AHCCCS Provider Enrollment/Application Fee
Online Provider Enrollment/Application Fee Guidelines
Making an Online Provider Enrollment/Application Fee payment is a free service offered through AHCCCS. This service is designed in accordance with the Affordable Care Act, effective January 1, 2012 for AHCCCS Administration to collect an enrollment/application fee for required provider types.
Select one of the following for information:
- Payment Options
- Payment Scheduling Information
- Login or Enroll to Use the Online Payment Service
- Contact Us
You can use a Visa, Master Card, American Express, Credit/Debit Card, or enter a bank account number to make a payment. For the bank account payment option, you will need your account number and the bank routing number. Cash, checks and money orders are not acceptable forms of payment.
Payment Scheduling Information
Please read the following scheduling information
It is recommended that you schedule payments at least 3 business days before the actual due date.
Same Day Processing: Complete your payment request by 5:00 pm (PT).
Next Business Day Processing: Complete your payment request after 5:00 pm (PT).
- Weekend/Federal Holidays:
- Weekend and Federal Holiday dates are not available payment request dates for this online payment service.
- If you schedule a payment for Saturday, Sunday, or for a Federal Holiday, the payment will be processed the following business day at 5:00 pm (PT).
Login to Use the Online Payment Service
To login to use the Online Premium Payment service, confirm you have read, understood, and agree to abide by the guidelines, then select I Agree and follow the directions.
Note: If you select I Disagree you cannot make online payments.
Select the appropriate link below to indicate your agreement or disagreement with the AHCCCS Online Provider Enrollment/Application Fee Guidelines.
Call Center hours are Monday through Friday 10am - 4pm (ARIZONA TIME)
- For Online Provider Enrollment/Application Payment Questions:
- Maricopa County: 602-417-4254
- Statewide: 1-888-827-4420
AHCCCS Provider Enrollment Fee
701 E. Jefferson, MD 5400
Phoenix, AZ 85034