Can providers bill retrospectively for services provided to a NT19 SMI member after June 30, 2010 who has submitted an AHCCCS application and is very likely to receive approval?
At the discretion of the provider, services may be provided to a member whose AHCCCS application is pending. If eligibility is determined and made retroactive to the time of the services, payment would be provided. The type of enrollment established will determine the payor (Acute Plan or RBHA). Timeliness requirements of individual RBHAs may apply.
