To receive provider enrollment assistance contact:
Provider Assistance Unit: (602) 417-7670 option 5.
To send a provider application:
Fax: (602) 256-1474
Thank you for your interest in becoming a provider in the AHCCCS program. The Division of Member and Provider Services (DMPS) is responsible for the timely enrollment and revalidation of eligible fee-for-service and managed care health care providers in the AHCCCS program. No matter if you’re a new or existing provider, all providers who serve AHCCCS recipients are required to submit key information to be screened and enrolled with Medicaid.
The new AHCCCS Provider Enrollment Portal (APEP) launched August 31, 2020, offering a secure web-based enrollment process and a streamlined provider enrollment process that allows a provider to electronically submit a new enrollment or modify an existing provider ID.