AHCCCS Plans, Providers, Contractors & Vendors

Here, you can find information about how to register as a provider, verify member eligibility and enrollment status, submit claims, and obtain manuals, guides, and forms.

AHCCCS Managed Care Organization Update Meeting

Given the unprecedented interest in the upcoming Acute Care RFP, the AHCCCS Administration wants to ensure that MCO meetings and opportunities to interact with AHCCCS leadership are transparent and equitable. Consequently, AHCCCS is commencing an AHCCCS Managed Care Organization (MCO) Update Meeting for current AHCCCS Contractors and other interested managed care organizations.

Meetings will be held at AHCCCS (701 E Jefferson, Gold Room, Phoenix, Arizona) from 9:30 a.m. - 12:00 p.m. on the following dates:

• May 16, 2012
  
  • Meeting Agenda
• July 18, 2012
• September 19, 2012

You may RSVP for the meeting by emailing Alma Torres at Alma.Torres@azahcccs.gov. Please limit participation to 2 representatives from your managed care organization.

Quick Links

• Acute/CRS RFP
• Health Care Acquired Conditions and Other Provider Preventable Conditions
• Fee-For-Service Rates
• Member Enrollment Verifications
• Newborn Notifications
• Provider Registration
• Minimum Subcontract Provisions
• Fee-For-Service Claim Submissions
• Contracts and Solicitations
• Contractor Operations Resources
• Direct Care Worker Program
• Data Access Forms
• Mainframe/LAN Downtime Schedule
• Month End File Availability
• Electronic Data Interchange (EDI) Resources
• AHCCCS Contractor Listing [PDF, 100KB]
• Laboratory Results Required for Quality Improvement
• Pharmacy Updates

• Fraud Awareness for Providers
• Reporting Quality of Care Concerns Presentation