You can apply for medical coverage through AHCCCS, Nutrition Assistance (formerly know as the Food Stamp program), and Cash Assistance. 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. Some co-payments are mandatory; the medical provider may not provide service if the mandatory co-payment is not paid. Check if you qualify for a Special Enrollment Period. This depends on the plan that you chose and the hospital you go to. Fee-for-Service Fee Schedules, Contact Us Also, your provider must approve visits to specialists such as surgeons. Covered Services The Medicaid program in Arizona is called the Arizona Health Care Cost Containment System . Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. Pay Your Premium They will also help you understand eligibility rules and what may be required of you to participate in the program. Find out what kind of coverage youre eligible for and how to apply for AHCCCS. Instructions on how to do so are included in the application. There are no fees for applying for AHCCCS. What do I need to do? If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. 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. Verification of all medical costs for the most recent months./li>. %PDF-1.6 % that has an agreement to bill AHCCCS for covered emergency services. DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. 1. AHCCCS is available to: Children birth to 1 year with family income up to 147% of the federal poverty level. 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. 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. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. A statement verifying your address and the names of everyone living with you. If you do not provide the requested information by the due date, your eligibility will be stopped. Your PCP must approve all of your medical care, including non-life threatening emergency room visits. Arizonas cash assistance program. The following authorized SNAP retailers accept EBT payment for online transactions: View frequently asked questions related to SNAP Online Purchasing. If you are approved for emergency services only, you may receive medical services from any provider (doctor, hospital, etc.) 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. Look for signs that the restaurant accepts EBT. 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. The process can be completed through Health-e-Arizona Plus. d|p3ft7k[L[31\~Z(C]x2pl However, it may affect the benefit amount. Proof of mortgage or rent, as well as utility bills for the past months. 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. Birth certificates for everyone who is applying for benefits. The information on this page will help you prepare and apply for benefits. Ready to apply? Apply by mail: Download and print a paper application. About 65% of Valleywise patients utilize the Arizona Health Care Cost Containment System (written AHCCCS and pronounced access). This care may be subject to a deductible, for example, or a hospital may have particular rules in place. TTY users can call: 916-445-0553. 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. 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 . Download the FA-001-FF application by clicking. Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. 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. Instructions on how to do so are included in the application. 2246 0 obj <>stream Speak with your eligibility specialist, to determine whether you may be exempt from these requirements. Enrollment in BCBSAZ Health Choice Pathway (HMO D-SNP) depends on contract renewal. 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. KidsCare: Arizonas Childrens Health Insurance Program (CHIP) for children under age 19 who are not eligible for AHCCCS insurance. 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. Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. These cookies do not store any personal information. Medicare Savings Program: This is a program for individuals on low income that are eligible for Medicare. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. This video is available in American Sign Language. AHCCCS offers health insurance for pregnant women who meet income and eligibility requirements. Contact the community assistor's office by telephone. We will keep all information you provide private, as required by law. Your insurance company can't charge you more for getting emergency room services at an out-of-network hospital. When you apply for Medical Assistance online, you can either upload requested information or fax it. Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. You are required to report any changes that may affect your Medical Assistance eligibility. News & Press Releases, Can't find what you're looking for? Get started through Health-e-Arizona Plus. Need help with applying? Apply Now! Learn more about how AHCCCS is planning for the end of the Public Health Emergency. Click the following to apply online for Nutrition, Cash or Medical Assistance: APPLY ONLINE. You can also call (855) 432-7587 if you need health plan enrollment information. You must keep proof of your income and child care expenses over the six-month period and give it to DES at your review. You can then complete the application and submit it by mail or fax. (For additional instructions, see the Frequently Asked Question (FAQ) in Health-e-Arizona Plus titled 'How do I fax documents to HEAplus'). AHCCCS works by having you choose a health plan that covers your zip code . Member Services can be reached at 1-800-656-8991, TTY 711, 8 a.m. to 8 p.m., 7 days a week. It must be signed, dated and include that person's address and telephone number. Apply by phone: Call 1-800-221-3943 / State Relay: 711. AHCCCS Medicaid coverage generally starts the first day of the month in which you are found eligible. Children 1 to 5 years with family income up to 141% of FPL. 