Plans/Providers

Revalidations

A provider must revalidate enrollment of their provider ID to maintain Medicaid billing privileges. In general, providers are required to revalidate every four years. AHCCCS also reserves the right to request off-cycle revalidations.

As part of the revalidation process the provider is subject to screening and disclosures captured according to their assessed risk level. Based on provider type the process could include an enrollment fee, site visit, and fingerprint criminal background check required as a part of the screening requirements.

Providers are notified through mail or email when it is time to revalidate. Revalidations are completed in the AHCCCS Provider Enrollment Portal (APEP). Providers have 90 days from the date the initial notification is made to complete the revalidation. Failure to complete the revalidation by the requested date will result in termination of the provider’s enrollment.

Providers Currently Required to Complete Revalidation

The file below is a list of providers who are currently required to revalidate their enrollment and the due date for their revalidation.

• Revalidation File

How Providers Can Complete the Revalidation Process

To complete the revalidation process you must:

1. Log into APEP.
2. Under the Provider Tab, click on the “Manage Provider Information” link to find your application.
3. Respond to all steps that are marked as “Incomplete” before submitting application.
4. Upload any required documentation such as current license/certification and W-9 signed in the last 12 months.
5. Sign the electronic Provider Participation Agreement; and
6. Submit the revalidation application for State approval.
   
   NOTE: You must complete ALL application steps through step 12 to fully submit the revalidation application. When the revalidation is submitted, you will see a red message at the top of the screen that says the application has been submitted for review.

You may also be required to submit an enrollment fee, be subject to a site visit, or perform a fingerprint criminal background check in accordance with Section 6401 of the Affordable Care Act and 42 CFR 455, Subpart E. Separate notification will be sent if your provider type requires one of these actions.

For additional questions regarding how to troubleshoot through APEP to complete the revalidation application, contact APEPTrainingQuestions@azahcccs.gov or Provider Services (602) 417-7670, include the provider name, NPI, and a brief description of the issue.

Helpful Resources

To improve service to providers, many helpful resources are available on the Provider Enrollment website.

These resources include:

• Domain Access in APEP
• Information about domain access and how to complete a domain transfer
• Instructions for adding a NPI to atypical provider profiles, located under Preparing for the Provider Application
• Instructions for How to Add a Category of Service
• Instructions for requesting a retroactive enrollment date, located under Processing Timeframes and Enrollment Effective Dates

Providers are encouraged to check the AHCCCS web page regularly for other helpful resources.

Additional information can be found in the Frequently Asked Questions (FAQs) located on the Resources page.