Provider Enrollment Frequently Asked Questions
Find quick answers to common questions about enrolling as a provider, including eligibility, application steps, required documentation, and more.
AHCCCS Provider Enrollment Portal (APEP) is an online electronic portal that streamlines the provider enrollment process for new and existing providers when they submit an initial application, revalidation or modification.
All providers and persons authorized on the provider’s behalf can use APEP for their enrollment process needs.
Yes, all providers are required to use APEP for their enrollment, regardless of provider type.
The AHCCCS Provider Enrollment Application form will only be accepted if the provider has extenuating circumstances that explain why they cannot use the AHCCCS Provider Enrollment Portal (APEP).
APEP is strongly recommended as it generates the application to AHCCCS in real time.
A Single Sign On (SSO) is needed to access APEP. To establish a New User SSO: Select, Applying To Be an AHCCCS Provider at https://azahcccs.gov/APEP. Tutorials and videos are posted on this webpage.
The username should be unique. Avoid spaces and special characters (i.e. #, !, $, %).
A Domain Administrator is the user who creates the initial application in APEP. This person is responsible for maintaining the information in APEP, including changes and revalidations.
Upon state approval, the user who submits the initial application in APEP becomes the domain administrator.
An atypical is a provider that doesn’t provide health care according to 45 CFR Section 160.103. This provider does not require an NPI for enrollment purposes.
Make a request to add the NPI to your provider ID by sending an email to APEPTrainingQuestions@azahcccs.gov.
A Render/Servicing provider does not bill Medicaid directly and renders services through a Group, Facility, Agency, or Organization. An Individual Sole Proprietor renders services under their own tax identification number.
To bill with the business tax ID, the business must be registered as a group biller. The rendering/servicing provider must also have a separate individual enrollment, as the servicing provider.
Send an email to:APEPTrainingQuestions@azahcccs.gov Include in the email: .
- The provider’s name,
- Provider NPI, and
- Full address required to be updated. Identify which address requires the update: Correspondence, Pay-to or Primary address.
Yes, if Step 1 is marked as “Complete,” the user will be able to access the application ID up to 30 days from the start date.
Contact Provider Assistance: (602) 417-7670 to request the application ID be denied.
There are six application enrollment types:
Review the Provider Glossary for the complete list of available provider enrollment types.
Not in most cases. More information can be found under Enrollment Effective Dates on the APEP webpage.
Information on processing timeframes can be found on the APEP webpage under Processing Timeframes and Enrollment Effective Dates.
Immediately after approval of any application, APEP will reset the ‘Complete Modification Checklist’ step to incomplete. No action is needed when the ‘Complete Modification Checklist’ step is reset after an application is approved.
Yes. For a single case, complete an application in the AHCCCS Provider Enrollment Portal (APEP). Choose the option for “One-Time Enrollment for Single Case” as the enrollment type. These enrollment types are intended for when services are provided out of state and were for an emergency. These enrollment types are eligible for a single enrollment period, not to exceed 180 days. As part of the application, the provider will be required to upload a claim showing the earliest date of service. Additionally, to qualify for the one-time enrollment, the provider must be enrolled in Medicare OR in the Medicaid program for their state.
Is the provider type specialty marked as ‘board certified?’ If yes, APEP requires the board certificate details in the license/certification step and proof to be uploaded in the upload documents step before steps are considered complete.
In most cases, yes. However, there may be circumstances that cause a new ID to be issued, such as reapplying under new ownership.
FCBC requirements are available on the FCBC information page on the AHCCCS APEP website.
Employees who do not meet the criteria on the FCBC information page are not required to complete the FCBC. This information can also be found in the AHCCCS Medical Policy Manual, Chapter 610. For information on risk levels by provider type, see the Provider Enrollment Screening Glossary.
FCBC requirements are available on the FCBC information page on the AHCCCS APEP website.
FCBC requirements are available on the FCBC information page on the AHCCCS APEP website.
No. You can submit the non-expired fingerprint clearance card with a copy of your valid driver’s license or current United States issued passport instead of completing the FCBC. To submit the information to us, upload the documents in the AHCCCS Provider Enrollment Portal (APEP) using the Upload Documents feature in Step 10.
Yes, you must still complete the FCBC. We can only accept a fingerprint clearance card issued by the Arizona Department of Public Safety along with a copy of your valid driver’s license or current United States issued passport as proof that you previously completed the FCBC.
No. You are not required to get a fingerprint clearance card when you complete the FCBC. The fingerprint clearance card is an alternative to completing the FCBC.