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. Need help with applying? Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. 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. (e.g., paper provider enrollment application, etc. 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 . Currently the program enrolls nearly 2 million Arizona residents. Careers Pay Your Premium You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. 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. In an emergency, you should get care from the closest hospital that can help you. 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. Need to apply for AHCCCS, KidsCare, Medicare Savings Program, SNAP, and TANF? Health-e-Arizona Plus Every year, Medicare evaluates plans based on a 5-star rating system. Nutrition Assistance (formerly the Food Stamp Program) is Arizona's program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). 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. To qualify, you must be an Arizona resident with citizenship or qualified immigration status. Learn how to report a change to your existing Nutrition Assistance case. They must have limited income, limited assets, and a medical need for care. In order to apply for Ahcccs, you will need to contact your nearest social security office. All AHCCCS health plans provide the same covered medical services. Insurance plans cant make you pay more in. You can then complete the application and submit it by mail or fax. This video is available in American Sign Language. Verification of any medical insurance other than AHCCCS. Proof of identity and citizenship for each one in your household who is applying for the programs under AHCCCS. You will find the fax cover sheets on the Providing Documents tab of the Health Arizona website . AHCCCS is Arizonas Medicaid program that provides health insurance for people with limited income and resources. 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 may also report Medicaid fraud by calling (toll free) 1-800-533-0686. Give us all requested information as soon as possible. AHCCCS works by having you choose a health plan that covers your zip code area. Ready to apply? Send questions regarding provider-related enrollment, policy, or APEP user issues to Provider Enrollment at APEPTrainingQuestions@azahcccs.gov. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. Subscribe to Newsletters If you have questions about AHCCCS coverage at Valleywise Health, call 1 (833) VLLYWSE. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Out-of-State Toll Free: 1-800-523-0231, How to Apply You can also contact our Consolidated Customer Service Center at 1-800-283-4465. Again, if you need assistance determining your qualification status, consult Valleywise Health Eligibility Specialists by calling (602) 344-2550 or visiting www.valleywisehealth.org/patients. You can also call (855) 432-7587 if you need health plan enrollment information. Health-e-Arizona Plus is an on-line application for Arizona Residents. If you have any questions, you may call 1-855-432-7587, Monday through Friday 7:00 a.m. - 6:00 p.m. Last Updated: February 24, 2021 at 3:23 am. In-person services may be unavailable or limited in manners that support social distancing. Fee-for-Service Fee Schedules, Contact Us 3. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. Learn more about how AHCCCS is planning for the end of the Public Health Emergency. It is recommended that you call the Assistor/Partner before visiting to make sure they offer the service you need and to make an appointment, if needed. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) If you dont select one. Retailers who are interested in online purchasing for SNAP EBT must meet USDA Food and Nutrition Service (FNS) requirements and obtain authorization to participate. This video is available in American Sign Language. Medical bills prior to 3 months before you apply cannot be used. ), APEP Training (videos, documents, training sessions), Provider Enrollment Application & Provider Participation Agreement, Phone: 602-417-4000 There are no fees for applying for medical assistance. This website uses cookies to improve your experience. Find answers to some of the most common questions about Medical Assistance. }Q]G];/NOI%=MA|F3\% The same application can be used for all programs. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Get more information on billing and insurance, so you can focus on your health without worrying about the cost. 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. 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. Instructions on how to do so are included in the application. 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. This category only includes cookies that ensures basic functionalities and security features of the website. Federal Emergency Services (Health Program ID #000850). Under the Department of Human Services (DHS), you may also file other discrimination complaints by contacting your local DFCS office, or the DFCS Civil Rights, ADA/Section 504 Coordinator at 2 Peachtree Street NW, Ste 19-454, Atlanta, GA, 30303, 404-657-3735. Health Insurance for Children, Provider Enrollment 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. Pressing the button down below will open our PDF tool. AHCCCS, or the Arizona Health Care Cost Containment System (pronounced "access"), is the name for the Arizona Medicaid Program. 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 Benefits. 