All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). Proof of life insurance, retirement plans, securities, and savings bonds. Insurers cant require you to get prior approval before getting emergency room services from a provider or hospital outside your plans network. Social Security numbers for everyone, or proof that a Social Security number has been applied for. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Every year, Medicare evaluates plans based on a 5-star rating system. Some medical assistance programs may require the participant to make a co-payment when receiving medical services. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. Instructions on how to do so are included in the application. The process for requesting a reasonable modification can be found at, Arizona Adult Protective Services Action Plan, World Elder Abuse Awareness Day Conference, Senior Community Service Employment Program, Workforce Innovation and Opportunity Act (WIOA), Equal Opportunity and Reasonable Modification. It is recommended that you call the Assistor/Partner before visiting to make sure they offer the service you need and to make an appointment, if needed. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. It is mandatory to procure user consent prior to running these cookies on your website. AHCCCSOnline Website Apply in Person at your county office or Fill out paper application form and mail to your county office. Medicaid for adults and children with limited income. Please include a cover sheet with your faxed documents. In Arizona, this is completed through the Health-e-Arizona Plus (HEAplus) online application. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. To apply by mail or fax, either download the application or request an application to be mailed to you by calling 1-855-432-7587. ]. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. What do I need to do? The information on this page will help you prepare and apply for benefits. Arizonas cash assistance program. Get started through Health-e-Arizona Plus. Medical bills prior to 3 months before you apply cannot be used. Apply for Medical Assistance Online. Fee-for-Service Fee Schedules, Contact Us Subscribe to Newsletters The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. If you were charged sales tax in error, you should first attempt to resolve this with the restaurant. Some details must be faxed to complete your application. Enrollment in BCBSAZ Health Choice Pathway (HMO D-SNP) depends on contract renewal. Contact the community assistor's office by telephone. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. Enter your zip code to get started. AHCCCS also provides long term care services by contracting with doctors, nursing homes, assisted living facilities, hospitals, pharmacies and specialists. This website and its contents are for informational purposes only. Prescriptions (Not covered if you have Medicare), Podiatry Services Performed by a Podiatrist, Emergency Dental (Up to $1000 per contract year), Dental Services (up to $1000 per contract year). In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) However, it may affect the benefit amount. Children 6 to 18 with family income up to 133% of FPL. 1. hb```@RAb,'@B!U!su2&O1 nw8X9lMV?Id+MSY6 L.I5#o4)se3%}g While some co-payments are mandatory depending on service and location, in some instances the provider may ask for the co-payment, but cannot deny service if you are unable to pay. It also offers special coverage for children and young adults under 21. If you have medical bills from up to 3 months before you applied for Medical Assistance, indicate this on your application and/or contact AHCCCS as soon as possible to discuss Prior Quarter Coverage. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. Start Today. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross Blue Shield of Arizona. All AHCCCS health plans provide the same covered medical services. Proof of identity and citizenship for each one in your household who is applying for the programs under AHCCCS. News & Press Releases, Can't find what you're looking for? Just as Valleywise Health provides premier, compassionate care to all those who need it, AHCCCS is there to ensure you have the coverage you need whether youre recently unemployed or simply unable to pay for private insurance. You are required to report any changes that may affect your Medical Assistance eligibility. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Your primary doctor then becomes the first person you go to for care, as well as the one to authorize any non-emergency medical services and to refer you to a specialist when necessary. Phone applications are available Monday through Friday from 8 a.m. to 4 p.m. Name and contact information of neighbor or landlord. Careers Benefits begin based on the date the application was submitted. Whether you are applying for the first time, or renewing your benefits, you may need one or more of the following pieces of information to complete your application: When you are ready, you can submit your application and required documentation. Subscribe to Newsletters If you are approved for emergency services only, you may receive medical services from any provider (doctor, hospital, etc.) It covers programs for acute and long term care, behavioral health and childrens care. Healthcare.gov is a good option if you don't think you will qualify for AHCCCS, because it will also check and see if you can get private coverage with subsidies. There are three ways to apply for AHCCCS Medical Assistance including KidsCare II: The following are some of the items you may need when applying or reapplying for AHCCCS Medical Assistance for you and your household (this does not apply to every applicant): After you have applied, you may check your application status online by going to the My Family Benefits Page. Policy Manuals Nutrition Assistance (formerly the Food Stamp Program) is Arizonas program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). Within seven days from the application date if you are hospitalized, Within 20 days from the application date if you are pregnant, At the latest, 45 calendar days from the application date. