Notification Detail

AHCCCS Provider Enrollment Update - New Paper Application Form

01/31/2020

In order to follow the alignment of the APEP system, AHCCCS has updated the Provider Enrollment paper application.

AHCCCS has been sharing updates regarding the launch of the new AHCCCS Provider Enrollment Portal (APEP) that will allow providers to:

  • Enroll as an AHCCCS provider
  • Revalidate as an existing AHCCCS provider
  • Update information (such as phone and address)
  • Upload and/or update licenses and certifications

This change from a manual process to the new automated system will streamline and help to expedite the provider enrollment process. The portal is expected to be available June 1st, 2020.

In order to follow the alignment of the APEP system, AHCCCS has updated the Provider Enrollment paper application. Although the changes are minor, they will ensure all required information is captured.

Former Vs New Paper App Process

If you have questions please contact Provider Enrollment at:

1-800-794-6862 (In State - Outside of Maricopa County)

1-800-523-0231 (Out of State)   

PRNotice@azahcccs.gov

Implementation updates will be emailed to AHCCCS subscribers to receive newsletters, posted on the AHCCCS website, and published in the monthly Claims Clues newsletter.

To become a subscriber to AHCCCS newsletters, please visit the following site www.azahcccs.gov/PlansProviders/AHCCCSlistserve.html