Medicaid

How to Get Credentialed with Arizona AHCCCS in Arizona

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Arizona-Specific Requirements

Arizona Medicaid (AHCCCS - Arizona Health Care Cost Containment System) enrollment steps: (1) Obtain NPI via NPPES. (2) Register on the AHCCCS provider enrollment portal. (3) Contract with one or more AHCCCS-contracted health plans, as Arizona operates 100% managed care with no fee-for-service option. (4) Obtain a Level I fingerprint clearance card from the Arizona Department of Public Safety, required for all providers. Behavioral health providers must qualify as a Licensed Behavioral Health Professional (LBHP), which includes LPC, LCSW, LMFT, and Licensed Psychologist with active AZ licensure. Revalidation is required every 5 years. Providers must enroll with AHCCCS and separately credential with each contracted health plan.

Medicaid Information — Arizona

Agency: Arizona Health Care Cost Containment System (AHCCCS)

Program: AHCCCS

Portal: https://www.azahcccs.gov

Phone: 1-602-417-4000

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Arizona.

2

Prepare Your Application

Complete Arizona AHCCCS's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Arizona AHCCCS.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

FINGERPRINT_CLEARANCE

Arizona DPS Fingerprint Clearance Card required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

AHCCCS Provider Registration

Required
Online Open →

Contact Information

Provider Enrollment

National

1-602-417-4000

General Provider Inquiries

National

1-602-417-4000

Quick Links

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