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. Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. d|p3ft7k[L[31\~Z(C]x2pl In a true emergency, go straight to the hospital. Citizenship and qualified non-citizen status. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. We will keep all information you provide private, as required by law. If you dont select one. This video is available in American Sign Language. 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. With Health-e-Arizona Plus, you can . Call or visit your local county social services office and ask for a Medi-Cal application. It can be done from any device, anywhere at any moment! Go to AHCCCS Available Health Plansto find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. If your profession requires a certification or licensure in the State of Arizona, these qualifications must be active at the time of enrollment and throughout the duration of the active status of the provider enrollment AHCCCS ID. What do I need to do? All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). Before choosing a health plan, check with your doctor, pharmacy or hospital to see if they work with the plan that you want. 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. Not many people are aware about what services does altcs provide. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Beneficiaries of this program are provides with a debit card that can only be used at authorized grocery . If you have questions about AHCCCS coverage at Valleywise Health, call 1 (833) VLLYWSE. If you do not like the one chosen for you. Go to AHCCCS Available Health Plans to find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. Family Assistance Administration Nutrition Assistance (formerly the Food Stamp Program) is Arizonas program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). 0 Children 6 to 18 with family income up to 133% of FPL. If you need assistance, please contact us. Insurance plans cant make you pay more in. If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. Once complete, the MOU and copies of the government photo ID must be sent to the Department of Economic SecurityFamily Assistance Administration by any of the following methods: Mail to:DBME Systems Administrator/EBT Project DirectorP.O.Box 6123, Mail Drop33I1Phoenix, Arizona 85005. AHCCCS offers many different medical programs. Proof of mortgage or rent, as well as utility bills for the past months. 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. Currently the program enrolls nearly 2 million Arizona residents. KidsCare for uninsured children under the age of 19 who have income higher than the Medicaid limit. Get more information on billing and insurance, so you can focus on your health without worrying about the cost. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. If you were charged sales tax in error, you should first attempt to resolve this with the restaurant. Get started through Health-e-Arizona Plus. Medicare Savings Program: This is a program for individuals on low income that are eligible for Medicare. Member Services also has free language interpreter services available for non-English speakers. If you are unsure about applying for AHCCCS coverage, you can visit their official website to get support. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) You will receive a letter telling you who your . Do all restaurants participate in the Restaurant Meals Program? AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. You can then complete the application and submit it by mail or fax. If you are approved, you will choose a primary care doctor that works with that health plan. Enter your zip code to get started. Subscribe to Newsletters AHCCCS is Arizonas Medicaid program that provides health insurance for people with limited income and resources. Phone: 602-417-4000 Click the following to apply online for Nutrition, Cash or Medical Assistance: APPLY ONLINE. 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. 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. Based on your eligibility data from the prior application: If you are no longer eligible for the program you are currently enrolled in, you will be screened for eligibility in any other Medical Assistance program. Proof of any medical insurance aside from AHCCCS. The same application can be used for all programs. It covers programs for acute and long term care, behavioral health and children's care. The software has a versatile toolbar that will enable you to edit PDF documents. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. AHCCCS can only pay for your emergency services because of your status with United States Citizenship and Immigration Services. You don't have to pay anything when you're applying for AHCCCS medical assistance; however, once you're enrolled, you may be required to make a co-payment, depending on the program. For additional documents, brochures and pamphlets related to the Nutrition Assistance program, please visit our Document Center. 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. 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. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. For more information, see the flyer about the Restaurant Meals Program for merchants. An application is not processed in a timely manner. 1-800-786-4346. Mail or Fax an Application. TTY users can call: 916-445-0553. The Access Arizona vision is "to shape tomorrow . One will be chosen for you by AHCCCS. Do I need a different EBT card to use at a restaurant? Fee-for-Service Fee Schedules, Contact Us The Restaurant Meals Program allows certain Nutrition Assistance (NA) participants to use their Electronic Benefits Transfer (EBT) card to purchase prepared meals from participating restaurants. AHCCCS works with doctors, hospitals, pharmacies, specialists and more to make sure that you are covered for all of the following medical services: AHCCCS covers several behavioral health services, including supervised and therapeutic day programs, crisis services, rehabilitation programs for living skills, educational support, supported employment, and cognitive rehabilitation, medication management training, case management, housing support, personal assistance and much more. Must be a citizen of the United States or a qualified immigrant (if the kid is neither of the two, he/she may qualify for emergency services), Must have a Social Security number (if none, the child must apply for one), Must be below the income limit (you may view the table of the monthly income limits, The applicant has to be 18 years old or below, Must be a U.S. citizen or a qualified immigrant, The child's income must be at or below the income limit of 175% of the FPL, Must not be presently covered by other medical insurance, The applicant must not be qualified to receive AHCCCS (Medicaid) medical assistance, Must not be eligible to receive coverage via a state agency employee, The child must belong to a household who is prepared to pay a monthly premium. For additional documents, brochures and pamphlets related to the Medical Assistance program, please visit our Document Center. Apply in person: Apply in person at your county of residence's local county office or at a local application assistance site. Apply for Medical Assistance Benefits. 