Provider qualifications 1-09 2 doc - azdhs 2025

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AHCCCS is Arizonas State Medicaid Program. AHCCCS Members who also have Medicare are called Dual Eligible Members. Being enrolled in the same health plan for Medicare and Medicaid is called alignment. Alignment provides: One plan that coordinates all care.
Arizona Complete Health-Complete Care Plan (Medicaid Only) Information on that process can be obtained by calling the AHCCCS Help Desk at (602) 417-4451. AHCCCS has developed a Web application that allows providers to verify eligibility and enrollment using the Internet.
Provider Types and Provider Specialties The provider type indicates what kind of provider is doing the billing. Provider types include individuals, facilities, and vendors.
A provider type is a doctor, hospital or other healthcare professional. A provider specialty is a doctor or healthcare provider who specializes in an area of practice. Molina authorization data includes APS in the service code data field.
The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty.

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Entities of the California Department of Consumer Affairs license and regulate more than 19 different types of healthcare professionals, from doctors and nurses to hearing aid dispensers, psychologists, and others.

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