Thousands of AHCCCS Providers To Be Terminated for Non-Compliance
In the first month of its planned process to terminate non-compliant providers, AHCCCS has identified 5,288 providers who have not taken the required action to maintain their registered status.
The process to revalidate registered providers began in November 2022 with letters mailed to the first group of providers. They were asked to revalidate in the AHCCCS Provider Enrollment Portal (APEP) within 90 days. Only 8% took the action requested to maintain their registration. The 5,288 who did not comply will be terminated in February.
Any provider who has not completed the revalidation process in APEP will receive written notification to submit an application. Providers who do not respond will receive written notification of pending termination and appeal rights.
To avoid termination and/or loss of billing privileges, providers must respond and take action, following specific actions outlined in the letter, within the noted time frames. Failure to complete these actions result in termination and claim denials.
To learn more about the actions AHCCCS has taken to address the COVID-19 emergency, see the AHCCCS COVID-19 web page and accompanying Frequently Asked Questions section.
What AHCCCS Providers Need to Know:
- Providers who need to complete the revalidation process or meet additional screening requirements will be notified in writing through United States Postal Service mail.
- AHCCCS will review the submitted application and issue a written notice upon completion.
- Providers that have an expired license will be notified in writing to submit the current license or certification.
- Providers who fail to respond to the request could experience delays such as termination and/or loss of billing privileges.
Providers who are no longer participating as a Medicaid provider, those who are no longer employed with an organization, and those with additional questions are asked to contact APEPTrainingQuestions@azahcccs.gov.
