Member Services also has free language interpreter services available for non-English speakers. If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. The process can be completed through Health-e-Arizona Plus. Find your DES local office. The statement must be made by a non-relative who doesnt live with you. Ensure a Certified W9 is On File Any provider who will be receiving state/federal funds for services rendered or provided to Medicaid recipients must have a certified W9 tax form on file with the State. You must also be under the income limit, which varies depending on your age and size of your household. 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. Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. Social Security numbers for everyone, or proof that a Social Security number has been applied for. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. You may also report Medicaid fraud by calling (toll free) 1-800-533-0686. Find out what programs are available and where to go for assistance. In Arizona, this is completed through the Health-e-Arizona Plus (HEAplus) online application. AHCCCS offers health insurance for pregnant women who meet income and eligibility requirements. Arizonas Medicaid health insurance. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. 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. Proof of citizenship for everyone who is applying for benefits. The easiest way to apply for benefits is online through Health-e-Arizona Plus. The vast majority are ages 64 and younger. Ready to apply? Find out which information you may need to provide to determine eligibility. Mail or Fax an Application. Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. About Mercy Care. You can then complete the application and submit it by mail or fax. Our Mission is to make Arizona stronger by helping Arizonans reach their full . Visit the Medi-Cal website. If you are approved, you will choose a primary care doctor that works with that health plan. Necessary cookies are absolutely essential for the website to function properly. You can also contact Community Assistors which help people complete and submit their Medical Assistance application. Learn how to report a change to your existing Nutrition Assistance case. Call or visit your local county social services office and ask for a Medi-Cal application. 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, or the Arizona Health Care Cost Containment System (pronounced "access"), is the name for the Arizona Medicaid Program. Medical bills prior to 3 months before you apply cannot be used. The software has a versatile toolbar that will enable you to edit PDF documents. This may also include the deli section of a participating grocery store. 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. These specialists can be reached at (602) 344-2550 or by visiting www.valleywisehealth.org/patients. About 65% of Valleywise patients utilize the Arizona Health Care Cost Containment System (written AHCCCS and pronounced access). You can apply online for AHCCCS Medical Assistance, Nutrition Assistance, and Cash Assistance using Health-e-Arizona Plus (HEAplus). No, participating restaurants are listed on the webpage and updated quarterly. 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. 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. 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. Arizonas food and nutrition support for families. 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. endstream endobj 2198 0 obj <. Apply for Medical Assistance Online. If you do not provide the requested information by the due date, your eligibility will be stopped. 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 call us to choose your PCP, you will be assigned to the BCBSAZ Health Choice PCP who is closest to your home. Careers Download the FA-001-FF application by clicking. If there are non-U.S. citizens in your family, include Alien Registration Cards. You also have the option to opt-out of these cookies. Get started through Health-e-Arizona Plus. 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. You must keep proof of your income and child care expenses over the six-month period and give it to DES at your review. (For additional instructions, see the Frequently Asked Question (FAQ) in Health-e-Arizona Plus titled 'How do I fax documents to HEAplus'). 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. AHCCCS is Arizona's Medicaid program. 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. Phone: 602-417-4000 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. AHCCCS Medicaid coverage generally starts the first day of the month in which you are found eligible. 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. A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible. 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. Many providers will need to take action before they are ready to enroll as a Medicaid provider with AHCCCS. 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.). The Cash Assistance program provides temporary cash benefits and supportive services to the neediest of Arizona's children and their families. If you used the Health-e-Arizona website for applying, you may monitor the status on its home page by clicking here. Your insurance company can't charge you more for getting emergency room services at an out-of-network hospital. 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. To qualify, you must be an Arizona resident with citizenship or qualified immigration status. You can apply for yourself, your family, or someone close to 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. Learn about eligibility, needed information and the process to apply for benefits. Proof of life insurance, retirement plans, securities, and savings bonds. 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. This video is available in American Sign Language. We also use third-party cookies that help us analyze and understand how you use this website. 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. In order to apply for Ahcccs, you will need to contact your nearest social security office. 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. You can find a Community Assistor in your ZIP Code on the Get Help screen of Health-e-Arizona Plus. Apply in person: Apply in person at your county of residence's local county office or at a local application assistance site. If you dont select one. AHCCCSOnline Website 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. Getting emergency care. Children 6 to 18 with family income up to 133% of FPL. Apply food stamp application form online on your state website. That hospital will treat you regardless of whether you have insurance. If you have any questions, you may call 1-855-432-7587, Monday through Friday 7:00 a.m. - 6:00 p.m. For more information, see the flyer about the Restaurant Meals Program for merchants. You can then complete the application and submit it by mail or fax. This website uses cookies to improve your experience. 3. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. Insurance plans cant make you pay more in. Your PCP must approve all of your medical care, including non-life threatening emergency room visits. It must be signed, dated and include that person's address and telephone number. Some details must be faxed to complete your application. (e.g., paper provider enrollment application, etc. This program pays for Medicare Part A and B premiums Verification of all medical costs for the most recent months./li>. 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. This website uses cookies to improve your experience while you navigate through the website. Last Updated: February 24, 2021 at 3:23 am. Go to AHCCCS Available Health Plansto find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. If you need additional support, you can work with a Community Assistor to complete the application process. 7500 Security Boulevard, Baltimore, MD 21244. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Sources: One will be chosen for you by AHCCCS. Do I need a different EBT card to use at a restaurant? You also can call the telephone number on the back of your EBT card and open a dispute claim. When families are eligible for AHCCCS Health Insurance and an increase in their earnings cause them to no longer be eligible for family coverage, they may be eligible for AHCCCS Health Insurance under Transitional Medical Assistance. Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. 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. Arizona's Medicaid Program will cover the following: Medical expenses including doctor visits and prescription medications. What do I need to do? Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. Arizona seniors must be financially and medically eligible for long-term care Medicaid. KidsCare for uninsured children under the age of 19 who have income higher than the Medicaid limit. The information on this page will help you prepare and apply for benefits. BenefitsApplication.com is not a government website or a government agency. You are required to report any changes that may affect your Medical Assistance eligibility. Please do not turn in original documents. This website and its contents are for informational purposes only. It covers programs for acute and long term care, behavioral health and children's care. That hospital will treat you regardless of whether you have insurance. BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross Blue Shield of Arizona. Do restaurants charge sales tax for meals? endstream endobj startxref A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Currently the program enrolls nearly 2 million Arizona residents. You can also call (855) 432-7587 if you need health plan enrollment information. AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services. It can be done from any device, anywhere at any moment! Nutrition Assistance (formerly the Food Stamp Program) is Arizonas program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). You can also contact our Consolidated Customer Service Center at 1-800-283-4465. Individuals must meet certain income and other requirements to obtain services. For additional documents, brochures and pamphlets related to the Nutrition Assistance program, please visit our Document Center. Beneficiaries of this program are provides with a debit card that can only be used at authorized grocery . Yn@ 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. You can use Health-e-Arizona Plus even if you have applied before or are currently receiving benefits. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. A statement verifying your address and the names of everyone living with you. View additional eligibility information. The process for requesting a reasonable modification can be found at, Arizona Adult Protective Services Action Plan, Change Report for Nutrition, Cash, and Medical Assistance Benefits, Publications for Nutrition, Cash, and Medical Assistance Benefits, Work Requirements for Able-Bodied Adults Without Dependents, The Emergency Food Assistance Program (TEFAP), Senior Farmers Markets Nutrition Program (SFMNP), WIC Farmers Markets Nutrition Program (FMNP), Cash and Nutrition Assistance Policy Manual, USDA Programs Nondiscrimination Statements, World Elder Abuse Awareness Day Conference, Senior Community Service Employment Program, Workforce Innovation and Opportunity Act (WIOA), flyer about the Restaurant Meals Program for merchants, Restaurant Meals Program Memorandum of Understanding (MOU), USDA Food and Nutrition Service authorized Arizona to participate in the Supplemental Nutrition Assistance Program (SNAP) Online Purchasing Pilot, Women, Infants, and Children (WIC) Farmers Market Nutrition Program, Equal Opportunity and Reasonable Modification, Is homeless and does not have a fixed or regular nighttime residence. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. Before choosing a health plan, check with your doctor, pharmacy or hospital to see if they work with the plan that you want. To update your information, you may go online to https://www.healthearizonaplus.gov. AHCCCS insurance covers you and your family for doctor visits, vaccines, prescriptions, emergency care, hospitalizations and more. Subscribe to Newsletters Nutrition Assistance recipients will be able to make online purchases for grocery items with authorized SNAP retailers. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. 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. Give us all requested information as soon as possible. Proof of mortgage or rent, as well as utility bills for the past months. Ready to apply? You may also phone the California Department of Health Services to obtain information Medi-Cal: (916) 558-1784. 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. The 'start date' will show on the Medical Assistance decision letter for each person who applied. You will have 90 days to switch to another AHCCCS health plan. Learn about eligibility, needed information and the process to apply for benefits. . The Affordable Care Act (ACA) requires states to utilize a single streamlined application approved by the Secretary of Health and Human Services. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We do not claim responsibility for its accuracy. 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. 1. Need to apply for AHCCCS, KidsCare, Medicare Savings Program, SNAP, and TANF? Birth certificates for everyone who is applying for benefits. Send questions regarding provider-related enrollment, policy, or APEP user issues to Provider Enrollment at APEPTrainingQuestions@azahcccs.gov. Submit the current version of the Provider Enrollment application AHCCCS revised the provider enrollment application in January 2020 to align with the AHCCCS Provider Enrollment Portal (APEP). Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Box 19009 You will receive a letter indicating whether you have mandatory co-payments. You can apply for medical coverage through AHCCCS, Nutrition Assistance (formerly know as the Food Stamp program), and Cash Assistance. 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. B - UFC/ACC health plan offers our members: Proof of any medical insurance aside from AHCCCS. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. If you have questions about AHCCCS coverage at Valleywise Health, call 1 (833) VLLYWSE. The cost of long-term care in an approved Medicaid Facilities. Medicare Savings Program: This is a program for individuals on low income that are eligible for Medicare. This depends on the plan that you chose and the hospital you go to. Applicants are assigned a case manager to coordinate their care. In-person services may be unavailable or limited in manners that support social distancing. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Pressing the button down below will open our PDF tool. For additional documents, brochures and pamphlets related to the Medical Assistance program, please visit our Document Center. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. If you need assistance, please contact us. 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 . 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), AHCCCS Health Insurance Frequently Asked Questions, Equal Opportunity and Reasonable Modification, Your family received AHCCCS Health Insurance benefits in Arizona in three of the last six months; AND, The person working is the parent or other relative caring for a minor child in the home. Covered Services All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). Medicaid for adults and children with limited income. They will also help you understand eligibility rules and what may be required of you to participate in the program. ]. Applicants will receive a medical assistance letter that contains the official start date. Phoenix, Arizona 85005-9009. 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 . Health-e-Arizona Plus The Medicaid program in Arizona is called the Arizona Health Care Cost Containment System . %PDF-1.6 % Apply in Person at your county office or Fill out paper application form and mail to your county office. 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 Get more information on billing and insurance, so you can focus on your health without worrying about the cost. Start Today. 2. https://www.azahcccs.gov/ 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. 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