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.
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
AHCCCS has formed a workgroup to establish standards for an Independent Contractor model for the
provision of in-home services to ALTCS members. The workgroup meeting dates and materials are provided
below. Please note: The workgroup membership has been established. That said, AHCCCS welcomes inquires
and/or input from individuals outside of the workgroup. Inquiries and input may be addressed to
Dara Johnson. Stay tuned for updates on the progress of the workgroup.
If you have submitted a claim and want to check the status, you may do so using the AHCCCS on-line tool. If your claim is showing as
pending please do not resubmit a claim to the AHCCCS Administration, claim resubmissions create additional
staff resources and can cause a delay in payment.
AHCCCS is conducting this survey to ascertain Medicaid Managed Care Providers’ level of
satisfaction with Claims Processing and Resolution by its contracted Health Plans. Your
feedback is very important to our assessment and processes for improvement.
If you are a Medicaid Managed Care Provider and would like to participate, please take a
few minutes to complete this brief survey and be sure to indicate if you are contracted
with each listed Plan. Thank you in advance for your valuable feedback.
*HEAPlus is Arizona’s
online application. As a Community Partner you can provide application assistance to your customers, receive
real-time electronic verification of many eligibility factors, track application status and more!
AHCCCS has contracted with Navigant Consulting http://www.navigant.com/
to provide assistance in analyzing the impact of, and potentially acquiring and
implementing, a DRG-based inpatient hospital payment system. More information can
be found on the AHCCCS Transition
to DRG-based Payment web page.
As a result of a January 2014 report to the Legislature on hospital price transparency,
AHCCCS and the Arizona Department of Health Services established a workgroup of hospital
representatives. The Hospital Transparency Workgroup will discuss ways to improve the
availability of hospital price and quality information in a format that is useful to consumers.
Findings of this workgroup will be included in a January 2015 report to the Governor and
The Arizona Association of Health Plans (AzAHP), representing the organizations that contract
with AHCCCS to provide for the health care needs of Arizona’s Medicaid members, is pleased to
announce the creation of a new Credentialing Alliance aimed at making the credentialing and
recredentialing process easier for our providers by eliminating duplication of efforts and
reducing administrative burdens. Before the launch of the Alliance, practitioners who contract
with the various AHCCCS health plans needed to have their credentials established and refreshed
with each individual health plan in a costly and duplicative process. Today, through the
entrepreneurial efforts of AzAHP, it’s now a one stop credentialing shop for those in our networks.
Additional information regarding the new AzHHP Credentialing Alliance may be found in the provider
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:
AHCCCS will be working on a transition to the ICD10 code set effective for outpatient/professional
dates of service and Inpatient dates of discharge 10/1/2014 and after. More information can be found
on the AHCCCS ICD10 Consortium web page.
Adobe Acrobat Reader is required to view PDF files. This is a free program available
from the Adobe web site. Follow the download directions on the Adobe
web site to get your copy of Adobe Acrobat Reader.