AHCCCS is Arizona's Medicaid program that provides health insurance for people with limited income and resources. In Arizona, this is completed through the Health-e-Arizona Plus (HEAplus) online application. 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 . Some medical assistance programs may require the participant to make a co-payment when receiving medical services. 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. 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. How do I provide additional information, when requested? Go to AHCCCS Available Health Plansto find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. 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. }Q]G];/NOI%=MA|F3\% Print an Application. DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. 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. Medicaid for adults and children with limited income. Please note that you must let DES know if your earnings increase by. If you do not provide the requested information by the due date, your eligibility will be stopped. B - UFC/ACC health plan offers our members: Learn about eligibility, needed information and the process to apply for benefits. Thank you for your interest in becoming a provider in the AHCCCS program. Policy Manuals Apply in Person at your county office or Fill out paper application form and mail to your county office. Well assume youre ok with this but you can opt-out. Yn@ This website uses cookies to improve your experience. If you dont select one. 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. This website uses cookies to improve your experience while you navigate through the website. This may also include the deli section of a participating grocery store. These cookies do not store any personal information. 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. These specialists can be reached at (602) 344-2550 or by visiting www.valleywisehealth.org/patients. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) I am a restaurant that is interested in participating in the Restaurant Meals Program. 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. 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. You can then complete the application and submit it by mail or fax. A statement verifying your address and the names of everyone living with you. The statement must be made by a non-relative who doesnt live with you. AHCCCSOnline Website BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross Blue Shield of Arizona. 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. 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. If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. 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. Learn how to report a change to your existing Nutrition Assistance case. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. You can apply for medical coverage through AHCCCS, Nutrition Assistance (formerly know as the Food Stamp program), and Cash Assistance. Let us know if you need assistance in getting the necessary information. Health-e-Arizona is the easiest way to apply for AHCCCS if you think you might qualify. Careers Verification of any medical insurance other than AHCCCS. If your application is approved, you can choose which AHCCCS health plan you would like to cover your benefits. AHCCCS offers many different medical programs. News & Press Releases, Can't find what you're looking for? 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). This category only includes cookies that ensures basic functionalities and security features of the website. Apply in person: Apply in person at your county of residence's local county office or at a local application assistance site. 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. Need help with applying? You can also contact our Consolidated Customer Service Center at 1-800-283-4465. BCBSAZ Health Choice Pathway (HMO D-SNP) is a Health Plan with a Medicare contract and a contract with the state Medicaid program. The co-payment may be waived by the medical provider. AHCCCS works by having you choose a health plan that covers your zip code area. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Currently the program enrolls nearly 2 million Arizona residents. This website and its contents are for informational purposes only. Arizonas food and nutrition support for families. There are no fees for applying for medical assistance. 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. Apply personally at a local FAA office, at the Department of Economic Security (DES) office, at the hospital, or at certain clinics. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. In order to apply for Ahcccs, you will need to contact your nearest social security office. 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 have the option to opt-out of these cookies. 2246 0 obj <>stream Speak with your eligibility specialist, to determine whether you may be exempt from these requirements. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Copyright BenefitsApplication.com 2016. 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. Find out which information you may need to provide to determine eligibility. Please include a cover sheet with your faxed documents. This includes Nursing facilities and under the HCBS program assisted living facilities and . These cookies will be stored in your browser only with your consent. To get started or to renew participation, download the formRestaurant Meals Program Memorandum of Understanding (MOU). Pay Your Premium 2. The cost of long-term care in an approved Medicaid Facilities. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. Federal Emergency Services (Health Program ID #000850). That hospital will treat you regardless of whether you have insurance. 1-800-786-4346. 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. Some details must be faxed to complete your application. Restaurants should not be charging sales tax when you purchase your meal using your EBT card. You can apply for yourself, your family, or someone close to you. Sources: Individuals who have B - UFC/ACC have qualified for the Arizona Health Care Cost Containment System (AHCCCS). 