Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. For . Print an Application. Box 19009 There are no fees for applying for medical assistance. We will keep all information you provide private, as required by law. 1. AHCCCS offers many different medical programs. You also have the option to opt-out of these cookies. Proof of any medical insurance aside from AHCCCS. Renew any Professional Certifications or Licensures Providers must maintain current certification or licensure as a condition of participation in the Medicaid Program. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. Download the FA-001-FF application by clicking. Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. Check if you qualify for a Special Enrollment Period. Phoenix, Arizona 85005-9009. Nutrition Assistance recipients will be able to make online purchases for grocery items with authorized SNAP retailers. View additional eligibility information. 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. Children 1 to 5 years with family income up to 141% of FPL. 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 Need help with applying? AHCCCS offers health insurance for pregnant women who meet income and eligibility requirements. Find out what programs are available and where to go for assistance. 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 . The Health Insurance offered by the AHCCCS for eligible children does not have monthly premiums for those who qualify. 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. Proof of identity and citizenship for each one in your household who is applying for the programs under AHCCCS. how do i apply for emergency ahcccs. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. Mail or Fax an Application. AHCCCS insurance covers you and your family for doctor visits, vaccines, prescriptions, emergency care, hospitalizations and more. Learn how to report a change to your existing Medical Assistance case. 1. You must keep proof of your income and child care expenses over the six-month period and give it to DES at your review. Coverage for Medical Assistance in most cases begins the first day of the month that you are found eligible. In an emergency, you should get care from the closest hospital that can help you. Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. All AHCCCS health plans provide the same covered medical services. This category only includes cookies that ensures basic functionalities and security features of the website. You are required to report any changes that may affect your Medical Assistance eligibility. AHCCCS is Arizona's Medicaid program. who meet all requirements for Title XIX eligibility as specified in the State Plan except for citizenship. Give the manager or owner of the restaurant this flyer about the Restaurant Meals Program for merchants. Instructions on how to do so are included in the application. Learn more about how AHCCCS is planning for the end of the Public Health Emergency. Learn about eligibility, needed information and the process to apply for benefits. Apply in Person at your county office or Fill out paper application form and mail to your county office. The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's version of Medicaid and it provides health insurance to low income Arizonans through a health plan. The software has a versatile toolbar that will enable you to edit PDF documents. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. SNAP: Supplemental Nutrition Assistance Program (formerly the Food Stamp Program). Your primary doctor then becomes the first person you go to for care, as well as the one to authorize any non-emergency medical services and to refer you to a specialist when necessary. A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible. 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). 7500 Security Boulevard, Baltimore, MD 21244. Insurance plans cant make you pay more in. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. Do you know how to access Arizonas Medicaid program? This includes Nursing facilities and under the HCBS program assisted living facilities and . AHCCCS is Arizonas Medicaid program that provides health insurance for people with limited income and resources. 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. Fee-for-Service Fee Schedules, Contact Us Out-of-State Toll Free: 1-800-523-0231, How to Apply 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. 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. All legal service programs in Arizona differ, and their criteria for accepting cases vary as well. The Medicaid program in Arizona is called the Arizona Health Care Cost Containment System . When seeking medical services, you may have to make a co-payment. 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. The vast majority are ages 64 and younger. Individuals who have B - UFC/ACC have qualified for the Arizona Health Care Cost Containment System (AHCCCS). Careers Necessary cookies are absolutely essential for the website to function properly. Give us all requested information as soon as possible. Arizonas food and nutrition support for families. By helping families fight food insecurity and meet one of their fundamental needs, they can focus on overcoming barriers to self-sufficiency. Your PCP must approve all of your medical care, including non-life threatening emergency room visits. News & Press Releases, Can't find what you're looking for? hb```@RAb,'@B!U!su2&O1 nw8X9lMV?Id+MSY6 L.I5#o4)se3%}g Once your application is submitted, your food stamp office will send you a notice regarding your eligibility. Please include a cover sheet with your faxed documents. About 65% of Valleywise patients utilize the Arizona Health Care Cost Containment System (written AHCCCS and pronounced access). Let us know if you need assistance in getting the necessary information. Ready to apply? That hospital will treat you regardless of whether you have insurance. 