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