Risk Identification and Mitigation (RIM) Launch Health Choice Provider Manuals
April	Executive Order – Elective Surgeries Dental Prior Authorization Changes
March	Prior Authorization Changes 2018 Hybrid Performance Measure Study Data Collection Update: Health Choice Q1 All Provider Forum AHCCCS COVID19 Frequently Asked Questions 2019 Quarter 4 Treatment Capacity Survey AHCCCS Communication: Mental Health Block for Justice Involved Members Reporting Ordering Provider and NPI COVID-19: Recommendations for provider preparedness Provider Portal Upgrades
February	BCBSAZ Health Choice Pharmacy Benefit Provider Update AzAAP Member Notification – VFC Save The Date: Health Choice Q1 All Provider Forum Reminder: Health Choice Online Pharmacy Coverage Determinations Roche ACCU-CHEK Aviva Plus Meter Discontinuation Dental Coding and Prior Authorization Updates
January	Arizona Association of Health Plans (AzAHP) Update Reminder: Well-Woman Preventive and Family Planning Services Company Changes – BCBSAZ Health Choice and Steward Health Choice Generations AHCCCS Provider Enrollment Portal – APEP Notice: Change in Transportation Services

2019

December	Prior Authorization Grid Updates – BCBSAZ Health Choice (Medicaid) Provider Office Lab Testing (POLT) List
November	2018 Hybrid Performance Measure Study Data Collection Health Choice Q4 All Provider Forum Provider Disputes – Facsimile Number for MEDICAID Provider Disputes Change in Paper Claims Mailing Address Electronic Prescribing of Controlled Substances
October	Pain Medication and Care Improvement Program Launching Fall 2019 Save The Date: Health Choice Q4 All Provider Forum Electronic Visit Verification Welcome Letter PA Grid Updates – Cardiac CPT Codes
September	Reminder: Required Documents for Department of Child Services MFM Coram Home Infusion Notification Change in Fax Number for AzEIP Submissions SHCA Prior Authorization Update Effective 10/01/2019
August	AHCCCS Survey Requirement for Personal Care and Home Health Service Providers Adult Vaccinations Dental Uniform PA Revisions Effective 10/1/2019
July	Save the Date: Health Choice Q3 All Provider Forum Notice: Change in Paper Claims Mailing Address Claim Submission Requirements
June	BCBSAZ Health Choice Formulary Changes Hepatitis A Outbreak Recommendations AHCCCS Rules and Policy regarding billing for Arizona Physicians and Mid-level Practitioners
May	Effective June 1, 2019, BHRF Require PA Opioid Epidemic Clinician Survey Reminder: Health Choice Q2 All Provider Forum
April	Save the Date: Health Choice Q2 All Provider Forum ADHS Quarterly Substance Abuse Treatment Provider Survey
March	BCBSAZ Health Choice Formulary Changes EPSDT Medical Necessity for Nutritional Supplements Notice: AHCCCS Communication Reminder: Coordination of Services Under EPSDT and Early Intervention
February	Reminder: Health Choice Provider Forum Revisions to PA Guidelines Effective 3/1/2019 Reminder: Health Choice Provider Forum Change to SHCA & SHCG Provider Network
January	Reminder: Claim Requirement Submitting Ordering Provider NPI Save the Date: Health Choice Provider Forum New Online Pharmacy PA Portal

2018

December	AHCCCS/CRS Member ID Reminder Important Notice: Substance Abuse Treatment Reporting Requirements Reminder: Non-Emergency Transportation Services
November	Reminder: EPSDT Tracking Forms
October	BCBSAZ Health Choice Launched 10/1
September	AzAHP Letter to Providers – Transition 10/1/18 Billing Considerations NOTICE: AHCCCS Eligibility and Enrollment Verification SAVE THE DATE: Health Choice Provider Town Hall – Mohave NOTICE: Prior Authorization Changes and/or Additions NOTICE: Prior Authorization Grid Update
August	AHCCCS Complete Care Provider Forums – White Mountains AHCCCS Complete Care – Facts for Providers AHCCCS Complete Care Provider Forums – Yavapai AHCCCS Complete Care Provider Forums – Pinal Tips and Tricks: Behavioral Health vs Physical Health AHCCCS Complete Care Provider Forums
July	NOTICE: AHCCCS Rescinds Handwriting Policy AHCCCS Complete Care Provider Forums – Gila NOTICE: AHCCCS Rescinds the Prohibition of Handwriting and No sum of all fees on Claims Forms SAVE THE DATE: Health Choice Provider Town Hall – July 2018 Tips and Tricks: Depression REMINDER: Health Choice Policy for AHCCCS Copays AHCCCS Complete Care Provider Forums AHCCCS Complete Care Provider Forums – Flagstaff AHCCCS Complete Care Provider Forums – Payson
June	Primary Care Providers request for MAT Services NOTICE: New Dental Uniform Warranty REMINDER: Health Choice Provider Town Hall NOTICE: Vaccine for Children Provider Enrollment
May	SAVE THE DATE: Health Choice Provider Town Hall – June 2018
April	Health Choice Moving to Roche ACCU-CHEK Blood Glucose Testing Supplies REMINDER: Health Choice Provider Town Hall – April 2018 Facsimile Number for Medicaid Provider Claim Disputes Health Choice Provider Town Hall – April 2018 AHCCCS Rules and Policy regarding Billing Requirements for Drugs Administered in Outpatient Clinical Settings (NDC requirement) BCBSAZ Health Choice – New Name, New Logo!
March	The CORE Institute – Contract Termination Rescission REMINDER: Health Choice Provider Town Halls AHCCCS Incident-To-Billing reminder Mohave Town Hall Update
February	Tips and Tricks: Obstetrical Services
January	Tips and Tricks: Social Determinants of Health Codes Dental Matrix Update Health Choice Town Hall Meeting

