AHCCCS Contractor

Beginning January 1, 2018, all non-Arizona-state-agency AHCCCS contractors must use the NAIC OPTins system (or a system interfaced with NAIC OPTins) to report and pay insurance premium taxes and installment payments.  State-agency AHCCCS contractors must use the Arizona Financial Information System (AFIS) to report and pay insurance premium taxes.

TAX REPORTING DUE DATES
Due Date CAPITATION PAYMENTS DATE RANGE
March 15 For estimated capitation payments received from January 1 through March 31
June 15 For estimated capitation payments received from April 1 through June 30
September 15 For estimated capitation payments received from July 1 through September 30
December 15 For estimated capitation payments received from October 1 through December 31
Form E-AHCCCS: AHCCCS Contractor Quarterly Premium Tax Report

Premium tax report for AHCCCS contractors.  Updated 9/30/2016 (minor instruction and format changes).

AHCCCS Contractor Tax Payment: Quick Reference Guide (State Agencies)

For use by Arizona State Agency contractors only.  Step-by-step instructions for for state-agency AHCCCS contractors to use to submit the tax report and complete the ITA (Internal Transaction Agreement).  Updated 12/6/2015.

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