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ALTCS

Apply for AHCCCS ID >>
NPI Registry>>

Health Care Plans in Arizona

Health PlanPhoneInformationHow to Apply (ALTCS) OrganizationsHow to Apply (ALTCS) Individuals
American Indian Health Program1-800-334-5283Website
Member handbook
Arizona Complete Health-Complete Care Plan
Providers>		1-888-788-4408Website
Member handbook		Provider Application
Banner-University Family Care
Providers>		1-800-582-8686Website
Member handbook
Care 1st Health Plan
Providers>		1-866-560-4042Website
Member handbook
Email		Provider Application
–AzAHP Organizational Data Form
–AzAHP Facility Application
 
Magellan Complete Care
Providers>		1-800-424-5891Website
Member handbook
Email		Provider Application
–AzAHP Organizational Credentialing Form (PDF)
–AzAHP Facility Application (PDF)
–W-9 Form (PDF)
Mercy Care
Providers>		1-800-624-3879Website
Member handbook		–AzAHP Organizational Credentialing Form (PDF)
–AzAHP Facility Application (PDF)
–W-9 Form (PDF)		Individuals
Health Choice Arizona
Providers>		1-800-322-8670Website
Member handbook		Provider Application
UnitedHealthCare Community plan
Providers>		1-800-348-4058Website
Member handbook
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include care provider full name, tax ID, service address location(s), and (NPI).

Contact Arizona Long Term Care System (ALTCS) Directly >

If you are contracted with ALTCS and operate a Assisted Living Home please complete this years survey.

2019 ALTCS Survey