Pay Your Premium If you are unable to access services virtually, the DES Family Assistance Administration has offices statewide to assist you with the application process. Mail or Fax an Application. The Medicaid program in Arizona is called the Arizona Health Care Cost Containment System . how do i apply for emergency ahcccs. You can also monitor the status of your application online at Health-e-Arizona Plus. Ready to apply? Check if you qualify for a Special Enrollment Period. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 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. Necessary cookies are absolutely essential for the website to function properly. Please include a cover sheet with your faxed documents. Cash Assistance helps families meet their basic needs for well-being and safety and serves as their path to self-sufficiency. We will keep all information you provide private, as required by law. Just as Valleywise Health provides premier, compassionate care to all those who need it, AHCCCS is there to ensure you have the coverage you need whether youre recently unemployed or simply unable to pay for private insurance. Do you know how to access Arizonas Medicaid program? The information on this page will help you prepare and apply for benefits. 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. Our Mission is to make Arizona stronger by helping Arizonans reach their full . No, if you or your household meets one or more of the conditions listed on the webpage, your EBT card has been enabled to use at participating restaurants. About Mercy Care. Restaurants should not be charging sales tax when you purchase your meal using your EBT card. Fee-for-Service Fee Schedules, Contact Us 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. Certain co-payments are even compulsory. Social Security numbers (if none, verification that a Social Security number has already been applied for). AHCCCS insurance covers you and your family for doctor visits, vaccines, prescriptions, emergency care, hospitalizations and more. You can apply for medical coverage through AHCCCS, Nutrition Assistance (formerly know as the Food Stamp program), and Cash Assistance. 2. https://www.azahcccs.gov/ Print an Application. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. 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. Find out which information you may need to provide to determine eligibility. Apply for Medical Assistance Benefits. Provider Assistance (PA) is an option to speak with a level I customer service representative. Contact your local DES office for more information. You may also phone the California Department of Health Services to obtain information Medi-Cal: (916) 558-1784. Learn about eligibility, needed information and the process to apply for benefits. Find out what programs are available and where to go for assistance. 2. SNAP: Supplemental Nutrition Assistance Program (formerly the Food Stamp Program). Family Assistance Administration AHCCCS is Arizonas Medicaid program that provides health insurance for people with limited income and resources. Get started through Health-e-Arizona Plus. Look for signs that the restaurant accepts EBT. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Careers You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. 1. Proof of identity and citizenship for each one in your household who is applying for the programs under AHCCCS. All legal service programs in Arizona differ, and their criteria for accepting cases vary as well. Insurers cant require you to get prior approval before getting emergency room services from a provider or hospital outside your plans network. Fee-for-Service Fee Schedules, Contact Us 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. Renew any Professional Certifications or Licensures Providers must maintain current certification or licensure as a condition of participation in the Medicaid Program. B - UFC/ACC health plan offers our members: Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. The Cash Assistance program provides temporary cash benefits and supportive services to the neediest of Arizona's children and their families. If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. Proof of mortgage or rent, as well as utility bills for the past months. 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. When seeking medical services, you may have to make a co-payment. Your email will automatically create a service ticket for Provider Enrollment to review and resolve. Learn more about how AHCCCS is planning for the end of the Public Health Emergency. A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible. Visit the AHCCCS website for a breakdown of all the available behavioral health services covered. 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. 1-800-786-4346. Medical bills prior to 3 months before you apply cannot be used. If you do not like the one chosen for you. There are no fees for applying for medical assistance. You can find a Community Assistor in your ZIP Code on the Get Help screen of Health-e-Arizona Plus. This video is available in American Sign Language. 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), Medical Assistance (Medicaid through AHCCCS), how AHCCCS is planning for the end of the Public Health Emergency, Arizona Health Care Cost Containment System, Arizona Supplemental Nutrition Program for Women, Infants, and Children, Equal Opportunity and Reasonable Modification. AHCCCSOnline Website These cookies do not store any personal information. If you do not call us to choose your PCP, you will be assigned to the BCBSAZ Health Choice PCP who is closest to your home. 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. Children 6 to 18 with family income up to 133% of FPL. Instructions on how to do so are included in the application. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Many providers will need to take action before they are ready to enroll as a Medicaid provider with AHCCCS. 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 delays. 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. 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. Proof of life insurance, retirement plans, securities, and savings bonds. The easiest way to apply for benefits is online through Health-e-Arizona Plus. How to Apply for Food Stamps. Nutrition Assistance (formerly the Food Stamp Program) is Arizonas program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). 0 It must be signed, dated and include that person's address and telephone number. Getting emergency care. how do i apply for emergency ahcccs . Learn how to report a change to your existing Nutrition Assistance case. %PDF-1.6 % News & Press Releases, Can't find what you're looking for? Find answers to some of the most common questions about Medical Assistance. The cost of long-term care in an approved Medicaid Facilities. For . Social Security numbers for everyone, or proof that a Social Security number has been applied for. Need help with applying? 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 . Start Today. To apply by mail or fax, either download the Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (FAA-1821A) or request an application to be mailed to you by calling (855) 234-4960. Your application will be approved or denied within 45 calendar days or less, depending on your case. The co-payment may be waived by the medical provider. Every year, Medicare evaluates plans based on a 5-star rating system. Sources: Apply by phone: Call 1-800-221-3943 / State Relay: 711. 7500 Security Boulevard, Baltimore, MD 21244. 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. 1. 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. AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services. It covers programs for acute and long term care, behavioral health and children's care. idcs-56b6e9015b5b403987f3105c0544879a.identity.oraclecloud.com If your profession requires a certification or licensure in the State of Arizona, these qualifications must be active at the time of enrollment and throughout the duration of the active status of the provider enrollment AHCCCS ID. An application is not processed in a timely manner. You must also be under the income limit, which varies depending on age and size of household. endstream endobj startxref If you are unsure about applying for AHCCCS coverage, you can visit their official website to get support. 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