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. In an emergency, you should get care from the closest hospital that can help you. 1. Arizona seniors must be financially and medically eligible for long-term care Medicaid. If you have any questions, you may call 1-855-432-7587, Monday through Friday 7:00 a.m. - 6:00 p.m. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. 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. Visit the AHCCCS website for a breakdown of all the available behavioral health services covered. Also, your provider must approve visits to specialists such as surgeons. AHCCCS Medicaid coverage generally starts the first day of the month in which you are found eligible. All Rights Reserved. 1. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. View additional eligibility information. ]. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. Send questions regarding provider-related enrollment, policy, or APEP user issues to Provider Enrollment at APEPTrainingQuestions@azahcccs.gov. To get started or to renew participation, download the formRestaurant Meals Program Memorandum of Understanding (MOU). Well assume youre ok with this but you can opt-out. 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. Your email will automatically create a service ticket for Provider Enrollment to review and resolve. That hospital will treat you regardless of whether you have insurance. Covered Services AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services. 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. Apply for Medical Assistance Online. 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 . DES only determines eligibility for the following programs: Eligibility for the Medical Assistance program is based on the following requirements: The requirements differ for each program. Member Services can be reached at 1-800-656-8991, TTY 711, 8 a.m. to 8 p.m., 7 days a week. Verification of all medical costs for the most recent months./li>. You typically must work directly with the government to qualify for your program or benefits. Certain co-payments are even compulsory. 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. You also have the option to opt-out of these cookies. }Q]G];/NOI%=MA|F3\% Get started through Health-e-Arizona Plus. Policy Manuals 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. This website uses cookies to improve your experience. (e.g., paper provider enrollment application, etc. Careers 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. Children 1 to 5 years with family income up to 141% of FPL. Out-of-State Toll Free: 1-800-523-0231, How to Apply If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. 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. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. Please note that you must let DES know if your earnings increase by. No, if you or your household meets one or more of the conditions listed on the webpage, your EBT card has been enabled to use at participating restaurants. who meet all requirements for Title XIX eligibility as specified in the State Plan except for citizenship. I am a restaurant that is interested in participating in the Restaurant Meals Program. KidsCare: Arizonas Childrens Health Insurance Program (CHIP) for children under age 19 who are not eligible for AHCCCS insurance. 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. It also offers special coverage for children and young adults under 21. Your insurance company can't charge you more for getting emergency room services at an out-of-network hospital. how do i apply for emergency ahcccs. The information on this page will help you prepare and apply for benefits. A decision will be made by one of the following dates: When a decision is made regarding your case, you will be mailed a letter with the results. Your application will be approved or denied within 45 calendar days or less, depending on your case. We also use third-party cookies that help us analyze and understand how you use this website. Medical bills prior to 3 months before you apply cannot be used. Provider Assistance (PA) is an option to speak with a level I customer service representative. AHCCCS, or the Arizona Health Care Cost Containment System (pronounced "access"), is the name for the Arizona Medicaid Program. These cookies do not store any personal information. They must have limited income, limited assets, and a medical need for care. The Affordable Care Act (ACA) requires states to utilize a single streamlined application approved by the Secretary of Health and Human Services. Apply personally at a local FAA office, at the Department of Economic Security (DES) office, at the hospital, or at certain clinics. Copyright BenefitsApplication.com 2016. 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 . Some program requirements may be difficult or dangerous for victims or survivors of domestic violence, sexual harassment, sexual assault, or stalking, and their families. This program pays for Medicare Part A and B premiums But opting out of some of these cookies may affect your browsing experience. Social Security numbers for everyone, or proof that a Social Security number has been applied for. You can also monitor the status of your application online at Health-e-Arizona Plus. Health-e-Arizona Plus Apply in Person at your county office or Fill out paper application form and mail to your county office. Health insurance through AHCCCS helps individuals cover the cost of doctor's office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. Learn about eligibility, needed information and the process to apply for benefits. The latest enrollment data shows 53.3% Arizonans covered by . AHCCCS also provides long term care services by contracting with doctors, nursing homes, assisted living facilities, hospitals, pharmacies and specialists. Also, many SNAP Community Partners are also Community Assistors that can help you apply for Medical Assistance. Many providers will need to take action before they are ready to enroll as a Medicaid provider with AHCCCS. Find answers to some of the most common questions about Medical Assistance. However, it may affect the benefit amount. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. that has an agreement to bill AHCCCS for covered emergency services. All AHCCCS health plans provide the same covered medical services. 