AHCCCS Provider Registration Enrollment Fee

In accordance with the Affordable Care Act, effective January 1, 2012, AHCCCS Administration will collect an enrollment fee for required provider types.

To make an online payment click the link below.
Make a Fee Payment 

Listed below are Frequently Asked Questions (FAQ’s), with answers provided:

Q.What are the provider types that require the enrollment fee?
A. Institution provider types registered as a company or facility such as a hospital, assisted living home, transportation, etc.


Q. What is the amount required of the enrollment fee for year 2014?
A.
$542.00, in full, is the required amount.


Q. What is the amount of required enrollment fee?
A. $542.00, in full, is the required amount.


Q. Do I pay before or after receiving an AHCCCS ID number? Is there notification?
A. Enrollment fee is required after your registration packet has been reviewed, but before an AHCCCS ID number is issued. Do not attach payment to registration packet. Notification will be sent to the correspondence address identified on the application or the email address identified on the provider participation agreement. Do not attempt to pay before proper notification is received.


Q. What are the methods of payment?
A. 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.


Q. What if I have paid my enrollment fee to a Medicare contractor?
A. If enrollment fee has already been paid to a Medicare contractor, please indicate on the registration form and attach proof of payment.


Q. What if I have paid my enrollment fee to another Medicaid program in a different state?
A. If enrollment fee has already been paid to another state’s Medicaid program, please indicate on the registration form and attach proof of payment


Q. I am an individual physician or non-physician practitioner.
A. If you are not registered as a company or facility, the enrollment fee is not required.


Q. I already have an AHCCCS provider ID number. Is payment required?
A. The enrollment fee does NOT apply to individual physicians or non-physician practitioners. All current AHCCCS providers will be required to re-enroll with AHCCCS using its new processes. CMS has given Medicaid Agencies a five year timeframe within which to complete the re-enrollment process for existing providers. AHCCCS will notify existing providers when their re-enrollment is due. Once re-enrolled, the existing providers will revalidate every five years. Newly enrolling providers will be required to revalidate their enrollment every five years.


Q. Are there any exceptions to the enrollment fee?
A.
AHCCCS, in consultation with the Secretary of Health and Human Services (HHS), may waive the application fee if the provider demonstrates that imposition of the fee will impede beneficiary access to care.


 

Who to Contact with Questions

For questions regarding the provider registration process, please contact the AHCCCS Provider Registration Unit.

  • Call:
    • In Maricopa County: 602-417-7670 and select option 5
    • Outside Maricopa County: 1-800-794-6862
    • Out-of-State: 1-800-523-0231
  • Write:
    Arizona Health Care Cost Containment System (AHCCCS)
    ATTN: Provider Registration Unit
    PO Box 25520, MD-8100
    Phoenix, AZ 85002