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AHCCCS Provider Registration

Any person or company may participate as an AHCCCS provider if the person or company is qualified to render a covered service and complies with AHCCCS policies and procedures for provider participation.

All providers of AHCCCS-covered services (either Fee-For-Service or managed care) must meet the following requirements:

  • Register with the AHCCCS Administration which requires signing the Provider Agreement that includes Federal requirements under 42 CFR Part 431.107
  • Meet AHCCCS requirements for professional licensure, certification or registration
  • Complete all applicable registration forms
  • Institutions (companies/facilities) are required to pay an enrollment fee, effective January 1, 2012
  • Specific provider types will require an OIG site visit prior to enrollment, and are subject to unannounced post enrollment site visits (Required Fee and-or Site Visit by Provider Type).

AHCCCS registration is mandatory for consideration for payment by:

  • The AHCCCS Administration for services rendered by FFS providers, and
  • AHCCCS Contractors for services rendered by managed care providers as well as submission of encounter data to the AHCCCSA (AHCCCS Administration) by the Contractors.