Sources: By helping families fight food insecurity and meet one of their . You can apply online for AHCCCS Medical Assistance, Nutrition Assistance, and Cash Assistance using Health-e-Arizona Plus (HEAplus). Medicare Savings Program: This is a program for individuals on low income that are eligible for Medicare. Arizona seniors must be financially and medically eligible for long-term care Medicaid. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. AHCCCS: Arizona Health Care Cost Containment System. It also offers special coverage for children and young adults under 21. 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. Not many people are aware about what services does altcs provide. The cost of long-term care in an approved Medicaid Facilities. 2246 0 obj <>stream AHCCCS is available to: Children birth to 1 year with family income up to 147% of the federal poverty level. In Arizona, this is completed through the Health-e-Arizona Plus (HEAplus) online application. Health-e-Arizona also lets you apply for other benefits, like Nutrition Assistance (formerly Food Stamps), at the same time. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. When seeking medical services, you may have to make a co-payment. that has an agreement to bill AHCCCS for covered emergency services. Mail or Fax an Application. Do not voluntarily withdraw from AHCCCS Health Insurance just because your earnings increase. Our PA representatives are skilled to provide help to many basic enrollment questions. It can be done from any device, anywhere at any moment! 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. Learn more about how AHCCCS is planning for the end of the Public Health Emergency. 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. 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. Member Services also has free language interpreter services available for non-English speakers. Renew any Professional Certifications or Licensures Providers must maintain current certification or licensure as a condition of participation in the Medicaid Program. Provider Assistance Unit: (602) 417-7670 option 5. Out-of-State Toll Free: 1-800-523-0231, How to Apply 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. The following authorized SNAP retailers accept EBT payment for online transactions: View frequently asked questions related to SNAP Online Purchasing. 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. 2. This website and its contents are for informational purposes only. Check if you qualify for a Special Enrollment Period. Well assume youre ok with this but you can opt-out. We may call you or send you a letter if we need any other information or proof to decide your case. Do restaurants charge sales tax for meals? All AHCCCS health plans provide the same covered medical services. Ready to apply? The co-payment may be waived by the medical provider. 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. | $"GJGj H1Vx@% %`l@Av|7u@Zc`fM`T`e The Affordable Care Act (ACA) requires states to utilize a single streamlined application approved by the Secretary of Health and Human Services. 1. This video is available in American Sign Language. Once your application is submitted, your food stamp office will send you a notice regarding your eligibility. Need help with applying? Social Security numbers (if none, verification that a Social Security number has already been applied for). If you have questions about AHCCCS coverage at Valleywise Health, call 1 (833) VLLYWSE. Policy Manuals . To update your information, you may go online to https://www.healthearizonaplus.gov. You can also monitor the status of your application online at Health-e-Arizona Plus. To qualify, you must be an Arizona resident with citizenship or qualified immigration status. 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. hb```@RAb,'@B!U!su2&O1 nw8X9lMV?Id+MSY6 L.I5#o4)se3%}g Call or visit your local county social services office and ask for a Medi-Cal application. BenefitsApplication.com is not a government website or a government agency. You can also call (855) 432-7587 if you need health plan enrollment information. Apply food stamp application form online on your state website. What do I need to do? 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. Nutrition Assistance (formerly the Food Stamp Program) is Arizonas program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). In a true emergency, go straight to the hospital. Some medical assistance programs may require the participant to make a co-payment when receiving medical services. Give us all requested information as soon as possible. All Rights Reserved. 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. Enter your zip code to get started. This includes Nursing facilities and under the HCBS program assisted living facilities and . 2. https://www.azahcccs.gov/ Your email will automatically create a service ticket for Provider Enrollment to review and resolve. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Contact the community assistor's office by telephone. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. 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. 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. 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. (For additional instructions, see the Frequently Asked Question (FAQ) in Health-e-Arizona Plus titled 'How do I fax documents to HEAplus'). Instructions on how to do so are included in the application. 7500 Security Boulevard, Baltimore, MD 21244. 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. Health Insurance for Children, Provider Enrollment The information on this page will help you prepare and apply for benefits. Start Today. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. 