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This document serves as a comprehensive matrix outlining the fees, benefits, and authorization requirements for various dental services covered under the Avesis Bridgeway Arizona AHCCCS plan.
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How to fill out AVESIS BRIDGEWAY ARIZONA AHCCCS COVERED FEES, BENEFITS AND AUTHORIZATION MATRIX

01
Obtain a copy of the AVESIS BRIDGEWAY ARIZONA AHCCCS COVERED FEES, BENEFITS AND AUTHORIZATION MATRIX.
02
Review the document to understand the sections related to covered services and fees.
03
Identify the patient’s services needed based on their medical requirements.
04
Match the identified services with the corresponding coverage options in the matrix.
05
Fill in the required information such as patient details, service dates, and any other necessary demographic information.
06
Check for any authorization requirements for the selected services and note them down in the matrix.
07
Consult with billing or administrative staff for clarification on any unclear sections.
08
Submit the completed matrix to the relevant agency or department for approval.

Who needs AVESIS BRIDGEWAY ARIZONA AHCCCS COVERED FEES, BENEFITS AND AUTHORIZATION MATRIX?

01
Healthcare providers who are offering services covered by AHCCCS.
02
Patients who are enrolled in the AHCCCS program and need to understand their covered benefits.
03
Administrative staff managing patient claims and authorizations.
04
Billing departments needing to ensure compliance with AHCCCS requirements.
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People Also Ask about

AHCCCS health plans provide the following medical services: Immunizations (shots) Prescriptions (Not covered if you have Medicare) Lab and X-rays. Early and Periodic Screening Diagnosis and Treatment (EPSDT) Services for Medicaid eligible children under age 21.
AHCCCS covers dental services for children under 19 and pays part of the cost for emergency dental services for adults. At the Kids Dental Office of Phoenix, our child dentists and orthodontists accept payment through AHCCCS for dental services.
In addition to federal funding, AHCCCS receives funds from the State of Arizona, allocated through the Arizo- na Joint Legislative Budget Committee (JLBC).
Income Limits Household SizeGross Monthly Income Limit Effective 02/01/2025 1 $1,735 2 $2,345 3 $2,954 4 $3,5642 more rows
Health insurance through AHCCCS helps individuals cover the cost of doctor's office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need.
Did you know AHCCCS covers eyeglasses and replacements for AHCCCS members who are under the age of 21? Vision services for all AHCCCS members under the age of 21 include regular eye exams and vision screenings, prescription eyeglasses, and repairs or replacements of broken or lost eyeglasses. Click here to learn more.
Arizona SPA 18-0012 includes reimbursement methods that use, among others, the National Average Drug Acquisition Cost (NADAC), plus a professional dispensing fee of $10.11 for covered outpatient drugs, including specialty medications, and $15.34 for compounded prescriptions.
If you sell or transfer the property, you will need to repay AHCCCS for the medical payments AHCCCS has made on your behalf. The amount you need to repay will be equal to the amount that AHCCCS has paid or up to the amount of the excess proceeds.

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The AVESIS BRIDGEWAY ARIZONA AHCCCS COVERED FEES, BENEFITS AND AUTHORIZATION MATRIX is a document that outlines the fees, benefits, and authorization requirements for health services covered under the Arizona Health Care Cost Containment System (AHCCCS) and managed by AVESIS.
Healthcare providers and entities participating in the AHCCCS program are required to file the AVESIS BRIDGEWAY ARIZONA AHCCCS COVERED FEES, BENEFITS AND AUTHORIZATION MATRIX to ensure compliance with the program's policies and reimbursement guidelines.
To fill out the AVESIS BRIDGEWAY ARIZONA AHCCCS COVERED FEES, BENEFITS AND AUTHORIZATION MATRIX, providers should gather all relevant patient and service information, refer to the guidelines for each category of service, and accurately complete each section as prescribed in the document's instructions.
The purpose of the AVESIS BRIDGEWAY ARIZONA AHCCCS COVERED FEES, BENEFITS AND AUTHORIZATION MATRIX is to provide a clear framework for determining the covered services and associated billing practices, as well as to facilitate proper authorization for those services under the AHCCCS program.
The information that must be reported on the AVESIS BRIDGEWAY ARIZONA AHCCCS COVERED FEES, BENEFITS AND AUTHORIZATION MATRIX includes patient demographics, types of services provided, associated fees, required authorization details, and any specific benefits relevant to the services rendered.
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