Proof of citizenship for everyone who is applying for benefits. But opting out of some of these cookies may affect your browsing experience. Out-of-State Toll Free: 1-800-523-0231, How to Apply 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. Speak with your eligibility specialist, to determine whether you may be exempt from these requirements. The information on this page will help you prepare and apply for benefits. 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. We also use third-party cookies that help us analyze and understand how you use this website. I am a restaurant that is interested in participating in the Restaurant Meals Program. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. Many providers will need to take action before they are ready to enroll as a Medicaid provider with AHCCCS. Provider Enrollment has established a fax and email address to specifically send paper-related documents. The same application can be used for all programs. AHCCCS is Arizona's Medicaid program. 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. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. You also can call the telephone number on the back of your EBT card and open a dispute claim. 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. Please note that you must let DES know if your earnings increase by. When you apply for Medical Assistance online, you can either upload requested information or fax it. Pay Your Premium Give us all requested information as soon as possible. Apply in Person at your county office or Fill out paper application form and mail to your county office. The Affordable Care Act (ACA) requires states to utilize a single streamlined application approved by the Secretary of Health and Human Services. 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. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. Nutrition Assistance (formerly the Food Stamp Program) is Arizona's program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). You will have 90 days to switch to another AHCCCS health plan. AHCCCS: Arizona Health Care Cost Containment System. Find out what programs are available and where to go for assistance. Find out which information you may need to provide to determine eligibility. Name and contact information of neighbor or landlord. It can be done from any device, anywhere at any moment! 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. AHCCCSOnline Website Coverage for Medical Assistance in most cases begins the first day of the month that you are found eligible. Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. 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. that has an agreement to bill AHCCCS for covered emergency services. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Look for signs that the restaurant accepts EBT. You can find a Community Assistor in your ZIP Code on the Get Help screen of Health-e-Arizona Plus. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. Children 6 to 18 with family income up to 133% of FPL. 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. To get started or to renew participation, download the formRestaurant Meals Program Memorandum of Understanding (MOU). Children 1 to 5 years with family income up to 141% of FPL. In Arizona, this is completed through the Health-e-Arizona Plus (HEAplus) online application. 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. 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. Policy Manuals Learn about eligibility, needed information and the process to apply for benefits. Health Insurance for Children, Provider Enrollment You will receive a letter indicating whether you have mandatory co-payments. Arizona's Medicaid Program will cover the following: Medical expenses including doctor visits and prescription medications. Once your application is submitted, the Community Assistor may also help you get and submit verification documents (for example: pay stubs, proof of citizenship or legal resident status, etc.). 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. Find out what kind of coverage youre eligible for and how to apply for AHCCCS. Also, many SNAP Community Partners are also Community Assistors that can help you apply for Medical Assistance. If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. Certain co-payments are even compulsory. Contact the community assistor's office by telephone. What if there is a restaurant I would like to be involved with the Restaurant Meals Program? B - UFC/ACC health plan offers our members: Medicare Savings Program: This is a program for individuals on low income that are eligible for Medicare. AHCCCS, or the Arizona Health Care Cost Containment System (pronounced "access"), is the name for the Arizona Medicaid Program. Health-e-Arizona Plus is an on-line application for Arizona Residents. Copyright BenefitsApplication.com 2016. Proof of any medical insurance aside from AHCCCS. Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. 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. 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. 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. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. How do I provide additional information, when requested? 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. Please do not turn in original documents. 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. 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.) Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. 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. 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. Nutrition Assistance (formerly the Food Stamp Program) is Arizonas program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. Pressing the button down below will open our PDF tool. Call or visit your local county social services office and ask for a Medi-Cal 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. Apply personally at a local FAA office, at the Department of Economic Security (DES) office, at the hospital, or at certain clinics. 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 covers programs for acute and long term care, behavioral health and childrens care. Renew any Professional Certifications or Licensures Providers must maintain current certification or licensure as a condition of participation in the Medicaid Program. You may also report Medicaid fraud by calling (toll free) 1-800-533-0686. The same application can be used for all programs. Ready to apply? All Rights Reserved. It also offers special coverage for children and young adults under 21. Click the following to apply online for Nutrition, Cash or Medical Assistance: APPLY ONLINE. All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). The co-payment may be waived by the medical provider. Send questions regarding provider-related enrollment, policy, or APEP user issues to Provider Enrollment at APEPTrainingQuestions@azahcccs.gov. TTY users can call: 916-445-0553. If you were charged sales tax in error, you should first attempt to resolve this with the restaurant. Visit the AHCCCS website for a breakdown of all the available behavioral health services covered. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Subscribe to Newsletters Start Today. I'm having an emergency. 7500 Security Boulevard, Baltimore, MD 21244. (e.g., paper provider enrollment application, etc. 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. 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