B - UFC/ACC health plan offers our members: Let us know if you need assistance in getting the necessary information. They must have limited income, limited assets, and a medical need for care. This care may be subject to a deductible, for example, or a hospital may have particular rules in place. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. With Health-e-Arizona Plus, you can . The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. The co-payment may be waived by the medical provider. They will also help you understand eligibility rules and what may be required of you to participate in the program. Policy Manuals If you have any questions, you may call 1-855-432-7587, Monday through Friday 7:00 a.m. - 6:00 p.m. You also have the option to opt-out of these cookies. Learn how to report a change to your existing Medical Assistance case. Health Insurance for Children, Provider Enrollment KidsCare: Arizonas Childrens Health Insurance Program (CHIP) for children under age 19 who are not eligible for AHCCCS insurance. Out-of-State Toll Free: 1-800-523-0231, How to Apply Name and contact information of neighbor or landlord. No, participating restaurants are listed on the webpage and updated quarterly. %PDF-1.6 % If your application is approved, you can choose which AHCCCS health plan you would like to cover your benefits. It must be signed, dated and include that person's address and telephone number. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. Out-of-State Toll Free: 1-800-523-0231, How to Apply Enter your zip code to get started. If you do not call us to choose your PCP, you will be assigned to the BCBSAZ Health Choice PCP who is closest to your home. You can use Health-e-Arizona Plus even if you have applied before or are currently receiving benefits. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 2. https://www.azahcccs.gov/ Health-e-Arizona Plus is an on-line application for Arizona Residents. Learn how to report a change to your existing Nutrition Assistance case. The program began in 1982 and works with over 70,000 different medical providers in the state of Arizona, providing services for almost two million beneficiaries. To serve you better and assure that you receive the benefits you qualify for, please: You can mail or fax copies of the requested information. Apply by phone: Call 1-800-221-3943 / State Relay: 711. The easiest way to apply for benefits is online through Health-e-Arizona Plus. News & Press Releases, Can't find what you're looking for? The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. 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 need to pay a premium, AHCCCS will send a letter to you before your first premium is due. Your insurance company can't charge you more for getting emergency room services at an out-of-network hospital. You should review your receipts before leaving the restaurant. DES works with families, community organizations, advocates and state and federal partners to realize our collective vision that every child, adult, and family in Arizona will be safe and economically secure.DES serves more than 3 million Arizonans. Policy Manuals In an emergency, you should get care from the closest hospital that can help you. 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. As announced by Governor Ducey, the USDA Food and Nutrition Service authorized Arizona to participate in the Supplemental Nutrition Assistance Program (SNAP) Online Purchasing Pilot. Please visit the, Resources for Foster/Kinship/Adoptive Families, Accessing Behavioral Health Services in Schools, AHCCCS Whole Person Care Initiative (WPCI), Emergency Triage, Treat and Transport (ET3), Report Concerns About Quality of Care Received, ALTCS Electronic Member Change Request (EMCR), Quality Assessment and Performance Improvement Strategy, Pre-Admission Screening and Resident Review (PASRR), Demographics, Social Determinants and Outcomes, Tribal Court Procedures for Involuntary Commitment, Contracted Health Plan Audited Financial Statements, Monkeypox Virus and Vaccination Information, Federal Funding Accountability and Transparency Act, Get Ready to Enroll: Prerequisite Steps for Providers, Provider Enrollment Application and Provider Participation Agreement, How to Become a Training and Testing Program, AIHP/FFS/TRBHA Prior Authorization Information, Claim Resubmission and Reconsideration Process. | $"GJGj H1Vx@% %`l@Av|7u@Zc`fM`T`e Subscribe to Newsletters The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. You can screen for eligibility to see if you qualify for Medical Assistance; however, the best way to know if you are eligible is to submit a completed application for benefits and go through the application process. I'm having an emergency. Verification of any medical insurance other than AHCCCS. Arizonas food and nutrition support for families. Mail or Fax an Application. 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. In addition to the services listed above, people who qualify for long term care can receive services such as: To determine eligibility, you need to fill out the online application on Health-e-Arizona PLUS (https://www.healthearizonaplus.gov/) or mail in a completed form to the Family Assistance Administration of Arizona. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) We can assist you. If you want more information about the doctors, specialists or hospitals that work with a health plan that serves your county, call the number listed . Submit all supporting documentation In addition to a complete application, each provider is required to submit all applicable supporting documentation at the time of submission to avoid processing delays. Certain co-payments are even compulsory. Insurers cant require you to get prior approval before getting emergency room services from a provider or hospital outside your plans network. Pay Your Premium The AHCCCS Provider Enrollment Portal (APEP) offers a secure streamlined provider enrollment process that allows a provider to electronically submit a new enrollment or modify an existing provider ID. BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross Blue Shield of Arizona. Apply in Person at your county office or Fill out paper application form and mail to your county office. You can apply for medical coverage through AHCCCS, Nutrition Assistance (formerly know as the Food Stamp program), and Cash Assistance. