Instructions on how to do so are included in the application. Apply for Medical Assistance Online. 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. Apply by mail: Download and print a paper application. 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. Subscribe to Newsletters Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. How do I provide additional information, when requested? (For additional instructions, see the Frequently Asked Question (FAQ) in Health-e-Arizona Plus titled 'How do I fax documents to HEAplus'). 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. Do I need a different EBT card to use at a restaurant? 0 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. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. These cookies will be stored in your browser only with your consent. Find answers to some of the most common questions about Medical Assistance. 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 are approved for emergency services only, you may receive medical services from any provider (doctor, hospital, etc.) Medicaid for adults and children with limited income. 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. Policy Manuals About Mercy Care. 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. There are no fees for applying for AHCCCS. Proof of mortgage or rent, as well as utility bills for the past months. Some Assistors will be available to guide you through the entire process, and others will provide you with access to computers, scanners, telephones, copy machines and/or fax machines that you can use for free. You can find the information on AHCCCS Covered Medical Services. AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services. Applicants are assigned a case manager to coordinate their care. Provider Assistance Unit: (602) 417-7670 option 5. If you need assistance, please contact us. You can apply for yourself, your family, or someone close to you. Apply food stamp application form online on your state website. how do i apply for emergency ahcccs. Please note that you must let DES know if your earnings increase by. They must have limited income, limited assets, and a medical need for care. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. In a true emergency, go straight to the hospital. hb```@RAb,'@B!U!su2&O1 nw8X9lMV?Id+MSY6 L.I5#o4)se3%}g You will have 90 days to switch to another AHCCCS health plan. 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. Visit the Medi-Cal website. 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. In an emergency, you should get care from the closest hospital that can help you. Download the FA-001-FF application by clicking. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. In-person services may be unavailable or limited in manners that support social distancing. 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. Do all restaurants participate in the Restaurant Meals Program? If you are unsure about applying for AHCCCS coverage, you can visit their official website to get support. 2197 0 obj <> endobj Enrollment in BCBSAZ Health Choice Pathway (HMO D-SNP) depends on contract renewal. You will receive a letter telling you who your . Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. 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. 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 is Arizona's Medicaid program that provides health insurance for people with limited income and resources. Yn@ Ready to apply? Out-of-State Toll Free: 1-800-523-0231, How to Apply 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. For additional documents, brochures and pamphlets related to the Medical Assistance program, please visit our Document Center. However, it may affect the benefit amount. You can use Health-e-Arizona Plus even if you have applied before or are currently receiving benefits. Citizenship and qualified non-citizen status. Insurers cant require you to get prior approval before getting emergency room services from a provider or hospital outside your plans network. This website uses cookies to improve your experience. AHCCCS: Arizona Health Care Cost Containment System. 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. If there is enough information available to determine that you are still eligible, an approval letter is sent. 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. 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. The easiest way to apply for benefits is online through Health-e-Arizona Plus. 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. Some program requirements may be difficult or dangerous for victims or survivors of domestic violence, sexual harassment, sexual assault, or stalking, and their families. It covers programs for acute and long term care, behavioral health and childrens care. 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 following authorized SNAP retailers accept EBT payment for online transactions: View frequently asked questions related to SNAP Online Purchasing. 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 . that has an agreement to bill AHCCCS for covered emergency services. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. 1. 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. The Access Arizona vision is "to shape tomorrow . You can also contact our Consolidated Customer Service Center at 1-800-283-4465. Some medical assistance programs may require the participant to make a co-payment when receiving medical services. You may also begin the application process by phone by calling 1-855-432-7587. 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. Your insurance company can't charge you more for getting emergency room services at an out-of-network hospital. All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). Speak with your eligibility specialist, to determine whether you may be exempt from these requirements. Instructions on how to do so are included in the application. The Department of Health and Human services s Medicaid program that provides Health insurance for people with income... ; to shape tomorrow also begin the application: Download and print a application. 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