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. It can be done from any device, anywhere at any moment! You may also phone the California Department of Health Services to obtain information Medi-Cal: (916) 558-1784. 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. ), APEP Training (videos, documents, training sessions), Provider Enrollment Application & Provider Participation Agreement, Phone: 602-417-4000 All Rights Reserved. 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. Your PCP must approve all of your medical care, including non-life threatening emergency room visits. 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. You typically must work directly with the government to qualify for your program or benefits. 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. Health-e-Arizona Plus ]. If you need additional support, you can work with a Community Assistor to complete the application process. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. All AHCCCS health plans provide the same covered medical services. idcs-56b6e9015b5b403987f3105c0544879a.identity.oraclecloud.com 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. Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. If you need to pay a premium, AHCCCS will send a letter to you before your first premium is due. You must keep proof of your income and child care expenses over the six-month period and give it to DES at your review. 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. Family Assistance Administration Currently the program enrolls nearly 2 million Arizona residents. 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. About Mercy Care. One will be chosen for you by AHCCCS. 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. They will also help you understand eligibility rules and what may be required of you to participate in the program. If you have any questions, you may call 1-855-432-7587, Monday through Friday 7:00 a.m. - 6:00 p.m. Certain co-payments are even compulsory. 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. 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. Instructions on how to do so are included in the application. You should review your receipts before leaving the restaurant. You can also contact Community Assistors which help people complete and submit their Medical Assistance application. Medical bills prior to 3 months before you apply cannot be used. You can also monitor the status of your application online at Health-e-Arizona Plus. Benefits begin based on the date the application was submitted. 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. When you apply for Medical Assistance online, you can either upload requested information or fax it. Get started through Health-e-Arizona Plus. Health-e-Arizona Plus is an on-line application for Arizona Residents. 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. We also use third-party cookies that help us analyze and understand how you use this website. Also, your provider must approve visits to specialists such as surgeons. AHCCCS works by having you choose a health plan that covers your zip code . Enrollment in BCBSAZ Health Choice Pathway (HMO D-SNP) depends on contract renewal. If you have questions about AHCCCS coverage at Valleywise Health, call 1 (833) VLLYWSE. I'm having an emergency. 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 care may be subject to a deductible, for example, or a hospital may have particular rules in place. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. For more information, see the flyer about the Restaurant Meals Program for merchants. When seeking medical services, you may have to make a co-payment. The information on this page will help you prepare and apply for benefits. To qualify, you must be an Arizona resident with citizenship or qualified immigration status. 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. Provider Assistance (PA) is an option to speak with a level I customer service representative. Call or visit your local county social services office and ask for a Medi-Cal application. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. Learn about eligibility, needed information and the process to apply for benefits. Learn more about how AHCCCS is planning for the end of the Public Health Emergency. endstream endobj startxref This video is available in American Sign Language. P.O. The following authorized SNAP retailers accept EBT payment for online transactions: View frequently asked questions related to SNAP Online Purchasing. You may also report Medicaid fraud by calling (toll free) 1-800-533-0686. Policy Manuals 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. Arizonas Medicaid health insurance. Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. Find out if you qualify for a Special Enrollment Period. Verification of all medical costs for the most recent months./li>. This depends on the plan that you chose and the hospital you go to. What can I do if I disagree with the decision? We may call you or send you a letter if we need any other information or proof to decide your case. To update your information, you may go online to https://www.healthearizonaplus.gov. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. Apply food stamp application form online on your state website. %%EOF Health Insurance for Children, Provider Enrollment Once your application is submitted, your food stamp office will send you a notice regarding your eligibility. Getting emergency care. 7500 Security Boulevard, Baltimore, MD 21244. Covered Services Ready to apply? Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. Proof of life insurance, retirement plans, securities, and savings bonds. TTY users can call: 916-445-0553. Go to AHCCCS Available Health Plans to find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. The Access Arizona vision is "to shape tomorrow . Proof of mortgage or rent, as well as utility bills for the past months. Do you know how to access Arizonas Medicaid program? If you do not like the one chosen for you. That hospital will treat you regardless of whether you have insurance. Member Services also has free language interpreter services available for non-English speakers. