Individuals must meet certain income and other requirements to obtain services.
Arizona health care cost containment system provider registration form.
Provider enrollment services available online arizona health care cost containment system ahcccs is arizona s medicaid agency that offers health care programs to serve arizona residents.
1 800 654 8713 outside maricopa county.
General administration questions other contacts.
Arizona health care cost containment system quickstart guide registration account management registration account management as provider 3 step3.
Collect money we overpaid to you in the form of benefits.
Central arizona at 800 564 5465.
Arizona health care cost containment system ahcccs is arizona s medicaid agency that offers health care programs to serve arizona residents.
Ahcccs stands for arizona health care cost containment system and it is the state of arizona s.
Arizona long term care system altcs offices.
If eligibility cannot be determined you will be sent a pre populated renewal form with a request.
This information is confidential under state and federal law.
A co payment is the amount you pay a health care provider when you receive a medical service.
Alien registration cards if there are non u s.
Arizona health care cost containment system ahcccs attn.
Use and disclosure of this information is limited to purposes directly related to the administration of the arizona health care cost containment system.
Arizona health care cost containment system application instructions.
602 417 4000 in state toll free.
602 417 4000 in state toll free.
Apply personally at a local faa office at the department of economic security des office at the hospital or at certain clinics.
Provider enrollment unit po box 25520 md 8100 phoenix az 85002.
Your co payment amount will vary.
Ahcccs 801 e jefferson st phoenix az 85034 find us on google maps.
You can apply online for ahcccs medical assistance nutrition assistance and cash assistance using health e arizona plus heaplus.
Citizens applying for benefits in your household.
1 800 654 8713 outside maricopa county.
Northern arizona at 800 322 8670.
For more information contact the rbha in your area.
Once the business type is selected the boxes for the corresponding.
Web form cqm azahcccs gov 602 417 4885.
Southern arizona at 866 495 6738.
Include alien registration cards.
After selecting the i agree and clicking on the next button user can select the business type on the following screen.
