AHCCCS Provider Registration

Any person or company may participate as an AHCCCS provider if the person or company is qualified to render a covered service and complies with AHCCCS policies and procedures for provider participation.

All providers of AHCCCS-covered services (either Fee-For-Service or managed care) must meet the following requirements:

• Register with the AHCCCS Administration which requires signing the Provider Agreement that includes Federal requirements under 42 CFR Part 431.107
• Meet AHCCCS requirements for professional licensure, certification or registration
• Complete all applicable registration forms

AHCCCS registration is mandatory for consideration for payment by:

• The AHCCCS Administration for services rendered by FFS providers, and
• AHCCCS Contractors for services rendered by managed care providers as well as submission of encounter data to the AHCCCSA (AHCCCS Administration) by the Contractors.

• Provider Registration Packets
• Out of State/One-time Waiver of Registration Requirements
• Provider Address Updates (Registered providers may change their correspondence address using the AHCCCS Online provider website.)
• AHCCCS Health Plans/ALTCS Program Contractors