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Reenrollment is when the provider is no longer an AHCCCS provider and would like to re-establish their enrollment with AHCCCS. The reenrolling provider must complete the same steps as a new provider including all required screenings, enrollment processes, and fees. See PEPM101 for the general conditions that must be met for providers to be enrolled.
The effective date of the reenrollment depends on when the provider’s enrollment was terminated. When the reenrollment is submitted within six months of being terminated, the effective date will be retroactive to the termination date. When the termination date is more than six months in the past, the reenrollment date will be the date of approval.
Each enrollment application may require additional proof to be submitted.
42 CFR 455.420