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. AHCCCS offers health insurance for pregnant women who meet income and eligibility requirements. Out-of-State Toll Free: 1-800-523-0231, How to Apply Apply personally at a local FAA office, at the Department of Economic Security (DES) office, at the hospital, or at certain clinics. 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 . 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. 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. 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. There are no fees for applying for medical assistance. Complete bank statement for the past months. These cookies do not store any personal information. Subscribe to Newsletters 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. Individuals who have B - UFC/ACC have qualified for the Arizona Health Care Cost Containment System (AHCCCS). If eligibility cannot be determined, you will be sent a pre-populated renewal form with a Request for Information letter describing the information needed to complete the renewal. endstream endobj 2198 0 obj <. Some program requirements may be difficult or dangerous for victims or survivors of domestic violence, sexual harassment, sexual assault, or stalking, and their families. Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. This video is available in American Sign Language. All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). These specialists can be reached at (602) 344-2550 or by visiting www.valleywisehealth.org/patients. You must keep proof of your income and child care expenses over the six-month period and give it to DES at your review. Do all restaurants participate in the Restaurant Meals Program? AHCCCS works by having you choose a health plan that covers your zip code area. However, it may affect the benefit amount. The easiest way to apply for benefits is online through Health-e-Arizona Plus. Fee-for-Service Fee Schedules, Contact Us Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. 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. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. Member Services can be reached at 1-800-656-8991, TTY 711, 8 a.m. to 8 p.m., 7 days a week. For additional documents, brochures and pamphlets related to the Nutrition Assistance program, please visit our Document Center. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. AHCCCS is Arizona's Medicaid program that provides health insurance for people with limited income and resources. (e.g., paper provider enrollment application, etc. Pressing the button down below will open our PDF tool. Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. Verification of all income your family has received from any source for the past two months. 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. Insurers cant require you to get prior approval before getting emergency room services from a provider or hospital outside your plans network. What can I do if I disagree with the decision? Arizonas Medicaid health insurance. Children 6 to 18 with family income up to 133% of FPL. View additional eligibility information. You typically must work directly with the government to qualify for your program or benefits. The KidsCare II eligibility requirements are the following: You may view the tables showing the income limits at 175% of the FPL and the KidsCare II premium amounts by clicking here. If you are approved, you will choose a primary care doctor that works with that health plan. Through the Double Up Food Bucks Program, individuals receiving Nutrition Assistance can take home twice as many fruits and vegetables when they use their benefits at select farmers markets, CSAs, farm stands, and corner stores. Many providers will need to take action before they are ready to enroll as a Medicaid provider with AHCCCS. Learn how to report a change to your existing Nutrition Assistance case. Proof of any medical insurance aside from AHCCCS. 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. If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. You can use Health-e-Arizona Plus even if you have applied before or are currently receiving benefits. You can apply for yourself, your family, or someone close to you. Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. Retailers who are interested in online purchasing for SNAP EBT must meet USDA Food and Nutrition Service (FNS) requirements and obtain authorization to participate. 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 can find the information on AHCCCS Covered Medical Services. 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. Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. Go to AHCCCS Available Health Plans to find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. To get started or to renew participation, download the formRestaurant Meals Program Memorandum of Understanding (MOU). BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross Blue Shield of Arizona. Do you know how to access Arizonas Medicaid program? Also, many SNAP Community Partners are also Community Assistors that can help you apply for Medical Assistance. Find out what programs are available and where to go for assistance. Instructions on how to do so are included in the application. 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. For additional documents, brochures and pamphlets related to the Medical Assistance program, please visit our Document Center. Policy Manuals With Health-e-Arizona Plus, you can . 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. We will keep all information you provide private, as required by law. 2197 0 obj <> endobj That hospital will treat you regardless of whether you have insurance. The process can be completed through Health-e-Arizona Plus. Find out if you qualify for a Special Enrollment Period. 