CMDP Providers

Thank you for providing health care services to CMDP members. CMDP is an Arizona Health Care Cost Containment System (AHCCCS) health plan within the Arizona Department of Child Safety (DCS). CMDP provides coverage for Arizona’s children placed in out-of-home care, in the custody of DCS, the Arizona Department of Juvenile Corrections or the Arizona Juvenile Probation Office.

The following links provide information including, but not limited to, policy and protocol, self-service tools, prior authorization, processing claims, and contact information and resources. For assistance with locating provider information , contact a CMDP Service Representative at [email protected] or call 602-351-2245, toll free 1-800-201-1795 for assistance.

Provider Resources

CMDP Provider Manual: The CMDP Provider Manual offers you and your staff up-to-date information to help you meet your patients’ health care needs. Updates and changes to the manual are provided as they become available. Policies and procedures outlined in the manual apply to all network and non-network providers. Copies of CMDP policies are available upon request by contacting CMDP at [email protected] or call 602-351-2245, toll free 1-800-201-1795.
Provider Directory
Check Claim Status
Check Member Eligibility
AZ AHP Facility Application
AZ AHP Organizational Data Form
AZ AHP Practitioner Data Form
Application for Enrollment into AHCCCS Children’s Rehabilitative Services
- English
Appointment Availability Standards
Health care providers are expected to ensure availability of appointments for CMDP members in accordance with the following State regulatory standards:

Primary Care Provider Appointments:
- Urgent Care: as expeditiously as the member’s health condition requires but no later than two business days of request, and
- Routine care: within 21 calendar days of request.
Specialty Provider Appointments, Including Dental Specialty:
- Urgent Care: as expeditiously as the member’s health condition requires, but no later than two business days from the request, and
- Routine care: within 45 calendar days of referral.
Dental Provider Appointments:
- Urgent Care: as expeditiously as the member’s health condition requires, but no later than three business days of request, and
- Routine care: within 45 calendar days of request..
Maternity Care Provider Appointments:
- First trimester: within 14 calendar days of request,
- Second trimester: within seven calendar days of request,
- Third trimester: within three days business of request, and
- High-risk pregnancies: as expeditiously as the member’s health condition requires and no later than three business days of identification of high risk by CMDP or the maternity care provider, or immediately if an emergency exists.
If you have questions regarding appointment access and availability, contact a CMDP Service Representative at [email protected] or call 602-351-2245, toll free 1-800-201-1795 for assistance.
Understanding Cultural Competency in Health Care
AHCCCS Medical Coding Resources

Pharmacy

CMDP contracts with OptumRx as Pharmacy Benefits Manager (PBM) to provide prescription coverage to CMDP Members. CMDP can assist you with finding a new pharmacy or with problems filling medications.

OptumRX Logo

OptumRX Contact information

Customer Service: 855-577-6310

Fax: 866-463-4838

Members currently receiving specialty prescriptions through Diplomat will transition to Optum’s BriovaRx Specialty Pharmacy. BriovaRx’s number is 1-855-427-4682.

Find a Pharmacy (518 KB PDF)
Pharmacy: Prior Authorization form for Medication (93 KB PDF)
Synagis Prior Authorization Request Form (105 KB PDF)
Optum Rx News
CMDP Preferred Drug List (708 KB PDF)
CMDP Additional Preffered Drug List (297 KB PDF)

Immunizations/VFC

Prior Authorization

Expedited prior authorization requests submitted outside of normal business hours (Monday-Friday, 8am-5pm and on state observed holidays) must be faxed to 602.351.8529 and sent electronically to to [email protected], to ensure timely processing.

For questions regarding prior authorization requests, please contact a CMDP Health Services Representative at [email protected], or call 602.351.2245, toll free 1-800-201-1795.