About the AzAHP Credentialing Alliance
Healthcare providers that want to serve patients in the Arizona Health Care Cost Containment System (AHCCCS) must join a health plan, and our Credentialing Alliance outlines the steps required to do so. All AHCCCS health plans participate in the Alliance, and we continually work to standardize the credentialing process.
Our Provider Education Series provides additional information.
Credentialing Forms
Delegated Group AzAHP Roster
AzAHP Practitioner Data Form
Organization/Facility Application
AzAHP Practitioner/Practice Change Form
Non Delegated Group AzAHP Roster
Contact Us
Pat Seabert, AzAHP’s Credentialing manager, would be happy to answer any of your questions or concerns. Please click on the button to get in contact with her.
