You are invited to participate in a survey regarding your experience using the AHCCCS
website. This survey will take approximately two minutes. Your responses will help
us ensure that you have a high quality experience.
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:
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.
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).
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
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.
I agree | I disagree
Call Center hours are Monday through Friday 10am - 4pm (ARIZONA TIME)