Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. 1. 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 Arizona's Medicaid Program will cover the following: Medical expenses including doctor visits and prescription medications. DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. If you were charged sales tax in error, you should first attempt to resolve this with the restaurant. Send questions regarding provider-related enrollment, policy, or APEP user issues to Provider Enrollment at APEPTrainingQuestions@azahcccs.gov. Enrollment in BCBSAZ Health Choice Pathway (HMO D-SNP) depends on contract renewal. Some co-payments are mandatory; the medical provider may not provide service if the mandatory co-payment is not paid. Verification of all income your family has received from any source for the past two months. For additional documents, brochures and pamphlets related to the Medical Assistance program, please visit our Document Center. You should review your receipts before leaving the restaurant. Your email will automatically create a service ticket for Provider Enrollment to review and resolve. AHCCCS Medicaid coverage generally starts the first day of the month in which you are found eligible. Your application will be approved or denied within 45 calendar days or less, depending on your case. 3. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. Last Updated: February 24, 2021 at 3:23 am. 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. TTY users can call: 916-445-0553. We can assist you. 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. Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. Mail or Fax an Application. They will also help you understand eligibility rules and what may be required of you to participate in the program. You can also contact Community Assistors which help people complete and submit their Medical Assistance application. You typically must work directly with the government to qualify for your program or benefits. 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. AHCCCS is available to: Children birth to 1 year with family income up to 147% of the federal poverty level. Apply in Person at your county office or Fill out paper application form and mail to your county office. If this process seems daunting, Valleywise Health is here to help as Eligibility Specialists are available to field your questions (in English and Spanish), help you determine your eligibility and help you begin the process of applying and receiving coverage. It must be signed, dated and include that person's address and telephone number. Instructions on how to do so are included in the application. In Arizona, one in every three residents, or 2.5 million Arizonans, is enrolled in AHCCCS. Careers Your PCP must approve all of your medical care, including non-life threatening emergency room visits. that has an agreement to bill AHCCCS for covered emergency services. Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. If you are approved, you will choose a primary care doctor that works with that health plan. You must keep proof of your income and child care expenses over the six-month period and give it to DES at your review. idcs-56b6e9015b5b403987f3105c0544879a.identity.oraclecloud.com 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. Out-of-State Toll Free: 1-800-523-0231, How to Apply Your insurance company can't charge you more for getting emergency room services at an out-of-network hospital. Learn about eligibility, needed information and the process to apply for benefits. 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. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. 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. 1. What if there is a restaurant I would like to be involved with the Restaurant Meals Program? You can then complete the application and submit it by mail or fax. ), APEP Training (videos, documents, training sessions), Provider Enrollment Application & Provider Participation Agreement, Phone: 602-417-4000 You can then complete the application and submit it by mail or fax. (e.g., paper provider enrollment application, etc. 2197 0 obj <> endobj Learn more about how AHCCCS is planning for the end of the Public Health Emergency. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. 0 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. Obtain a National Provider Identifier (NPI) Number The federal government requires that providers who administer medical and other health services should obtain a NPI number a unique 10-digit identification number for covered health care providers. The 'start date' will show on the Medical Assistance decision letter for each person who applied. 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. 1. Benefits begin based on the date the application was submitted. The process can be completed through Health-e-Arizona Plus. Nutrition Assistance (formerly the Food Stamp Program) is Arizonas program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). Certain co-payments are even compulsory. The Cash Assistance program provides temporary cash benefits and supportive services to the neediest of Arizona's children and their families. AHCCCS offers health insurance for pregnant women who meet income and eligibility requirements. Health-e-Arizona also lets you apply for other benefits, like Nutrition Assistance (formerly Food Stamps), at the same time. Your insurance company can't charge you more for getting emergency room services at an out-of-network hospital. I am a restaurant that is interested in participating in the Restaurant Meals Program. Before choosing a health plan, check with your doctor, pharmacy or hospital to see if they work with the plan that you want. (For additional instructions, see the Frequently Asked Question (FAQ) in Health-e-Arizona Plus titled 'How do I fax documents to HEAplus'). Social Security numbers (if none, verification that a Social Security number has already been applied for). The vast majority are ages 64 and younger. Copyright BenefitsApplication.com 2016. d|p3ft7k[L[31\~Z(C]x2pl }Q]G];/NOI%=MA|F3\% 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. Instructions on how to do so are included in the application. Apply Now! The same application can be used for all programs. Provider Enrollment has established a fax and email address to specifically send paper-related documents. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. 7500 Security Boulevard, Baltimore, MD 21244. Verification of all medical costs for the most recent months./li>. Please do not turn in original documents. Proof of life insurance, retirement plans, securities, and savings bonds. You can use Health-e-Arizona Plus even if you have applied before or are currently receiving benefits. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Medical bills prior to 3 months before you apply cannot be used. You must also be under the income limit, which varies depending on your age and size of your household. Health-e-Arizona is the easiest way to apply for AHCCCS if you think you might qualify. You can then complete the application and submit it by mail or fax. Pressing the button down below will open our PDF tool. 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. The Access Arizona vision is "to shape tomorrow . These cookies will be stored in your browser only with your consent. 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 may call you or send you a letter if we need any other information or proof to decide your case. Download the FA-001-FF application by clicking. One will be chosen for you by AHCCCS. Restaurants should not be charging sales tax when you purchase your meal using your EBT card. 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. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. 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. Our Mission is to make Arizona stronger by helping Arizonans reach their full . Applicants will receive a medical assistance letter that contains the official start date. To get started or to renew participation, download the formRestaurant Meals Program Memorandum of Understanding (MOU). Check if you qualify for a Special Enrollment Period. 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. 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 . To qualify, you must be an Arizona resident with U.S. citizenship or qualified immigration status. Member Services also has free language interpreter services available for non-English speakers. Citizenship and qualified non-citizen status. Get started through Health-e-Arizona Plus. If you need assistance, please contact us. endstream endobj startxref 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. Visit the Medi-Cal website. Some details must be faxed to complete your application. You will receive a letter indicating whether you have mandatory co-payments. In a true emergency, go straight to the hospital. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. In Arizona, this is completed through the Health-e-Arizona Plus (HEAplus) online application. Verification of any medical insurance other than AHCCCS. You will have 90 days to switch to another AHCCCS health plan. KidsCare: Arizonas Childrens Health Insurance Program (CHIP) for children under age 19 who are not eligible for AHCCCS insurance. For all programs, brochures and pamphlets related to the medical Assistance letter that contains the official date. Were charged sales tax in error, you will have 90 days to to! Who applied in error, you will have 90 days to switch to AHCCCS. Calendar days or less, depending on your age and size of your household application...., retirement plans, securities, and savings bonds how to do are! 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