AHCCCS Provider Registration 

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AHCCCS Provider Registration

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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
    • IMPORTANT NOTICE: Planned Parenthood of Arizona has filed a lawsuit seeking to permanently enjoin the State from requiring, as a condition of participation in the AHCCCS program, an attestation regarding abortion services as required by A.R.S. § 35-196.05. The United States District Court for Arizona is scheduled to hold a hearing on that case on October 5, 2012. Until the Court rules following that date, the State has agreed not to terminate any current provider agreements based on the attestation or lack of an attestation. Neither will the State deny any applications to register as an AHCCCS provider based solely on the attestation or the lack of an attestation.
  • Institutions (companies/facilities) are required to pay an enrollment fee, effective January 1, 2012
  • Specific provider types will require an OIG site visit prior to enrollment, and are subject to unannounced post enrollment site visits (Required Fee and-or Site Visit by Provider Type).
Can't find what you're looking for? Please visit the AHCCCS Document Archive.
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