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. 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. Find your DES local office. 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. 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. 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. You also can call the telephone number on the back of your EBT card and open a dispute claim. There are no fees for applying for AHCCCS. Send questions regarding provider-related enrollment, policy, or APEP user issues to Provider Enrollment at APEPTrainingQuestions@azahcccs.gov. This tool enables one to access this form quickly. How do I provide additional information, when requested? 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. News & Press Releases, Can't find what you're looking for? In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) In an emergency, you should get care from the closest hospital that can help you. 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. If you dont select one. 1-800-786-4346. P.O. Some co-payments are mandatory; the medical provider may not provide service if the mandatory co-payment is not paid. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Get started through Health-e-Arizona Plus. Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. You will receive a letter telling you who your . Fee-for-Service Fee Schedules, Contact Us The latest enrollment data shows 53.3% Arizonans covered by . ), APEP Training (videos, documents, training sessions), Provider Enrollment Application & Provider Participation Agreement, Phone: 602-417-4000 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. When you apply for Medical Assistance online, you can either upload requested information or fax it. 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. Federal Emergency Services (Health Program ID #000850). You may also report Medicaid fraud by calling (toll free) 1-800-533-0686. The Health Insurance offered by the AHCCCS for eligible children does not have monthly premiums for those who qualify. AHCCCS provides emergency health care services through the Federal Emergency Services Program (FESP) for qualified and nonqualified aliens, as specified in 8 USC 1611 et seq. 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. Apply food stamp application form online on your state website. AHCCCS also provides long term care services by contracting with doctors, nursing homes, assisted living facilities, hospitals, pharmacies and specialists. AHCCCS can only pay for your emergency services because of your status with United States Citizenship and Immigration Services. What if there is a restaurant I would like to be involved with the Restaurant Meals Program? Apply in person: Apply in person at your county of residence's local county office or at a local application assistance site. An application is not processed in a timely manner. This depends on the plan that you chose and the hospital you go to. DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. 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. Medicaid for adults and children with limited income. Apply by phone: Call 1-800-221-3943 / State Relay: 711. Apply in Person at your county office or Fill out paper application form and mail to your county office. Health-e-Arizona Plus Subscribe to Newsletters The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. I'm having an emergency. AHCCCS insurance covers you and your family for doctor visits, vaccines, prescriptions, emergency care, hospitalizations and more. Cash Assistance helps families meet their basic needs for well-being and safety and serves as their path to self-sufficiency. If you used the Health-e-Arizona website for applying, you may monitor the status on its home page by clicking here. 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. 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. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. 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 . Arizonas food and nutrition support for families. AHCCCS is Arizonas Medicaid program that provides health insurance for people with limited income and resources. Speak with your eligibility specialist, to determine whether you may be exempt from these requirements. To make sure your enrollment experience is as quick and efficient as possible; please investigate whether you need to complete any of these prerequisite steps before you attempt to submit your application. Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. 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. AHCCCS offers many different medical programs. Provider Enrollment has established a fax and email address to specifically send paper-related documents. Box 19009 Health-e-Arizona is the easiest way to apply for AHCCCS if you think you might qualify. All legal service programs in Arizona differ, and their criteria for accepting cases vary as well. 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. 1. They will also help you understand eligibility rules and what may be required of you to participate in the program. Visit the Medi-Cal website. Code area: by helping families fight food insecurity and meet one of their care hospitalizations... That covers your zip code area assisted living facilities, hospitals, pharmacies and specialists services. You by calling 1-855-HEA-PLUS ( 1-855-432-7587 ) or fill out an application is submitted your... To https: //www.healthearizonaplus.gov a co-payment when receiving medical services Assistance, Assistance! Who have B - UFC/ACC have qualified for the Arizona health care cost Containment System ( AHCCCS.! 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