Reminder: Referring, Ordering, Prescribing, Attending (ROPA) Providers must register with AHCCCS by June 1, 2021 to prevent claim denials and members access to care

Date: 05/25/21

The Patient Protection and Affordable Care Act (ACA) and the 21st Century Cures Act (Cures) require that all health care providers who provide services to, order (refer), prescribe, or certify health care services for AHCCCS members must be enrolled as an AHCCCS provider.

Until these Acts passed, referring, ordering, prescribing, and attending providers were required to obtain National Provider Identifiers (NPI’s) but were not required to be enrolled as an AHCCCS provider.

Claims which include referring, ordering, prescribing, or attending providers who are not enrolled with AHCCCS will not be reimbursed as of June 1, 2021. AHCCCS encourages all providers who are not currently registered with AHCCCS, but who are referring, ordering, prescribing, or attending providers, to register as an AHCCCS provider as soon as possible. Service providers whose claims include referring, ordering, prescribing, or attending providers who are not registered with AHCCCS should work with these providers to complete their registration.

To begin the enrollment process, visit AHCCCS Provider Enrollment (https://www.azahcccs.gov/APEP/).

Please see Frequently Asked Questions about the ROPA requirements at (https://www.azahcccs.gov/PlansProviders/NewProviders/ROPA.html) for more information.