The AHCCCS Provider Enrollment Portal (APEP) represents a critical digital platform for healthcare providers seeking to enroll and maintain their Medicaid provider status in Arizona. This innovative online system modernizes the provider enrollment process, replacing traditional paper-based methods with a streamlined, efficient digital solution.

Official Links

• AHCCCS Provider Enrollment Applications: https://www.azahcccs.gov/APEP
• AHCCCS Provider Enrollment Portal: https://www.azahcccs.gov/PlansProviders/NewProviders/APEP.html

What Providers Can Do in APEP

Healthcare providers can utilize the APEP for multiple essential functions:

• Complete initial provider enrollment applications
• Update provider information (contact details, addresses)
• Upload and update professional licenses and certifications
• Manage revalidation processes
• Report organizational changes
• Submit required documentation electronically

Enrollment Requirements

Providers must prepare the following documentation before applying:

• National Provider Identifier (NPI)
• Completed W9 Tax Form
• Current Professional Certifications
• Relevant Licensure Documentation
• Specific provider type documentation (if applicable)

Risk-Based Screening Process

AHCCCS implements a tiered screening process based on provider risk levels:

Limited Risk Screening

• Verify federal and state requirements
• Conduct license verifications
• Perform database checks

Moderate Risk Screening

• All limited risk requirements
• Conduct site visits

High Risk Screening

• All moderate risk requirements
• Fingerprint-based criminal background checks

Key Enrollment Details

Application Processing

• Standard processing time: 60 days
• Expedited processing available for emergent medical needs
• Retroactive enrollment considered in specific circumstances

Enrollment Fees

• Institutional providers pay an enrollment fee
• 2025 fee: $730
• Fee collected during new enrollment, revalidation, and reactivation

Maintaining Provider Status

Providers must:

• Report information changes
• Maintain current licenses and certifications
• Respond to AHCCCS enrollment information requests
• Complete revalidation every four years

Electronic Funds Transfer (EFT)

Required for:

• Group Billers
• Family Assistance Organizations
• Individual Sole Proprietors (non-rendering providers)

Technical Considerations

Planned Maintenance Schedule

APEP will have scheduled maintenance throughout 2025, typically on Saturdays with specific downtime windows.

Support and Contact

For enrollment questions or support:

• Email: [email protected]
• Phone: 1-800-794-6862 (In-State)
• Phone: 1-800-523-0231 (Out of State)

Privacy and Security

AHCCCS emphasizes:

• Secure online application process
• Comprehensive identity verification
• Protection of provider information
• Compliance with federal and state regulations

Unprovided Information

While the sources provide comprehensive details, specific technical requirements for application submission or real-time portal features are not explicitly described.

The AHCCCS Provider Enrollment Portal represents a significant advancement in streamlining provider enrollment, offering a digital, efficient, and transparent process for healthcare professionals in Arizona.