Arizona Home Care Billing Resources
This page provides an overview of Arizona programs, waivers, payers, and EVV requirements relevant to home care (non-medical) providers operating in the state of Arizona.
Electronic Visit Verification
Arizona Medicaid (AHCCCS) uses an Open EVV model. This allows providers to choose their own compliant electronic visit verification (EVV) software, provided that the system successfully passes testing to transmit visit data directly to the AHCCCS in-house data aggregator.
AHCCCS manages its own in-house aggregator system to collect visit verification data. Open model.
EVV is strictly required for Medicaid-funded non-skilled in-home services (attendant care, homemaker, personal care, rehabilitation, respite) and in-home skilled nursing services (home health).
Providers are not forced to use a single state-provided system. They can use an alternate EVV system of their choice (such as AxisCare, AlayaCare, or CareVoyant) if it integrates with the AHCCCS.
Programs & Waivers
Arizona Long Term Care System (ALTCS)
- Elderly and Physically Disabled
- Developmentally Disabled
Payers
ALTCS Health Plans
- United Healthcare
- Banner University Family Care
- Mercy Care Plan
- Arizona Complete Health
- Department of Economic Security Division of Developmental Disabilities (DES/DDD)
Programs & Waivers
Payers
Frequently Asked Questions
Yes. Arizona requires Electronic Visit Verification (EVV) for Medicaid-funded personal care and home health services delivered in the member's home. Providers must use an approved EVV system to capture required visit information and support accurate claims submission. Compliance with EVV requirements is necessary to receive reimbursement and maintain participation in Arizona Medicaid programs.
The Arizona Long Term Care System (ALTCS) is Arizona Medicaid’s program for individuals who require long-term services and supports due to age, physical disability, or developmental disabilities. Many non-medical home care services, including attendant care, personal care, respite, and homemaker services, are provided through ALTCS and administered by contracted health plans. Home care agencies typically must enroll with AHCCCS and contract with applicable managed care organizations to serve ALTCS members.
Most states operate Medicaid waiver or community-based care programs that allow reimbursement for non-skilled services such as personal care, homemaker services, respite care, and attendant care. These programs are often administered through Home and Community-Based Services (HCBS) waivers, aging programs, disability waivers, or managed long-term services and supports (MLTSS) programs. Eligibility criteria, covered services, and billing requirements vary by state.
In many states, yes. Enrolling with the state Medicaid program is typically the first step, but agencies may also need to complete separate contracts, credentialing applications, or network enrollment with individual Medicaid MCOs before claims can be submitted for reimbursement. Requirements vary by state and payer, largely depending on whether the state operates an MLTSS (Managed Long Term Services and Supports Program).
Credentialing timelines vary by state and payer, but most home care agencies can expect the Medicaid enrollment and credentialing process to take anywhere from 60 to 180 days. Delays are often caused by incomplete applications, missing ownership documentation, background check issues, or required site visits. Agencies seeking participation with Managed Care Organizations (MCOs) should also account for additional contracting and payer credentialing timelines.
How Paradigm can Help
Paradigm offers a combination of tech and highly skilled people to bridge the gaps in:
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
& Eligibility
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
Credentialling
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
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