Provider services staff work with doctors, dentists and health care professionals. They handle the AHCCCS and CMDP registration for providers. They work to resolve any quality of care issues concerning providers. The staff assists Member Services with the names, phone numbers and locations of registered providers, including pharmacies. They are listed in the Provider Directory. Health care specialists that are registered with CMDP are listed in the Specialty Directory.
Important reminder, as a registered provider with the AHCCCS Administration, (Arizona's Medicaid Program), you are obligated under 42 C.F.R. §1001.1901(b), to screen all employees, contractors, and/or subcontractors to determine whether any of them have been excluded from participation in Federal health care programs. You can search the HHS-OIG website, at no cost, by the names of any individuals or entities. All health care providers are strongly encouraged to have their staff review/listen to the AHCCCS e-learning seminar, "Fraud Awareness for Providers". AHCCCS is adding photos (with the cooperation of MVD) to its on-line verification tool that providers may use to verify member eligibility.
Effective 10/1/2017 – Any expedited prior authorization being requested outside of normal business hours (Monday-Friday, 8a-5p and on any state observed holiday) needs to be faxed to 602.351.8529 as well as sent electronically to the following email address: [email protected] to ensure timely processing.
For any questions, please contact CMDP at 602.351.2245 and follow prompts to speaking with a representative in Medical Services.
Prior Authorization Guidelines
Flu Season 2016-2017
Behavioral Health Information Tool Kits