No. You must still complete the FCBC. An FBI background check is not a substitute for the FCBC.
No. You must still complete the FCBC or provide a non-expired fingerprint clearance card issued by the Arizona Department of Public Safety along with a copy of your valid driver’s license or current United States issued passport.
“In Process” means the application is currently accessible to the provider to modify.
“In Review” means the application has been submitted to AHCCCS and is awaiting review by AHCCCS Provider Enrollment.
To make changes while an application is In Review, use one of these options:
- Use the “Pull Back” option, if the option is still available on the Enroll Provider page,
- Send an email to APEPTrainingQuestions@azahcccs.gov to request the application to be reverted back to “In Process” to allow the updates to occur. Make ONLY your current updates, as the provider could work for other organizations who have made their updates to the application. Resubmit upon completion.
The “Pull Back” option is an option available to the provider to pull the application back if additional changes are needed. The “Pull Back” field is located on the Enroll Provider page once the application has been submitted. The option is only available as long as the application has not been assigned to a state user. If the provider needs to pull the application back and can no longer see the “Pull Back” option, email the NPI and APEP username to APEPTrainingQuestions@azahcccs.gov.
Our Provider Services representatives are skilled to provide help to many basic provider questions. To reach Provider Services call: (602) 417-7670.
- Select the provider domain and use the provider enrollment access profile,
- Select My Inbox and Archived Documents,
- Change Document Type from ‘all’ to PE Correspondence,
- Change ‘Filter By’ to Document Name,
- Use percent symbol (%) as a search value, click the Go button,
- All documents related to application will appear in list form,
- Click the document name hyperlink to view notice as PDF.
At the bottom of the AHCCCS/Med-QUEST sign in page it says, “Need help signing in? Click here”. Click on the “Click here” link. Then, follow the instructions.
Send an email, including the user’s full name and email associated with the APEP account, requesting the username to APEPTrainingQuestions@azahcccs.gov.
Every user should establish their own unique SSO.
An existing Domain Administrator for the provider can add other users as a Domain Administrator. See Domain Access in APEP for additional information.
The Provider Services Call Center will, upon request, provide the name and/or organization of the current domain owner. See Domain Access in APEP for additional information.
Contact Provider Services: (602) 417-7670, request the application ID to be unlocked.
Contact Provider Services: (602) 417-7670.
Responses to the security questions were converted from the AHCCCS legacy system. An incorrect response could be the result of a typo in our main system or old data.
APEP users may change pay to addresses while application status is “In Process.” After application approval, AHCCCS must make any “pay to” address changes. Email APEPTrainingQuestions@azahcccs.gov or call Provider Services at 602-417-7670.
A service ticket is the method of communicating to the Provider Enrollment unit that the provider application requires further research beyond normal Provider Services customer service.
Email APEPTrainingQuestions@azahcccs.gov or contact Provider Services: (602) 417-7670.
No, all applications and or modifications are required to be submitted in APEP.
Yes, all providers must revalidate enrollment every four years to maintain Medicaid billing privileges using APEP. AHCCCS reserves the right to request off-cycle revalidations.
A license/certificate notice tells the provider that a required license/certificate on file is set to expire. The provider must upload a renewed copy of the license/certificate before the license/certificate expiry date. Failure to act by the date indicated on the request could lead to termination of the provider ID.
After being terminated for not renewing a license/certificate, a new APEP application is required.
When there is a complete change in ownership for an enrolled organization, the AHCCCS ID under the prior ownership must be terminated. To terminate the prior enrollment, a modification request must be submitted. On the Modification Request Checklist, answer "yes" to the question "Do you wish to end date your enrollment?". After the termination of the prior ID is completed, the new owner must start a new application in the AHCCCS Provider Enrollment Portal.
When a provider gets a new TIN, the change must be reported as a Change in Ownership (CHOW). The AHCCCS ID associated with the previous TIN must be terminated. To terminate the prior enrollment, submit a modification request. On the Modification Request Checklist, answer "yes" to the question "Do you wish to end date your enrollment?". After the termination of the prior ID is completed, the provider must re-apply under the new TIN, complete a new Medical Assistance Program Provider Participation Agreement, and be fully approved in order to continue participation in AHCCCS.
You can check the status of your application by logging into the AHCCCS Provider Enrollment Portal (APEP). A red message will appear at the top of the APEP screen letting you know the status.
Information on the moratorium, including the affected provider types can be found here.
