AHCCCS Contractor

Taxes | AHCCCS


Beginning January 1, 2018,

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 12/6/2018

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.

HOW DID WE DO?

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  • To report errors with forms or instructions, or to suggest ways to improve them, please send e-mail to Premium Tax Administrator Susan Yepez ([email protected]).