Provider enrollment services available online arizona health care cost containment system ahcccs is arizona s medicaid agency that offers health care programs to serve arizona residents.
Arizona health care cost containment system provider registration form.
Northern arizona at 800 322 8670.
Ahcccs 801 e jefferson st phoenix az 85034 find us on google maps.
Once the business type is selected the boxes for the corresponding.
You may use only one application form to apply for everyone in your family.
1 800 654 8713 outside maricopa county.
Alien registration cards if there are non u s.
Web form cqm azahcccs gov 602 417 4885.
Apply personally at a local faa office at the department of economic security des office at the hospital or at certain clinics.
This information is confidential under state and federal law.
Provider enrollment unit po box 25520 md 8100 phoenix az 85002.
For more information contact the rbha in your area.
Collect money we overpaid to you in the form of benefits.
Include alien registration cards.
Ahcccs 801 e jefferson st phoenix az 85034 find us on google maps.
You can apply online for ahcccs medical assistance nutrition assistance and cash assistance using health e arizona plus heaplus.
Citizens applying for benefits in your household.
Your co payment amount will vary.
Arizona health care cost containment system ahcccs attn.
Ahcccs stands for arizona health care cost containment system and it is the state of arizona s.
If eligibility cannot be determined you will be sent a pre populated renewal form with a request.
Individuals must meet certain income and other requirements to obtain services.
General administration questions other contacts.
After selecting the i agree and clicking on the next button user can select the business type on the following screen.
Arizona health care cost containment system application instructions.
1 800 654 8713 outside maricopa county.
Arizona health care cost containment system ahcccs is arizona s medicaid agency that offers health care programs to serve arizona residents.
Arizona long term care system altcs offices.
A co payment is the amount you pay a health care provider when you receive a medical service.
Use and disclosure of this information is limited to purposes directly related to the administration of the arizona health care cost containment system.
Arizona health care cost containment system quickstart guide registration account management registration account management as provider 3 step3.
Southern arizona at 866 495 6738.
602 417 4000 in state toll free.