2017

December	Tips and Tricks: Cerebrovascular Accident (CVA) – December 2017 Family Planning Service (LARC)
November	Electronic 835 Transaction Remit Posting Tips and Tricks: Kidney Disease – November 2017
October	Change in Minimum Subcontract Provisions – October 2017 Provider Manual Update: Ch 7 AHCCCS Notification: Zika Prevention AHCCCS Contract Changes in OT and Dental Benefits Prior Authorization Grid Update Dental Matrix – Over 21 Dental Prior Authorization Code List Dental Matrix – Under 21 Uniform Warranty Guide – Effective 10/1/17
September	Updated Physician Office Lab Testing (POLT) List Notification Management of Dental Expedited PA Requests Tips and Tricks: Flu Vaccinations – September 2017 Change in Pain Management Providers
August	Prior Authorization Grid & Process Updates Referral Options for Autism Spectrum Disorder
July	AHCCCS Targeted Investments (TI) Program Targeted Investments (TI) Program Opportunity Health Choice Provider Forum- Save the Date
June	Tips and Tricks: Diabetes – June 2017 Policy Notice Update: Management of Expedited PA Requests Change in Minimum Subcontract Provisions – June 2017
May	Tips and Tricks: Well-Woman Preventative Services – May 2017 Updated Physician Office Lab Testing (POLT) List Change in Transportation Services Provider
April	Provider Forum Notice Tips and Tricks: Nutrition and BMI – April 2017 Prior Authorization Update FAQs Notice Regarding Prior Authorization Update Clarification Additional Upgrades to Health Choice Provider Portal
March	Prior Authorization Grids – Effective 4/1/2017 7-Day Supply Limit for Short-Acting Opioids Tips and Tricks: Dental Services – March 2017
February	Improvements to Health Choice Provider Portal Update to BCBSAZ Health Choice Referral Requirements Notice on Health Choice Payment Processing Documentation AHCCCS Request for Information Tips and Tricks: History and Status – February 2017
January	AHCCCS Methadone Coverage Clarification Update to ICD-10 Codes for Medically Necessary Deliveries Less than 39 Weeks Updated ICD10 OB Diagnosis Code Sheet

2016

December	Tips and Tricks: Avoiding Penalties – December 2016 Important Notice Regarding Change in Laboratory Services Prior Authorization Grid Changes – Effective 1/1/17 Long-Acting Opioids Formulary Status Change Makena Prior Authorization Process Change Admission Notification Information AHCCCS EHR Incentive Program Health Choice Payment Processing Documentation Requirements – Effective 1/1/17
November	Health-e Connection E-Prescribe Guidance Provider Escalation Notice
October	Change in Minimum Subcontract Provisions Tips and Tricks: Definitive Diagnoses vs Signs & Symptoms – October 2016 Referral Program FAQ
September	Tips and Tricks: Flu Vaccinations – September 2016 Provider Forum Notice Zika Prevention Tips Prior Authorization Guidelines Change in Coverage for Podiatry Services
August	Tips and Tricks: Total OB – August 2016
July	Tips and Tricks: Cerebrovascular Accident (CVA) – July 2016
May	Tips and Tricks: Nutrition & BMI – May 2016
March	Tips and Tricks: Cardiology – March 2016
February	Tips and Tricks: Chronic Kidney Disease – February 2016
January	Tips and Tricks: COPD – January 2016

2015

December	Tips and Tricks: Depression – December 2015
November	Tips and Tricks: Diabetes – November 2015

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