If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. Your insurance company can't charge you more for getting emergency room services at an out-of-network hospital. Medical bills prior to 3 months before you apply cannot be used. | $"GJGj H1Vx@% %`l@Av|7u@Zc`fM`T`e AHCCCS, or the Arizona Health Care Cost Containment System (pronounced "access"), is the name for the Arizona Medicaid 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. Instructions on how to do so are included in the application. The easiest way to apply for benefits is online through Health-e-Arizona Plus. 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. 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. Verification of all income your family has received from any source for the past two months. News & Press Releases, Can't find what you're looking for? All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. You can apply for medical coverage through AHCCCS, Nutrition Assistance (formerly know as the Food Stamp program), and Cash Assistance. What can I do if I disagree with the decision? 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. Need help with applying? The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. Please include a cover sheet with your faxed documents. AHCCCS works by having you choose a health plan that covers your zip code area. Benefits begin based on the date the application was submitted. Get more information on billing and insurance, so you can focus on your health without worrying about the cost. The Cash Assistance program provides temporary cash benefits and supportive services to the neediest of Arizona's children and their families. Applicants will receive a medical assistance letter that contains the official start date. You can screen for eligibility to see if you qualify for Medical Assistance; however, the best way to know if you are eligible is to submit a completed application for benefits and go through the application process. DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. The process can be completed through Health-e-Arizona Plus. The vast majority are ages 64 and younger. The latest enrollment data shows 53.3% Arizonans covered by . 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. 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 Insurance for Children, Provider Enrollment 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 process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. Individuals must meet certain income and other requirements to obtain services. Citizenship and qualified non-citizen status. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. Before choosing a health plan, check with your doctor, pharmacy or hospital to see if they work with the plan that you want. Let us know if you need assistance in getting the necessary information. You should review your receipts before leaving the restaurant. Many providers will need to take action before they are ready to enroll as a Medicaid provider with AHCCCS. Check if you qualify for a Special Enrollment Period. 1. Get started through Health-e-Arizona Plus. The same application can be used for all programs. You can also contact our Consolidated Customer Service Center at 1-800-283-4465. 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. Visit the Medi-Cal website. 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). Medicare Savings Program: This is a program for individuals on low income that are eligible for Medicare. 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 . Phoenix, Arizona 85005-9009. You can use Health-e-Arizona Plus even if you have applied before or are currently receiving benefits. 2. https://www.azahcccs.gov/ 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. Member Services also has free language interpreter services available for non-English speakers. Nutrition Assistance recipients will be able to make online purchases for grocery items with authorized SNAP retailers. Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. In an emergency, you should get care from the closest hospital that can help you. This video is available in American Sign Language. Give us all requested information as soon as possible. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. 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.). This website and its contents are for informational purposes only. 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. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. 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 . Retailers who are interested in online purchasing for SNAP EBT must meet USDA Food and Nutrition Service (FNS) requirements and obtain authorization to participate. Learn how to report a change to your existing Nutrition Assistance case. To qualify, you must be an Arizona resident with U.S. citizenship or qualified immigration status. Go to AHCCCS Available Health Plansto find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. Health Insurance for Children, Provider Enrollment For AHCCCS Medical Assistance: If you do not give us your immigration status information, you may only be able to get emergency medical services. 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. You may also begin the application process by phone by calling 1-855-432-7587. Family Assistance Administration Do you know how to access Arizonas Medicaid program? However, it may affect the benefit amount. B - UFC/ACC health plan offers our members: There are no fees for applying for 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. Click the following to apply online for Nutrition, Cash or Medical Assistance: APPLY ONLINE. Whether you are applying for the first time, or renewing your benefits, you may need one or more of the following pieces of information to complete your application: When you are ready, you can submit your application and required documentation. BenefitsApplication.com is not a government website or a government agency. Your application will be approved or denied within 45 calendar days or less, depending on your case. You can find a Community Assistor in your ZIP Code on the Get Help screen of Health-e-Arizona Plus. (e.g., paper provider enrollment application, etc. You can also call (855) 432-7587 if you need health plan enrollment information. 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. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Insurers cant require you to get prior approval before getting emergency room services from a provider or hospital outside your plans network. 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. Every year, Medicare evaluates plans based on a 5-star rating system. 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. For additional documents, brochures and pamphlets related to the Nutrition Assistance program, please visit our Document Center. Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. Ready to apply? Prescriptions (Not covered if you have Medicare), Podiatry Services Performed by a Podiatrist, Emergency Dental (Up to $1000 per contract year), Dental Services (up to $1000 per contract year). 0 Provider Enrollment has established a fax and email address to specifically send paper-related documents. Policy Manuals %%EOF AHCCCS is Arizona's Medicaid program. Fee-for-Service Fee Schedules, Contact Us Restaurants should not be charging sales tax when you purchase your meal using your EBT card. There are no fees for applying for medical assistance. Ready to apply? Nutrition Assistance (formerly the Food Stamp Program) is Arizona's program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). %PDF-1.6 % This care may be subject to a deductible, for example, or a hospital may have particular rules in place. Do restaurants charge sales tax for meals? To update your information, you may go online to https://www.healthearizonaplus.gov. If you have any questions, you may call 1-855-432-7587, Monday through Friday 7:00 a.m. - 6:00 p.m. 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. Apply in Person at your county office or Fill out paper application form and mail to your county office. Get started through Health-e-Arizona Plus. Your email will automatically create a service ticket for Provider Enrollment to review and resolve. DES only determines eligibility for the following programs: Eligibility for the Medical Assistance program is based on the following requirements: The requirements differ for each program. You can find the information on AHCCCS Covered Medical Services. Covered Services 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. Pressing the button down below will open our PDF tool. Health-e-Arizona Plus how do i apply for emergency ahcccs. Find answers to some of the most common questions about Medical Assistance. It also offers special coverage for children and young adults under 21. The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through 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. 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