Making an Online Provider Enrollment/Application Fee payment is a free service offered through AHCCCS. This service is designed in accordance with the Affordable Care Act, effective January 1, 2012 for AHCCCS Administration to collect an enrollment/application fee for required provider types.
Select one of the following for information:
You can use a Visa or MasterCard Credit/Debit Card, or enter a bank account number to make a payment. Please note, American Express cards are no longer accepted. 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.
Please read the following scheduling information
It is recommended that you schedule payments at least 3 business days before the actual due date.
Same Day Processing: Complete your payment request by 3:00 pm (AZ).
Next Business Day Processing: Complete your payment request after 3:00 pm (AZ).
To login to use the Online Premium Payment service, confirm you have read, understood, and agree to abide by the guidelines, then select I Agree and follow the directions.
Note: If you select I Disagree you cannot make online payments.
| Acknowledgment |
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Select the appropriate link below to indicate your agreement or disagreement with the AHCCCS Online Provider Enrollment/Application Fee Guidelines. |
Call Center hours are Monday through Friday 10am - 4pm (ARIZONA TIME)
