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.

Free Consultation

Need help enrolling with Arizona AHCCCS?

Our specialists handle the entire Arizona AHCCCS enrollment process: applications, follow-ups, and approvals in Arizona.

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 →

Key Credentialing Terms

Capitation
A payment model where a payer pays a provider a fixed amount per member per month regardless of whether the member recei...
CAQH
The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
Credentialing
The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
Effective Date
The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
Managed Care
A healthcare delivery system organized to manage cost, utilization, and quality through techniques such as provider netw...
Network Adequacy
The requirement that a health plan's provider network has enough providers in each specialty and geographic area to give...
NPI
The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
Primary Source Verification
The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...

Credentialing Checklist

Make sure you have everything ready before applying to Arizona AHCCCS.

View Physician Credentialing Checklist →

Contact Information

Provider Credentialing

National

1-602-417-4000

Mon-Fri 8am-5pm

Provider Services

National

1-602-417-4000

Claims & Billing

National

1-602-417-4000

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

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