If you do not provide the requested information by the due date, your eligibility will be stopped. 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. All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. Our broad network of providers offers services and supports for members with: Physical, general mental health and substance use concerns (Complete Care) Children and youth in the foster care system . Find out what kind of coverage youre eligible for and how to apply for AHCCCS. Medicaid for adults and children with limited income. You can use Health-e-Arizona Plus even if you have applied before or are currently receiving benefits. That hospital will treat you regardless of whether you have insurance. BenefitsApplication.com is not a government website or a government agency. 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. There are no fees for applying for AHCCCS. Individuals must meet certain income and other requirements to obtain services. 3. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. 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. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. AHCCCS provides emergency health care services through the Federal Emergency Services Program (FESP) for qualified and nonqualified aliens, as specified in 8 USC 1611 et seq. 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. AHCCCS Medicaid coverage generally starts the first day of the month in which you are found eligible. If you are approved, you will choose a primary care doctor that works with that health plan. 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. 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. 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 is mandatory to procure user consent prior to running these cookies on your website. If you need assistance, please contact us. P.O. In-person services may be unavailable or limited in manners that support social distancing. Instructions on how to do so are included in the application. AHCCCSOnline Website This tool enables one to access this form quickly. It covers programs for acute and long term care, behavioral health and childrens care. You can also call (855) 432-7587 if you need health plan enrollment information. Social Security numbers (if none, verification that a Social Security number has already been applied for). BCBSAZ Health Choice Pathway (HMO D-SNP) is a Health Plan with a Medicare contract and a contract with the state Medicaid program. AHCCCS is Arizonas Medicaid program that provides health insurance for people with limited income and resources. Get started through Health-e-Arizona Plus. 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. Children 1 to 5 years with family income up to 141% of FPL. KidsCare for uninsured children under the age of 19 who have income higher than the Medicaid limit. 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. Retailers who are interested in online purchasing for SNAP EBT must meet USDA Food and Nutrition Service (FNS) requirements and obtain authorization to participate. Currently the program enrolls nearly 2 million Arizona residents. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. To qualify, you must be an Arizona resident with U.S. citizenship or qualified immigration status. Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. They must have limited income, limited assets, and a medical need for care. You can apply for yourself, your family, or someone close to you. 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. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. Do all restaurants participate in the Restaurant Meals Program? Pressing the button down below will open our PDF tool. AHCCCS can only pay for your emergency services because of your status with United States Citizenship and Immigration Services. If you were charged sales tax in error, you should first attempt to resolve this with the restaurant. Apply personally at a local FAA office, at the Department of Economic Security (DES) office, at the hospital, or at certain clinics. These cookies will be stored in your browser only with your consent. One will be chosen for you by AHCCCS. 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. 7500 Security Boulevard, Baltimore, MD 21244. Click on the link to DES below if you (or the person you are applying for) are one or more of the following: An adult without children; A pregnant woman; A family with children; A child only; You can use one application to apply for AHCCCS Medical Assistance for everyone in your household. You must also be under the income limit, which varies depending on your age and size of your household. 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. 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. Your PCP must approve all of your medical care, including non-life threatening emergency room visits. The Access Arizona vision is "to shape tomorrow . 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. SNAP: Supplemental Nutrition Assistance Program (formerly the Food Stamp Program). 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. 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 . Necessary cookies are absolutely essential for the website to function properly. Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. The 'start date' will show on the Medical Assistance decision letter for each person who applied. Yn@ Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. There are no fees for applying for medical assistance. 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. Citizenship and qualified non-citizen status. Ready to apply? Learn about eligibility, needed information and the process to apply for benefits. BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross Blue Shield of Arizona. 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. Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. Ready to apply? Send questions regarding provider-related enrollment, policy, or APEP user issues to Provider Enrollment at APEPTrainingQuestions@azahcccs.gov. . Before choosing a health plan, check with your doctor, pharmacy or hospital to see if they work with the plan that you want. You must also be under the income limit, which varies depending on age and size of household. By helping families fight food insecurity and meet one of their fundamental needs, they can focus on overcoming barriers to self-sufficiency. 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. Medical bills prior to 3 months before you apply cannot be used. Family Assistance Administration Last Updated: February 24, 2021 at 3:23 am. The KidsCare II eligibility requirements are the following: You may view the tables showing the income limits at 175% of the FPL and the KidsCare II premium amounts by clicking here. Proof of citizenship for everyone who is applying for benefits. No, participating restaurants are listed on the webpage and updated quarterly. You may also phone the California Department of Health Services to obtain information Medi-Cal: (916) 558-1784. 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. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Look for signs that the restaurant accepts EBT. Box 19009 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. Apply by phone: Call 1-800-221-3943 / State Relay: 711. Your insurance company can't charge you more for getting emergency room services at an out-of-network hospital. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Proof of any medical insurance aside from AHCCCS. Immediate free, confidential help is available. AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services. Learn how to report a change to your existing Medical Assistance case. The information on this page will help you prepare and apply for benefits. Arizonas food and nutrition support for families. But opting out of some of these cookies may affect your browsing experience. It covers programs for acute and long term care, behavioral health and children's care. Do not voluntarily withdraw from AHCCCS Health Insurance just because your earnings increase. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) The Medicaid program in Arizona is called the Arizona Health Care Cost Containment System . Arizonas Medicaid health insurance. Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. Policy Manuals The vast majority are ages 64 and younger. Get more information on billing and insurance, so you can focus on your health without worrying about the cost. Enrollment in BCBSAZ Health Choice Pathway (HMO D-SNP) depends on contract renewal. By helping families fight food insecurity and meet one of their . who meet all requirements for Title XIX eligibility as specified in the State Plan except for citizenship. You can find a Community Assistor in your ZIP Code on the Get Help screen of Health-e-Arizona Plus. If your application is approved, you can choose which AHCCCS health plan you would like to cover your benefits. Contact the community assistor's office by telephone. Some program requirements may be difficult or dangerous for victims or survivors of domestic violence, sexual harassment, sexual assault, or stalking, and their families. When you apply for Medical Assistance online, you can either upload requested information or fax it. Instructions on how to do so are included in the application. Member Services can be reached at 1-800-656-8991, TTY 711, 8 a.m. to 8 p.m., 7 days a week. Get started through Health-e-Arizona Plus. Verification of any medical insurance other than AHCCCS. Health-e-Arizona also lets you apply for other benefits, like Nutrition Assistance (formerly Food Stamps), at the same time. In an emergency, you should get care from the closest hospital that can help you. Some medical assistance programs may require the participant to make a co-payment when receiving medical services. An application is not processed in a timely manner. What do I need to do? Applicants are assigned a case manager to coordinate their care. Learn more about how AHCCCS is planning for the end of the Public Health Emergency. You are required to report any changes that may affect your Medical Assistance eligibility. You must keep proof of your income and child care expenses over the six-month period and give it to DES at your review. You also can call the telephone number on the back of your EBT card and open a dispute claim. 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. If you dont select one. AHCCCS offers many different medical programs. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. Proof that your employment ended and last date paid. It also offers special coverage for children and young adults under 21. 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. You will have 90 days to switch to another AHCCCS health plan. View additional eligibility information. Not many people are aware about what services does altcs provide. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. Proof of life insurance, retirement plans, securities, and savings bonds. }Q]G];/NOI%=MA|F3\% The following authorized SNAP retailers accept EBT payment for online transactions: View frequently asked questions related to SNAP Online Purchasing. The easiest way to apply for benefits is online through Health-e-Arizona Plus. This link will take you away from the Medicare section of healthchoicepathway.com, Click the link above to continue or CANCEL, Grievances, Organization Determinations and Appeals, Prior Authorization & Clinical Guidelines. Instructions on how to do so are included in the application. Restaurants should not be charging sales tax when you purchase your meal using your EBT card. Go to AHCCCS Available Health Plans to find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. 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. You will receive a letter indicating whether you have mandatory co-payments. Find out if you qualify for a Special Enrollment Period. Out-of-State Toll Free: 1-800-523-0231, How to Apply Also, many SNAP Community Partners are also Community Assistors that can help you apply for Medical Assistance. I'm having an emergency. This care may be subject to a deductible, for example, or a hospital may have particular rules in place. 1-800-786-4346. It can be done from any device, anywhere at any moment! Some co-payments are mandatory; the medical provider may not provide service if the mandatory co-payment is not paid. that has an agreement to bill AHCCCS for covered emergency services. 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. We do not claim responsibility for its accuracy. AHCCCS, or the Arizona Health Care Cost Containment System (pronounced "access"), is the name for the Arizona Medicaid Program. Need help with applying? 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. TTY users can call: 916-445-0553. Mail or Fax an Application. 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. I am a restaurant that is interested in participating in the Restaurant Meals Program. You can find the information on AHCCCS Covered Medical Services. hbbd```b``>"gH u]&jN`k`z`v?dQY`9 F,2 DAd%d\"/La` 2QDO/a`bdPd`W; ; (For additional instructions, see the Frequently Asked Question (FAQ) in Health-e-Arizona Plus titled 'How do I fax documents to HEAplus'). You can also contact Community Assistors which help people complete and submit their Medical Assistance application. 2. https://www.azahcccs.gov/ Verification of all income your family has received from any source for the past two months. 1. The process can be completed through Health-e-Arizona Plus. This includes Nursing facilities and under the HCBS program assisted living facilities and . 1. For additional documents, brochures and pamphlets related to the Nutrition Assistance program, please visit our Document Center. 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. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. You will find the fax cover sheets on the Providing Documents tab of the Health Arizona website . Medicare Savings Program: This is a program for individuals on low income that are eligible for Medicare. Proof of mortgage or rent, as well as utility bills for the past months. AHCCCS is Arizona's Medicaid program. Our Mission is to make Arizona stronger by helping Arizonans reach their full . Social Security numbers for everyone, or proof that a Social Security number has been applied for. 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. This video is available in American Sign Language. Federal Emergency Services (Health Program ID #000850). 1. For more information, see the flyer about the Restaurant Meals Program for merchants. 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. The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible. 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. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 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. You typically must work directly with the government to qualify for your program or benefits. You will receive a letter telling you who your . In a true emergency, go straight to the hospital. 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 . Currently the program enrolls nearly 2 million Arizona residents. A statement verifying your address and the names of everyone living with you. The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. Find out which information you may need to provide to determine eligibility. 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. Apply for Medical Assistance Online. 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 . Subscribe to Newsletters 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 cost of long-term care in an approved Medicaid Facilities. 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 The same application can be used for all programs. 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. ]. This depends on the plan that you chose and the hospital you go to. Find answers to some of the most common questions about Medical Assistance. The Affordable Care Act (ACA) requires states to utilize a single streamlined application approved by the Secretary of Health and Human Services. Apply in person: Apply in person at your county of residence's local county office or at a local application assistance site. Health Insurance for Children, Provider Enrollment Careers Learn about eligibility, needed information and the process to apply for benefits. We will keep all information you provide private, as required by law. A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible. You can then complete the application and submit it by mail or fax. Many providers will need to take action before they are ready to enroll as a Medicaid provider with AHCCCS. 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