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