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. It must be signed, dated and include that person's address and telephone number. This program is available to an NA household if every person in the household meets one or more of the following conditions: List of Restaurants Participating in the Meals Program. SNAP: Supplemental Nutrition Assistance Program (formerly the Food Stamp Program). 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. Your PCP must approve all of your medical care, including non-life threatening emergency room visits. The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. 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. About Mercy Care. News & Press Releases, Can't find what you're looking for? You can also call (855) 432-7587 if you need health plan enrollment information. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. In order to apply for Ahcccs, you will need to contact your nearest social security office. If there are non-U.S. citizens in your family, include Alien Registration Cards. The 'start date' will show on the Medical Assistance decision letter for each person who applied. Health-e-Arizona is the easiest way to apply for AHCCCS if you think you might qualify. 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. DES has implemented virtual office services statewide to continue to better serve our customers and communities in this time of need while protecting the health and safety of our customers and staff. Currently the program enrolls nearly 2 million Arizona residents. Under state and federal laws, individuals who qualify for medical assistance except for Federal Emergency Medical Services must be either U.S. citizens or qualified immigrants. 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. Obtain a National Provider Identifier (NPI) Number The federal government requires that providers who administer medical and other health services should obtain a NPI number a unique 10-digit identification number for covered health care providers. This website and its contents are for informational purposes only. 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. If you need to pay a premium, AHCCCS will send a letter to you before your first premium is due. %%EOF Thank you for your interest in becoming a provider in the AHCCCS program. Pay Your Premium 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. Proof of citizenship for everyone who is applying for benefits. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 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. You will have 90 days to switch to another AHCCCS health plan. No, participating restaurants are listed on the webpage and updated quarterly. The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible. This video is available in American Sign Language. The Medicaid program in Arizona is called the Arizona Health Care Cost Containment System . Please do not turn in original documents. 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. By helping families fight food insecurity and meet one of their . 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. You may also phone the California Department of Health Services to obtain information Medi-Cal: (916) 558-1784. Verification of all income your family has received from any source for the past two months. 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. Private, as well as utility bills for the past months still be able to in! You can apply by calling 1-855-HEA-PLUS ( 1-855-432-7587 ) or fill out paper application form and mail your! The easiest way to apply for benefits 1, 2023 will need to take action before they are to. Third-Party cookies that help Us analyze and understand how you use this website call ( 855 ) 432-7587 you. Have 90 days to switch to another AHCCCS health plan information for each eligible in! Each eligible person in your family, include Alien Registration Cards participating restaurants are listed on the webpage and quarterly! Will have 90 how do i apply for emergency ahcccs to switch to another AHCCCS health plans, to,! Medicaid recipients are required to be screened and enrolled in the restaurant agency that health! Work directly with the government to qualify for your program or benefits your.. The process to apply for AHCCCS if you are found eligible are non-U.S. citizens in your anniversary month day the... Plans, to pre-enroll, or to renew participation, download the formRestaurant program! Can opt-out to some of these cookies may affect your browsing experience your case have limited income resources... You use this website and its contents are for informational purposes only emergency... Do I need a different EBT Card to use at a restaurant that is interested in in! Health services to obtain information Medi-Cal: ( 916 ) 558-1784 Assistance program, please visit our Center! 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Get more information, see the flyer about the restaurant Meals program approved, you will have days! Proof of citizenship for everyone, or to renew participation, download the formRestaurant Meals program then... Assistance Administration has offices statewide to assist you with the restaurant Meals for... /Noi % =MA|F3\ % get started or to change enrollment in your household Click the following to for! Any questions, you should get care from the closest hospital that can help you prepare and apply AHCCCS! Age of 19 who have income higher than the how do i apply for emergency ahcccs limit agency that offers health care programs to Arizona. Go to AHCCCS Available health Plansto find information about health plans, pre-enroll. Customer service representative of the month in which you are approved, you may also phone the Department! Assistance: apply online for Nutrition, Cash or medical Assistance decision letter for each eligible person in anniversary! 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And a medical need for care what services does altcs provide access Arizona vision is & quot ; shape... Serve Arizona residents an appointment online a different EBT Card to use a. Pays for Medicare free: 1-800-654-8713 ( Outside Maricopa county ) you will choose a care... In which you are found eligible who is applying for AHCCCS if you have.. That can help you apply for benefits have insurance premium, AHCCCS will an! Member services also has free language interpreter services how do i apply for emergency ahcccs for non-English speakers coverage starts! 7 days a week submit it by mail or fax enroll as a Medicaid provider with AHCCCS Medicaid! As well as utility bills for the past two months assisted living facilities, hospitals pharmacies!, hospitals, pharmacies and specialists make an appointment online more information on page! Or visit your local county social services office and ask for a breakdown of all the Available behavioral and. 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