Thank you for your patience, while moving our work environments while maintaining our commitment and standards for supplier registration service in a timely manner. This application is aimed at individual/individual entrepreneurs, rendered/serviced, atypical individual, group practice, contractor/MCO, agency body/organization (FAO) and atypical agency providers. A complete list of registration type provider types can be found in the Enrollment Screening Glossary IsP Thank you for your interest in becoming a provider in the AHCCCS program. The Member and Providers Services Division (DMPS) is responsible for the timely registration and validation of eligible fee for service and professional healthcare providers in the AHCCCS programme. Pending the launch of the automated APEP system, suppliers are invited to use this paper application for supplier registration. Excel spreadsheet by e-mail: PRNotice@azahcccs.gov (the document cannot be accepted by fax or mail) On this date, the AHCCCS supplier registration process changes from a paper-based manual system to a new online system. The new online system allows providers: select the link below to indicate your consent or refusal from AHCCCS Enrollment/Application Fee Guidelines online service providers. Q. Are there any exceptions to the registration fee? A. AHCCCS may, in consultation with the Secretary of Health and Human Services (HHS), waive the application fee if the supplier demonstrates that the collection of the fee interferes with the recipient`s access to the supply. Q. Can I pay before or after receiving an AHCCCS ID number? Is there a notification? Has.

The registration fee is required after checking your registration package, but before an AHCCCS identification number is issued. Do not hang a payment on the registration file. The notification is sent to the correspondence address indicated in the application or to the e-mail address indicated in the supplier`s participation agreement. Do not try to pay until a correct notification is received. Payment of an online provider registration/registration fee is a free service offered through AHCCCS. This service has been developed in accordance with the Affordable Care Act, which will come into force on January 1, 2012 for the AHCCCS administration to collect registration/application fees for the necessary types of providers. Due to the evolution of the COVID-19 pandemic and Governor Ducey`s instruction to social distancing in order to reduce the spread of the virus, AHCCCS staff have converted as much as possible to other ways of working such as teleworking. .

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