Get the free AzAHP Facility Application - Mercy Maricopa Integrated Care
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Facility Credentialing and Re credentialing Application Please complete each section leaving no blank spaces. Clearly state if information requested is not applicable. Attach additional sheets when
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What is azahp facility application?
Azahp facility application is a form used to apply for certification as a Healthcare Provider under the Arizona Health Care Cost Containment System (AHCCCS).
Who is required to file azahp facility application?
Healthcare Providers who wish to participate in AHCCCS and provide services to AHCCCS members are required to file azahp facility application.
How to fill out azahp facility application?
Azahp facility application can be filled out online on the AHCCCS website or submitted through the mail. Applicants must provide information about their facility, services offered, accreditation, and other relevant details.
What is the purpose of azahp facility application?
The purpose of azahp facility application is to ensure that Healthcare Providers meet the requirements set by AHCCCS to participate in the program and provide quality services to AHCCCS members.
What information must be reported on azahp facility application?
Information such as facility details, services offered, accreditation, staff credentials, and other relevant information must be reported on azahp facility application.
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