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. Beneficiaries of this program are provides with a debit card that can only be used at authorized grocery . Member Services can be reached at 1-800-656-8991, TTY 711, 8 a.m. to 8 p.m., 7 days a week. You can also contact Community Assistors which help people complete and submit their Medical Assistance application. hb```@RAb,'@B!U!su2&O1 nw8X9lMV?Id+MSY6 L.I5#o4)se3%}g Find out which information you may need to provide to determine eligibility. 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. Get started through Health-e-Arizona Plus. 1-800-786-4346. That hospital will treat you regardless of whether you have insurance. It covers programs for acute and long term care, behavioral health and childrens care. idcs-56b6e9015b5b403987f3105c0544879a.identity.oraclecloud.com Benefits begin based on the date the application was submitted. DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. 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. Renew any Professional Certifications or Licensures Providers must maintain current certification or licensure as a condition of participation in the Medicaid Program. The latest enrollment data shows 53.3% Arizonans covered by . 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. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. You also can call the telephone number on the back of your EBT card and open a dispute claim. 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. AHCCCS is Arizona's Medicaid program. You will have 90 days to switch to another AHCCCS health plan. 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. With Health-e-Arizona Plus, you can . How do I provide additional information, when requested? However, it may affect the benefit amount. 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. This tool enables one to access this form quickly. Banner - University Family Care/AHCCCS Complete Care (B - UFC/ACC) is an integrated health insurance plan. It covers programs for acute and long term care, behavioral health and children's care. 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. 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), Equal Opportunity and Reasonable Modification. 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. Thank you for your interest in becoming a provider in the AHCCCS program. You will receive a letter telling you who your . Applicants will receive a medical assistance letter that contains the official start date. 0 If there is enough information available to determine that you are still eligible, an approval letter is sent. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) %%EOF It is mandatory to procure user consent prior to running these cookies on your website. hbbd```b``>"gH u]&jN`k`z`v?dQY`9 F,2 DAd%d\"/La` 2QDO/a`bdPd`W; ; 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. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. Not many people are aware about what services does altcs provide. 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. When you apply for Medical Assistance online, you can either upload requested information or fax it. This category only includes cookies that ensures basic functionalities and security features of the website. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. This may also include the deli section of a participating grocery store. Careers It must be signed, dated and include that person's address and telephone number. Health Insurance for Children, Provider Enrollment About 65% of Valleywise patients utilize the Arizona Health Care Cost Containment System (written AHCCCS and pronounced access). Go to Find an Assistor, enter your ZIP Code to locate community assistors near you for help with the application process. We can assist you. 2246 0 obj <>stream Children 1 to 5 years with family income up to 141% of FPL. Apply in person: Apply in person at your county of residence's local county office or at a local application assistance site. AHCCCSOnline Website Apply by phone: Call 1-800-221-3943 / State Relay: 711. 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. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. %PDF-1.6 % Individuals who have B - UFC/ACC have qualified for the Arizona Health Care Cost Containment System (AHCCCS). Restaurants should not be charging sales tax when you purchase your meal using your EBT card. 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 . AHCCCS: Arizona Health Care Cost Containment System. Many providers will need to take action before they are ready to enroll as a Medicaid provider with AHCCCS. Social Security numbers (if none, verification that a Social Security number has already been applied for). 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. Before choosing a health plan, check with your doctor, pharmacy or hospital to see if they work with the plan that you want. 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. Arizonas Medicaid health insurance. In Arizona, one in every three residents, or 2.5 million Arizonans, is enrolled in AHCCCS. Medicaid for adults and children with limited income. 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. What do I need to do? Ready to apply? These cookies do not store any personal information. B - UFC/ACC health plan offers our members: AHCCCS is available to: Children birth to 1 year with family income up to 147% of the federal poverty level. You should review your receipts before leaving the restaurant. This link will take you away from the Medicare section of healthchoicepathway.com, Click the link above to continue or CANCEL, Grievances, Organization Determinations and Appeals, Prior Authorization & Clinical Guidelines. BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross Blue Shield of Arizona. I am a restaurant that is interested in participating in the Restaurant Meals Program. Please include a cover sheet with your faxed documents. Birth certificates for everyone who is applying for benefits. 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 may also report Medicaid fraud by calling (toll free) 1-800-533-0686. AHCCCS also provides long term care services by contracting with doctors, nursing homes, assisted living facilities, hospitals, pharmacies and specialists. For additional documents, brochures and pamphlets related to the Nutrition Assistance program, please visit our Document Center. Do I need a different EBT card to use at a restaurant? The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible. 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. Citizenship and qualified non-citizen status. 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