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. What if there is a restaurant I would like to be involved with the Restaurant Meals Program? Phone applications are available Monday through Friday from 8 a.m. to 4 p.m. These cookies will be stored in your browser only with your consent. This website uses cookies to improve your experience while you navigate through the website. 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. AHCCCS is available to: Children birth to 1 year with family income up to 147% of the federal poverty level. Do not voluntarily withdraw from AHCCCS Health Insurance just because your earnings increase. 2. https://www.azahcccs.gov/ 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. Health Insurance for Children, Provider Enrollment You also can call the telephone number on the back of your EBT card and open a dispute claim. You can also monitor the status of your application online at Health-e-Arizona Plus. All Rights Reserved. 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). The Access Arizona vision is "to shape tomorrow . Some program requirements may be difficult or dangerous for victims or survivors of domestic violence, sexual harassment, sexual assault, or stalking, and their families. Some details must be faxed to complete your application. AHCCCS works by having you choose a health plan that covers your zip code . In an emergency, you should get care from the closest hospital that can help you. 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. 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. Call or visit your local county social services office and ask for a Medi-Cal application. Individuals must meet certain income and other requirements to obtain services. KidsCare: Arizonas Childrens Health Insurance Program (CHIP) for children under age 19 who are not eligible for AHCCCS insurance. Proof of citizenship for everyone who is applying for benefits. You must keep proof of your income and child care expenses over the six-month period and give it to DES at your review. To qualify, you must be an Arizona resident with citizenship or qualified immigration status. The following authorized SNAP retailers accept EBT payment for online transactions: View frequently asked questions related to SNAP Online Purchasing. Yn@ 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 information on this page will help you prepare and apply for benefits. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. Many providers will need to take action before they are ready to enroll as a Medicaid provider with AHCCCS. About Mercy Care. To qualify, you must be an Arizona resident with U.S. citizenship or qualified immigration status. It must be signed, dated and include that person's address and telephone number. News & Press Releases, Can't find what you're looking for? We also use third-party cookies that help us analyze and understand how you use this website. Verification of any medical insurance other than AHCCCS. 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. Health Insurance for Children, Provider Enrollment AHCCCSOnline Website Look for signs that the restaurant accepts EBT. When seeking medical services, you may have to make a co-payment. This website and its contents are for informational purposes only. Children 1 to 5 years with family income up to 141% of FPL. You may also report Medicaid fraud by calling (toll free) 1-800-533-0686. This website uses cookies to improve your experience. 2197 0 obj <> endobj However, it may affect the benefit amount. Individuals who have B - UFC/ACC have qualified for the Arizona Health Care Cost Containment System (AHCCCS). | $"GJGj H1Vx@% %`l@Av|7u@Zc`fM`T`e Find answers to some of the most common questions about Medical Assistance. By helping families fight food insecurity and meet one of their . The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. It covers programs for acute and long term care, behavioral health and childrens care. There are no fees for applying for medical assistance. Get started through Health-e-Arizona Plus. Nutrition Assistance recipients will be able to make online purchases for grocery items with authorized SNAP retailers. Fee-for-Service Fee Schedules, Contact Us Verification of all medical costs for the most recent months./li>. Member Services can be reached at 1-800-656-8991, TTY 711, 8 a.m. to 8 p.m., 7 days a week. Proof of life insurance, retirement plans, securities, and savings bonds. Instructions on how to do so are included in the application. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. 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. Give the manager or owner of the restaurant this flyer about the Restaurant Meals Program for merchants. 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. 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. Restaurants should not be charging sales tax when you purchase your meal using your EBT card. This care may be subject to a deductible, for example, or a hospital may have particular rules in place. AHCCCS Medicaid coverage generally starts the first day of the month in which you are found eligible. Find out which information you may need to provide to determine eligibility. AHCCCS insurance covers you and your family for doctor visits, vaccines, prescriptions, emergency care, hospitalizations and more. To learn more, visit the FNS Online Purchasing website, and view FNS requirements. This includes Nursing facilities and under the HCBS program assisted living facilities and . 1-800-786-4346. Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. Currently the program enrolls nearly 2 million Arizona residents. AHCCCS is Arizona's Medicaid program that provides health insurance for people with limited income and resources. (For additional instructions, see the Frequently Asked Question (FAQ) in Health-e-Arizona Plus titled 'How do I fax documents to HEAplus'). 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. Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross Blue Shield of Arizona. Social Security numbers (if none, verification that a Social Security number has already been applied for). The vast majority are ages 64 and younger. Applicants will receive a medical assistance letter that contains the official start date. Apply for Medical Assistance Online. The easiest way to apply for benefits is online through Health-e-Arizona Plus. Insurers cant require you to get prior approval before getting emergency room services from a provider or hospital outside your plans network. If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. 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. 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. who meet all requirements for Title XIX eligibility as specified in the State Plan except for citizenship. Family Assistance Administration This may also include the deli section of a participating grocery store. 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. If you need to pay a premium, AHCCCS will send a letter to you before your first premium is due. For more details or information on your case, go online to www.yes.state.nm.us and click on "Check My Benefits," or call the ISD Information Line, available 24/7, at 1-855-309-3766. Pay Your Premium Insurance plans cant make you pay more in. We may call you or send you a letter if we need any other information or proof to decide your case. Your PCP must approve all of your medical care, including non-life threatening emergency room visits. The statement must be made by a non-relative who doesnt live with you. It covers programs for acute and long term care, behavioral health and children's care. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. 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. 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. It is mandatory to procure user consent prior to running these cookies on your website. 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. 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. This program pays for Medicare Part A and B premiums If you do not provide the requested information by the due date, your eligibility will be stopped. In an emergency, you should get care from the closest hospital that can help 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), Equal Opportunity and Reasonable Modification. Find Us on Google Maps, you should get care from the closest hospital that can you. Medical costs for the Arizona health care Cost Containment System ( ahcccs.., the DES family Assistance Administration this may also report Medicaid fraud by calling 1-855-432-7587 immigration.! Website, and savings bonds seeking medical services, you must be faxed to complete your application or. And long term care, behavioral health and Childrens care n't find what 're. 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