AHCCCS
banner image
  • Home
  • FAQ
User Acceptance Agreement
Please read the following terms of use and indicate that you agree by selecting the "I Agree" option at the bottom of the page
Warning: The information provided through the QM Portal Web Application is confidential under state and federal law. Use and disclosure of this information is limited to purposes directly related to the administration of Arizona Health Care Cost Containment System. The use and disclosure of this information is also subject to the privacy and security requirements of the Administrative Simplification provisions of the federal Health Insurance Portability and Accountability Act.
The Master Account Holder is responsible for ensuring the confidentiality of any information obtained from this web application by persons using the Master Account Holder user ID or any individual user IDs approved by the Master Account Holder.
The Master Account Holder is responsible for informing itself and its employees and agents of the requirements of all applicable privacy laws and ensuring:
  • Compliance with the license agreement
  • Individual accounts are limited to employees who need the information to perform their employment-related duties
  • Inactive individual accounts are deactivated
  • The Master and individual user IDs and passwords are not shared or disclosed
Violation of the terms and conditions of the licensing agreement and/or violations of the state and federal confidentiality and privacy requirements may result in termination of your license to access the QM Portal Web Application. Violations may also result in the termination the QM Portal Provider Agreement, revocation of QM Portal Provider Registration, and/or the termination of or imposition of sanctions under any other contract or agreement with the AHCCCS Administration.
Please wait...

WARNING ** You are the first account to register for your IOC region. By clicking "ACCEPT" you are agreeing to become the master account for your region. The master account is responsible for managing (approving and removing) other accounts in the region. You will also be able to delegate master account status to other accounts. If you do not wish to be the master account, click CANCEL.

WARNING ** You are the first account to register for your state agency. By clicking "ACCEPT" you are agreeing to become the master account for your region. The master account is responsible for managing (approving and removing) other accounts in the region. You will also be able to delegate master account status to other accounts. If you do not wish to be the master account, click CANCEL.

 

Add Affiliated Provider

Provider Name:
AHCCCS ID:
 

AHCCCS, 801 E. Jefferson St., Phoenix, AZ 85034, (602) 417-7000
©Copyright 2018 AHCCCS, All Rights Reserved