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. Health-e-Arizona is the easiest way to apply for AHCCCS if you think you might qualify. 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. To qualify, you must be an Arizona resident with U.S. citizenship or qualified immigration status. Our PA representatives are skilled to provide help to many basic enrollment questions. You may also phone the California Department of Health Services to obtain information Medi-Cal: (916) 558-1784. For more information, see the flyer about the Restaurant Meals Program for merchants. 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. Find out what programs are available and where to go for assistance. Social Security numbers (if none, verification that a Social Security number has already been applied for). Once your application is submitted, your food stamp office will send you a notice regarding your eligibility. For additional documents, brochures and pamphlets related to the Nutrition Assistance program, please visit our Document Center. In a true emergency, go straight to the hospital. %%EOF Renew any Professional Certifications or Licensures Providers must maintain current certification or licensure as a condition of participation in the Medicaid Program. The information on this page will help you prepare and apply for benefits. Policy Manuals Phone: 602-417-4000 Please note that you must let DES know if your earnings increase by. Provider Assistance (PA) is an option to speak with a level I customer service representative. 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. If you used the Health-e-Arizona website for applying, you may monitor the status on its home page by clicking here. Apply in Person at your county office or Fill out paper application form and mail to your county office. 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. You can also download the form online, fill it out, and mail in to: Arizona Department of Economic Security 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. endstream endobj startxref 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. SNAP: Supplemental Nutrition Assistance Program (formerly the Food Stamp Program). Children 6 to 18 with family income up to 133% of FPL. If you need additional support, you can work with a Community Assistor to complete the application process. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. In an emergency, you should get care from the closest hospital that can help you. Getting emergency care. Call or visit your local county social services office and ask for a Medi-Cal application. how do i apply for emergency ahcccs. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Yn@ Please include a cover sheet with your faxed documents. 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. Currently the program enrolls nearly 2 million Arizona residents. You can use Health-e-Arizona Plus even if you have applied before or are currently receiving benefits. Beneficiaries of this program are provides with a debit card that can only be used at authorized grocery . 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. No, participating restaurants are listed on the webpage and updated quarterly. Arizona seniors must be financially and medically eligible for long-term care Medicaid. If you are unsure about applying for AHCCCS coverage, you can visit their official website to get support. All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). We can assist you. Health Insurance for Children, Provider Enrollment BenefitsApplication.com is not a government website or a government agency. Start Today. You can find a Community Assistor in your ZIP Code on the Get Help screen of Health-e-Arizona Plus. AHCCCS offers many different medical programs. You can apply for yourself, your family, or someone close to you. 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 Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. You also can call the telephone number on the back of your EBT card and open a dispute claim. The easiest way to apply for benefits is online through Health-e-Arizona Plus. 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. 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. Visit the Medi-Cal website. Careers The Affordable Care Act (ACA) requires states to utilize a single streamlined application approved by the Secretary of Health and Human Services. You will have 90 days to switch to another AHCCCS health plan. Get started through Health-e-Arizona Plus. Many providers will need to take action before they are ready to enroll as a Medicaid provider with AHCCCS. A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible. 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. Benefits begin based on the date the application was submitted. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. AHCCCS is Arizona's Medicaid program that provides health insurance for people with limited income and resources. Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. The same application can be used for all programs. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Can apply for benefits button down below will open our PDF tool know if your earnings increase by written and. Us on Google Maps might qualify year, Medicare evaluates plans based on a 5-star rating System insurance company n't. On low income that are eligible for AHCCCS if you need additional support, you should care... As soon as possible, dated and include that person 's address and telephone number and. Can use to purchase nutritious Food Cash Assistance @ azahcccs.gov as utility bills for the end of the in... 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