Form preview

Get the free Care1st (AHCCCS, KidsCare, DDD) Primary Care Physician Listing

Get Form
This document provides a comprehensive listing of primary care physicians participating in Care1st programs, including their qualifications, specialties, clinic names, and contact information.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign care1st ahcccs kidscare ddd

Edit
Edit your care1st ahcccs kidscare ddd form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your care1st ahcccs kidscare ddd form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing care1st ahcccs kidscare ddd online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit care1st ahcccs kidscare ddd. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
It's easier to work with documents with pdfFiller than you can have ever thought. Sign up for a free account to view.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out care1st ahcccs kidscare ddd

Illustration

How to fill out Care1st (AHCCCS, KidsCare, DDD) Primary Care Physician Listing

01
Obtain the Care1st Primary Care Physician Listing form from the official Care1st website or your local Care1st office.
02
Fill out your personal information, including your name, date of birth, and AHCCCS ID.
03
Select your desired primary care physician from the provided list or write in your preferred doctor if they are not listed.
04
Include the contact information for your chosen physician, such as their address and phone number.
05
Sign and date the form to authorize the selection of your primary care physician.
06
Submit the completed form according to the instructions provided on the form, either online, by mail, or in person.

Who needs Care1st (AHCCCS, KidsCare, DDD) Primary Care Physician Listing?

01
Individuals and families who are enrolled in Care1st through AHCCCS, KidsCare, or DDD and need to establish a primary care provider.
02
New members who have recently joined Care1st and need to choose a primary care physician.
03
Current members who wish to change their existing primary care physician for any reason.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.6
Satisfied
50 Votes

People Also Ask about

Care1st Health Plan Arizona and Wellcare are wholly owned subsidiaries of Centene Corporation. Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.
Founded in 1982, the Arizona Health Care Cost Containment System (written as AHCCCS and pronounced 'access') is Arizona's Medicaid program, a federal health care program jointly funded by the federal and state governments for individuals and families who qualify based on income level.
Care1st Health Plan Arizona provides Medicaid services to families, children, seniors, and individuals with complex medical needs serving northern Arizona, including serving as the Regional Behavioral Health Authority and crisis system operator for northern Arizona.
The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services.
KidsCare covers doctor office visits, immunizations, hospitalization, emergency room care, laboratory and x-ray, prescription drugs, dental services, behavioral health services, vision care and more medically necessary services.
AHCCCS is Medicaid, not Medicare. While both programs provide essential healthcare coverage, they serve different populations and have different eligibility requirements. AHCCCS targets low-income individuals and families, whereas Medicare is aimed at older adults and people with specific disabilities.
Medicaid Plan Arizona Complete Health-Complete Care Plan.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Care1st Primary Care Physician Listing is a document that identifies the primary care physicians who are contracted to provide services for individuals enrolled in Care1st programs, including AHCCCS (Arizona Health Care Cost Containment System), KidsCare, and the Division of Developmental Disabilities (DDD).
Providers and organizations that participate in Care1st programs and are responsible for delivering primary care services to members must file the Care1st Primary Care Physician Listing.
To fill out the Care1st Primary Care Physician Listing, providers need to accurately complete the specified form with details about each primary care physician, including names, contact information, specialties, and any pertinent credentials, ensuring all information is current and correct.
The purpose of the Care1st Primary Care Physician Listing is to organize and make accessible information about primary care physicians available to members, ensuring they can easily identify and access the appropriate healthcare services within the Care1st network.
The information that must be reported on the Care1st Primary Care Physician Listing includes the physician's name, contact details, practice location, specialty, credentials, and the services they provide, along with any additional relevant details that assist in patient care.
Fill out your care1st ahcccs kidscare ddd online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.