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. For more details or information on your case, go online to www.yes.state.nm.us and click on "Check My Benefits," or call the ISD Information Line, available 24/7, at 1-855-309-3766. The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible. Fee-for-Service Fee Schedules, Contact Us Social Security numbers (if none, verification that a Social Security number has already been applied for). idcs-56b6e9015b5b403987f3105c0544879a.identity.oraclecloud.com Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. Verification of all income your family has received from any source for the past two months. TTY users can call: 916-445-0553. Not many people are aware about what services does altcs provide. Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. You can also call (855) 432-7587 if you need health plan enrollment information. That hospital will treat you regardless of whether you have insurance. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Find your DES local office. hbbd```b``>"gH u]&jN`k`z`v?dQY`9 F,2 DAd%d\"/La` 2QDO/a`bdPd`W; ; You will find the fax cover sheets on the Providing Documents tab of the Health Arizona website . Our broad network of providers offers services and supports for members with: Physical, general mental health and substance use concerns (Complete Care) Children and youth in the foster care system . The AHCCCS offers several medical assistance programs, each has different eligibility requirements but most of them are contingent on the applicant's citizenship, income, and residency in the state of Arizona: To qualify for the health insurance program for children in which there are no monthly premiums for those who are eligible, an applicant: If the income of the child is above the limit of this health insurance, the child may still receive medical services through the KidsCare II program at low monthly payment of not more than $40 for a single child or not exceeding $60 regardless of the number of children in a household. To qualify, you must be an Arizona resident with citizenship or qualified immigration status. 2246 0 obj <>stream AHCCCS: Arizona Health Care Cost Containment System. One will be chosen for you by AHCCCS. Health-e-Arizona Plus SNAP: Supplemental Nutrition Assistance Program (formerly the Food Stamp Program). The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's version of Medicaid and it provides health insurance to low income Arizonans through a health plan. If you have questions or need help completing your online application, call 1-855-HEA-PLUS (1-855-432-7587), Monday through Friday, 7:00 a.m. - 6:00 p.m. Verification of any medical insurance other than AHCCCS. You can apply online for AHCCCS Medical Assistance, Nutrition Assistance, and Cash Assistance using Health-e-Arizona Plus (HEAplus). Do I need a different EBT card to use at a restaurant? About Mercy Care. AHCCCS Medicaid coverage generally starts the first day of the month in which you are found eligible. Birth certificates for everyone who is applying for benefits. You must also be under the income limit, which varies depending on your age and size of your household. Out-of-State Toll Free: 1-800-523-0231, How to Apply Apply food stamp application form online on your state website. Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. A single individual applying for Nursing Home Medicaid in 2023 in AZ must meet the following criteria: 1) Have income under $2,742 / month 2) Have assets under $2,000 3) Require the . If this process seems daunting, Valleywise Health is here to help as Eligibility Specialists are available to field your questions (in English and Spanish), help you determine your eligibility and help you begin the process of applying and receiving coverage. It must be signed, dated and include that person's address and telephone number. The Cash Assistance program provides temporary cash benefits and supportive services to the neediest of Arizona's children and their families. The process can be completed through Health-e-Arizona Plus. Thank you for your interest in becoming a provider in the AHCCCS program. 2. Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Click on the link to DES below if you (or the person you are applying for) are one or more of the following: An adult without children; A pregnant woman; A family with children; A child only; You can use one application to apply for AHCCCS Medical Assistance for everyone in your household. You can also download the form online, fill it out, and mail in to: Arizona Department of Economic Security Family Assistance Administration Learn more about how AHCCCS is planning for the end of the Public Health Emergency. Give the manager or owner of the restaurant this flyer about the Restaurant Meals Program for merchants. Your application will be approved or denied within 45 calendar days or less, depending on your case. Print an Application. d|p3ft7k[L[31\~Z(C]x2pl If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. The 'start date' will show on the Medical Assistance decision letter for each person who applied. If there are non-U.S. citizens in your family, include Alien Registration Cards. You also can call the telephone number on the back of your EBT card and open a dispute claim. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. Applicants will receive a medical assistance letter that contains the official start date. Do not voluntarily withdraw from AHCCCS Health Insurance just because your earnings increase. DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. AHCCCS is Arizona's Medicaid program. AHCCCS is Arizonas Medicaid program that provides health insurance for people with limited income and resources. You may also phone the California Department of Health Services to obtain information Medi-Cal: (916) 558-1784. 3. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. 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