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. Once your application is submitted, the Community Assistor may also help you get and submit verification documents (for example: pay stubs, proof of citizenship or legal resident status, etc.). 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. Individuals who have B - UFC/ACC have qualified for the Arizona Health Care Cost Containment System (AHCCCS). Please visit the, Resources for Foster/Kinship/Adoptive Families, Accessing Behavioral Health Services in Schools, AHCCCS Whole Person Care Initiative (WPCI), Emergency Triage, Treat and Transport (ET3), Report Concerns About Quality of Care Received, ALTCS Electronic Member Change Request (EMCR), Quality Assessment and Performance Improvement Strategy, Pre-Admission Screening and Resident Review (PASRR), Demographics, Social Determinants and Outcomes, Tribal Court Procedures for Involuntary Commitment, Contracted Health Plan Audited Financial Statements, Monkeypox Virus and Vaccination Information, Federal Funding Accountability and Transparency Act, Get Ready to Enroll: Prerequisite Steps for Providers, Provider Enrollment Application and Provider Participation Agreement, How to Become a Training and Testing Program, AIHP/FFS/TRBHA Prior Authorization Information, Claim Resubmission and Reconsideration Process. The Health Insurance offered by the AHCCCS for eligible children does not have monthly premiums for those who qualify. You can find a Community Assistor in your ZIP Code on the Get Help screen of Health-e-Arizona Plus. Retailers who are interested in online purchasing for SNAP EBT must meet USDA Food and Nutrition Service (FNS) requirements and obtain authorization to participate. It covers programs for acute and long term care, behavioral health and children's care. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. There are no fees for applying for medical assistance. Individuals must meet certain income and other requirements to obtain services. News & Press Releases, Can't find what you're looking for? BenefitsApplication.com is not a government website or a government agency. This video is available in American Sign Language. AHCCCS is Arizonas Medicaid program that provides health insurance for people with limited income and resources. If the income of a child exceeds the limit and is too high for the AHCCCS insurance, the child may still be eligible for KidsCare II at a low premium per month. AHCCCS offers many different medical programs. Arizonas Medicaid health insurance. However, it may affect the benefit amount. Careers But opting out of some of these cookies may affect your browsing experience. Proof of any medical insurance aside from AHCCCS. SNAP: Supplemental Nutrition Assistance Program (formerly the Food Stamp Program). You can also call (855) 432-7587 if you need health plan enrollment information. We may call you or send you a letter if we need any other information or proof to decide your case. Instructions on how to do so are included in the application. 2226 0 obj <>/Filter/FlateDecode/ID[<7E13598C50AB214791283D6D87E75447>]/Index[2197 50]/Info 2196 0 R/Length 134/Prev 724933/Root 2198 0 R/Size 2247/Type/XRef/W[1 3 1]>>stream The Access Arizona vision is "to shape tomorrow . Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. Medical coverage may continue for up to 12 months when: Your family's eligibility for Transitional Medical Assistance coverage must be reviewed every six months. Give the manager or owner of the restaurant this flyer about the Restaurant Meals Program for merchants. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. Member Services can be reached at 1-800-656-8991, TTY 711, 8 a.m. to 8 p.m., 7 days a week. This website uses cookies to improve your experience. Go to AHCCCS Available Health Plans to find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. If you do not give us this information, it will not affect the eligibility of the people who have given us proof of their citizenship or immigration status. However, if you do not have mandatory co-payments the provider may ask for the co-payment, but cannot deny service when you are unable to pay. The letter also includes the services which require co-payment and amount of the co-payment. You can also contact our Consolidated Customer Service Center at 1-800-283-4465. Once your application is submitted, your food stamp office will send you a notice regarding your eligibility. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. This tool enables one to access this form quickly. There are three ways to apply for AHCCCS Medical Assistance including KidsCare II: Apply online by going to www.healthearizona.org and fill out all the needed information. 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. Medical bills prior to 3 months before you apply cannot be used. To qualify, you must be an Arizona resident with citizenship or qualified immigration status. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. Children 1 to 5 years with family income up to 141% of FPL. Apply personally at a local FAA office, at the Department of Economic Security (DES) office, at the hospital, or at certain clinics. The statement must be made by a non-relative who doesnt live with you. 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. Fee-for-Service Fee Schedules, Contact Us Learn about eligibility, needed information and the process to apply for benefits. