Ahcccs stands for arizona health care cost containment system and it is the state of arizona s.
Arizona health care cost containment system provider registration form.
You may use only one application form to apply for everyone in your family.
602 417 4000 in state toll free.
Web form cqm azahcccs gov 602 417 4885.
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.
Apply personally at a local faa office at the department of economic security des office at the hospital or at certain clinics.
Ahcccs 801 e jefferson st phoenix az 85034 find us on google maps.
Arizona health care cost containment system quickstart guide registration account management registration account management as provider 3 step3.
Include alien registration cards.
Central arizona at 800 564 5465.
You can apply online for ahcccs medical assistance nutrition assistance and cash assistance using health e arizona plus heaplus.
Provider enrollment unit po box 25520 md 8100 phoenix az 85002.
Individuals must meet certain income and other requirements to obtain services.
Ahcccs 801 e jefferson st phoenix az 85034 find us on google maps.
Northern arizona at 800 322 8670.
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.
Arizona health care cost containment system application instructions.
For more information contact the rbha in your area.
Collect money we overpaid to you in the form of benefits.
Arizona long term care system altcs offices.
602 417 4000 in state toll free.
Use and disclosure of this information is limited to purposes directly related to the administration of the arizona health care cost containment system.
1 800 654 8713 outside maricopa county.
Arizona health care cost containment system ahcccs is arizona s medicaid agency that offers health care programs to serve arizona residents.
General administration questions other contacts.
Once the business type is selected the boxes for the corresponding.
Arizona health care cost containment system ahcccs attn.
This system contains state of arizona and u s.
A co payment is the amount you pay a health care provider when you receive a medical service.
Southern arizona at 866 495 6738.
1 800 654 8713 outside maricopa county.
Citizens applying for benefits in your household.
