Your co payment amount will vary.
Arizona health care cost containment system provider registration form.
Collect money we overpaid to you in the form of benefits.
602 417 4000 in state toll free.
After selecting the i agree and clicking on the next button user can select the business type on the following screen.
A co payment is the amount you pay a health care provider when you receive a medical service.
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.
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.
Southern arizona at 866 495 6738.
Arizona health care cost containment system ahcccs is arizona s medicaid agency that offers health care programs to serve arizona residents.
This information is confidential under state and federal law.
Individuals must meet certain income and other requirements to obtain services.
Ahcccs stands for arizona health care cost containment system and it is the state of arizona s.
For more information contact the rbha in your area.
Northern arizona at 800 322 8670.
Central arizona at 800 564 5465.
Provider enrollment unit po box 25520 md 8100 phoenix az 85002.
Apply personally at a local faa office at the department of economic security des office at the hospital or at certain clinics.
Arizona long term care system altcs offices.
Once the business type is selected the boxes for the corresponding.
Citizens applying for benefits in your household.
Use and disclosure of this information is limited to purposes directly related to the administration of the arizona health care cost containment system.
Ahcccs 801 e jefferson st phoenix az 85034 find us on google maps.
You may use only one application form to apply for everyone in your family.
1 800 654 8713 outside maricopa county.
General administration questions other contacts.
Include alien registration cards.
Arizona health care cost containment system ahcccs attn.
Arizona health care cost containment system application instructions.
1 800 654 8713 outside maricopa county.
Alien registration cards if there are non u s.
602 417 4000 in state toll free.
Ahcccs 801 e jefferson st phoenix az 85034 find us on google maps.