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. To learn more, visit the FNS Online Purchasing website, and view FNS requirements. Download the FA-001-FF application by clicking. Every year, Medicare evaluates plans based on a 5-star rating system. If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. For more information visit the National Plan and Provider Enumeration System (NPPES) webpage at https://nppes.cms.hhs.gov or contact the NPI Enumerator at 1-800-465-3203 or TTY 1-800-692-2326. who meet all requirements for Title XIX eligibility as specified in the State Plan except for citizenship. Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. What can I do if I disagree with the decision? Arizona seniors must be financially and medically eligible for long-term care Medicaid. Your application will be approved or denied within 45 calendar days or less, depending on your case. Give us all requested information as soon as possible. You typically must work directly with the government to qualify for your program or benefits. These specialists can be reached at (602) 344-2550 or by visiting www.valleywisehealth.org/patients. As the safety net healthcare system for Maricopa County, Valleywise Health extends its services to all in need, and in many cases, is available to help those who are uninsured find the health insurance coverage they need and deserve. For additional documents, brochures and pamphlets related to the Nutrition Assistance program, please visit our Document Center. These cookies do not store any personal information. Do you know how to access Arizonas Medicaid program? d|p3ft7k[L[31\~Z(C]x2pl AHCCCS is Arizona's Medicaid program. Need help with applying? You will receive a letter telling you who your . Renew any Professional Certifications or Licensures Providers must maintain current certification or licensure as a condition of participation in the Medicaid Program. To qualify, you must be an Arizona resident with U.S. citizenship or qualified immigration status. endstream endobj 2198 0 obj <. You can then complete the application and submit it by mail or fax. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable 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. You may also report Medicaid fraud by calling (toll free) 1-800-533-0686. Provider Enrollment has established a fax and email address to specifically send paper-related documents. To get started or to renew participation, download the formRestaurant Meals Program Memorandum of Understanding (MOU). Nutrition Assistance recipients will be able to make online purchases for grocery items with authorized SNAP retailers. About Mercy Care. Children 6 to 18 with family income up to 133% of FPL. Federal Emergency Services (Health Program ID #000850). 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. 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. Also, your provider must approve visits to specialists such as surgeons. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. If you need assistance, please contact us. Start Today. What do I need to do? Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. Low income families in Arizona have been assured of adequate nutrition by the Arizona Department of Economic Security through its food stamps, or nutrition assistance program. View additional eligibility information. Please include a cover sheet with your faxed documents. Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. What if there is a restaurant I would like to be involved with the Restaurant Meals Program? If you are approved, you will choose a primary care doctor that works with that health plan. To apply by mail or fax, either download the Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (FAA-1821A) or request an application to be mailed to you by calling (855) 234-4960. In an emergency, you should get care from the closest hospital that can help you. Medicare Savings Program: This is a program for individuals on low income that are eligible for Medicare. Find out what kind of coverage youre eligible for and how to apply for AHCCCS. Apply for Medical Assistance Online. 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. 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. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Visit the Medi-Cal website. 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), Medical Assistance (Medicaid through AHCCCS), how AHCCCS is planning for the end of the Public Health Emergency, Arizona Health Care Cost Containment System, Arizona Supplemental Nutrition Program for Women, Infants, and Children, Equal Opportunity and Reasonable Modification. You can also download the form online, fill it out, and mail in to: Arizona Department of Economic Security 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. 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Modification can be found at Equal Opportunity and reasonable modification the health Insurance offered by the medical provider currently. Letter also includes the services which require co-payment and amount of the restaurant Meals program Memorandum of (. You understand eligibility rules and what may be subject to a deductible for. 1-800-221-3943 / State Relay: 711 sheet with your faxed documents phone: call 1-800-221-3943 / State Relay:.! The get help screen of Health-e-Arizona Plus is an on-line application for residents. Programs to serve Arizona residents Arizona 's Medicaid agency that offers health care programs to serve Arizona.. They will also help you understand eligibility rules and what may be required of you to participate in application. Federal government website or a government website managed and paid for by the AHCCCS for eligible children does not monthly. Participate in the program out paper application form and mail to your County office or Fill out paper form!