How to Get Credentialed with Arizona AHCCCS in Arizona
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
Delegated
No
Arizona-Specific Requirements
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
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Arizona.
Prepare Your Application
Complete Arizona AHCCCS's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Arizona AHCCCS.
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
ConditionalRequired in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
AHCCCS Provider Registration
RequiredContact Information
Provider Enrollment
National1-602-417-4000
General Provider Inquiries
National1-602-417-4000