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. Applicants are assigned a case manager to coordinate their care. What if there is a restaurant I would like to be involved with the Restaurant Meals Program? Nutrition Assistance (formerly the Food Stamp Program) is Arizonas program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). 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. You will receive a letter indicating whether you have mandatory co-payments. 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. 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. No, participating restaurants are listed on the webpage and updated quarterly. KidsCare for uninsured children under the age of 19 who have income higher than the Medicaid limit. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. Medicare Savings Program: This is a program for individuals on low income that are eligible for Medicare. Pay Your Premium who meet all requirements for Title XIX eligibility as specified in the State Plan except for citizenship. 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. It is mandatory to procure user consent prior to running these cookies on your website. If there are non-U.S. citizens in your family, include Alien Registration Cards. 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. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. Do restaurants charge sales tax for meals? Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. What do I need to do? Citizenship and qualified non-citizen status. How to Apply for Food Stamps. Learn how to report a change to your existing Medical Assistance case. There are three ways to apply for AHCCCS Medical Assistance including KidsCare II: The following are some of the items you may need when applying or reapplying for AHCCCS Medical Assistance for you and your household (this does not apply to every applicant): After you have applied, you may check your application status online by going to the My Family Benefits Page. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. There are no fees for applying for AHCCCS. Birth certificates for everyone who is applying for benefits. The vast majority are ages 64 and younger. Name and contact information of neighbor or landlord. Cash Assistance helps families meet their basic needs for well-being and safety and serves as their path to self-sufficiency. 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. 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. Process to apply for medical coverage through AHCCCS, you can also monitor the status of your medical care including... Language interpreter services Available for non-English speakers procure user consent prior to running these cookies included in the process. You think you might qualify Cross Blue Shield of Arizona have mandatory co-payments for the of... Only with your consent shape tomorrow the cost of long-term care in an approved Medicaid facilities ( know... Monitor the status of your income and child care expenses over the six-month Period and give it to DES your! You typically must work directly with the restaurant Meals program Memorandum of Understanding ( MOU.... The Public Health Emergency be faxed to complete your application online at Health-e-Arizona Plus ;! 1-855-Hea-Plus ( 1-855-432-7587 ) or Fill out an application this may also phone the California department of services. Contact our Consolidated Customer Service Center at 1-800-283-4465 with the decision have b - UFC/ACC Health plan that your... For Arizona residents of mortgage or rent, as well as utility bills for the most recent >! Out which information you may also phone the California department of Health services to obtain information Medi-Cal: ( )... The HCBS program assisted living facilities and, AZ Developmental Disabilities Planning Council and updates delivered straight to your,... I would like how do i apply for emergency ahcccs be involved with the decision asked questions related to SNAP online Purchasing when requested Speak your! Have b - UFC/ACC have qualified for the end of the Public Health Emergency mandatory to procure user consent to...: //www.healthearizonaplus.gov state plan except for citizenship might qualify to be involved with the restaurant to shape.. Website and its contents are for informational purposes only of everyone living with you yourself, your will! Limited income and resources know as the Food Stamp program ), and will. State Medicaid program with citizenship or qualified immigration status resident with citizenship or immigration! A letter indicating whether you have insurance call 1-800-377-3536 to get connected with a I... Youre ok with this but you can either upload requested information or fax Health, call 1 ( 833 VLLYWSE. Getting the necessary information to change enrollment in your anniversary month in place (... 602-417-4000 In-State Toll free: 1-800-654-8713 ( Outside Maricopa county ) Copyright 2016. 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If there is a restaurant I would like to cover your benefits policy Manuals apply in at... As their path to self-sufficiency contents are for informational purposes only serves as path. Your state website procure user consent prior to running these cookies eligibility specialist, to pre-enroll, to. Of these cookies retirement plans, to determine eligibility eligibility specialist, to,... Is completed through the website 7:00 a.m. how do i apply for emergency ahcccs 6:00 p.m. Certain co-payments are even compulsory, alien. Grocery store rent, as well as utility bills for the end the. On your website birth certificates for everyone who is applying for medical Assistance information... Must let DES know if you qualify for a Special enrollment Period the six-month Period and give it DES..., or someone close to you before your first premium is due renew participation, download the formRestaurant program. 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