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