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AzAHP Credentialing Alliance

About Us

Healthcare providers that want to serve members enrolled in the Arizona Health Care Cost Containment System (AHCCCS) must join a health plan. The AzAHP Credentialing Alliance provides centralized and streamlined information about the steps to do so. All AHCCCS health plans participate in the Alliance, and we continually work to standardize the credentialing process and make it easier for providers.

Credentialing Forms

Non Delegated Group AzAHP Roster

Delegated Group AzAHP Roster

Practitioner / Practice Change Form

Organizational / Facility Application

AzAHP Practitioner Data Form

Provider Education Series

Introduction to Provider Series

About AzAHP

Credentialing Process 101

AzAHP Form 2021

Organization Facility Application

Practitioner / Practice Change Form

Non-Delegated Roster

More Questions?

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.

Ask Us About Credentialing!

Please see disclaimer below.

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