AHCCCS Plan, Provider, Contractor & Vendor Contacts


American Indian Health Providers

For further information, contact the Division of Fee-For-Service Management.

  • Claims Customer Service
    • Call: 602-417-7670
 

American Indian Health Program (AIHP) Technical Assistance

For further information, contact the Division of Fee-For-Service Management.

 

Behavioral Health Services Guide

 

Electronic Data Interchange (EDI) Customer Support

For EDI inquiries, roster issues, or to become an AHCCCS Trading Partner, please email us at: EDICustomerSupport@azahcccs.gov

 

Fee-For-Service Claims

Claims Customer Service: 602 417-7670

 

Encounters

Encounter Unit staff is available Monday through Friday (excluding State holidays)
to assist contractors in resolving encounter errors or to research specific encounter
issues. Questions regarding the validator or TI should be submitted to the AHCCCSTIEncounters@azahcccs.gov e-mail address. All other encounter questions, including those concerning mainfame, should be sent to the AHCCCSEncounters@azahcccs.gov e-mail address.

 

Fee-For-Service Claim Disputes

To request an appeal, write the AHCCCS Office of Administrative Legal Services:

AHCCCS
Office of Administrative Legal Services
701 E. Jefferson, MD-6200
Phoenix, AZ 85034

FAX: 602-253-9115

 

For questions concerning a Fee-For-Service claim dispute:

Call:

  • Within Maricopa County 602-417-4232
  • Statewide 1-800-654-8713 ext. 74232
 

Fee-For-Service Rates & Codes

Have a question about AHCCCS Fee-for-Service reimbursement rates? Email us at FFSRates@azahcccs.gov.

 

Medical Policy Manual

 

Outpatient Hospital Fee Schedules

You are invited to e-mail us at AHCCCSOutpatientHospitalFeeSchedule@azahcccs.gov to provide comments following review of newly published information, or with any questions.

 

Prior Authorizations

You may phone or fax the AHCCCS Prior Authorization Unit to request authorization.

To obtain a prior authorization by telephone, providers must call Monday through Friday between 9am to 11:30am, and 12:30pm to 4pm.

  • Within Maricopa County: 602-417-4400, Select option 1 for transportation
  • Statewide: 1-800-433-0425
  • Outside Arizona: 1-800-523-0231
  • FESP Dialysis: 602-417-7548

The AHCCCS Prior Authorization Unit's fax number is 602-256-6591.

Allow at least three working days for your request to be processed.

 

Provider Registration

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
 

Provider Resubmission and Reconsideration Process

For Claims:

Mail all resubmission and reconsideration requests to:

AHCCCS Claims Department
Attn: Resubmission & Reconsideration
701 E. Jefferson MD 8200
Phoenix, AZ 85034

For Prior Authorization:

Mail all reconsideration requests to:

AHCCCS Prior Authorization
Attn: Reconsideration
701 E. Jefferson MD 8900
Phoenix, AZ 85034
 

Solicitations, Contracts & Purchasing

Questions about Solicitations, Contracts & Purchasing should be directed to Meggan Harley:

 

Vendor Registration

For questions regarding the vendor registration process or for general information, please call or email ProcureAZ.

 

Verify AHCCCS Eligibility & Enrollment

Phone Verifications:

  • Maricopa County: 602-417-7200
  • Outside of Maricopa County, within Arizona: 1-800-331-5090