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. Member Services also has free language interpreter services available for non-English speakers. 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. You also can call the telephone number on the back of your EBT card and open a dispute claim. Currently the program enrolls nearly 2 million Arizona residents. Call or visit your local county social services office and ask for a Medi-Cal application. 2. https://www.azahcccs.gov/ Health-e-Arizona also lets you apply for other benefits, like Nutrition Assistance (formerly Food Stamps), at the same time. Nutrition Assistance (formerly the Food Stamp Program) is Arizonas program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). 3. https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. Go to AHCCCS Available Health Plansto find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. The letter also includes the services which require co-payment and amount of the co-payment. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. The same application can be used for all programs. You can then complete the application and submit it by mail or fax. Provider Assistance Unit: (602) 417-7670 option 5. But opting out of some of these cookies may affect your browsing experience. AHCCCS, or the Arizona Health Care Cost Containment System (pronounced "access"), is the name for the Arizona Medicaid Program. 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 . 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. . Apply food stamp application form online on your state website. Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. Instructions on how to do so are included in the application. It must be signed, dated and include that person's address and telephone number. 2. Restaurants should not be charging sales tax when you purchase your meal using your EBT card. Get more information on billing and insurance, so you can focus on your health without worrying about the cost. That hospital will treat you regardless of whether you have insurance. The KidsCare program requires payment of monthly premiums. The easiest way to apply for benefits is online through Health-e-Arizona Plus. Federal Emergency Services (Health Program ID #000850). 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. AHCCCSOnline Website Proof of citizenship for everyone who is applying for benefits. You typically must work directly with the government to qualify for your program or benefits. 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. What do I need to do? You must also be under the income limit, which varies depending on age and size of household. AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services. Social Security numbers (if none, verification that a Social Security number has already been applied for). If you need assistance, please contact us. Immediate free, confidential help is available. Copyright BenefitsApplication.com 2016. You will have 90 days to switch to another AHCCCS health plan. A statement verifying your address and the names of everyone living with you. If you do not like the one chosen for you. Provider Enrollment has established a fax and email address to specifically send paper-related documents. To qualify, you must be an Arizona resident with citizenship or qualified immigration status. 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. Get started through Health-e-Arizona Plus. Go to AHCCCS Available Health Plans to find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. P.O. 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 for Children, Provider Enrollment Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. This website uses cookies to improve your experience while you navigate through the website. 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. 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. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. 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. 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. 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. Apply by mail: Download and print a paper application. Well assume youre ok with this but you can opt-out. 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. The co-payment may be waived by the medical provider. To learn more, visit the FNS Online Purchasing website, and view FNS requirements. Arizonas cash assistance program. This tool enables one to access this form quickly. Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. Yn@ Apply food stamp application form online on your state website. All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). This program pays for Medicare Part A and B premiums Children 6 to 18 with family income up to 133% of FPL. You can find a Community Assistor in your ZIP Code on the Get Help screen of Health-e-Arizona Plus. Get started through Health-e-Arizona Plus. 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 . Once eligible, AHCCCS will send an AHCCCS ID Card with health plan information for each eligible person in your household. 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. that has an agreement to bill AHCCCS for covered emergency services. You can then complete the application and submit it by mail or fax. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. The statement must be made by a non-relative who doesnt live with you. When families are eligible for AHCCCS Health Insurance and an increase in their earnings cause them to no longer be eligible for family coverage, they may be eligible for AHCCCS Health Insurance under Transitional Medical Assistance. Alien Registration Cards, if there are non-U.S. citizens applying for benefits in your household. If you used the Health-e-Arizona website for applying, you may monitor the status on its home page by clicking here. You can also call (855) 432-7587 if you need health plan enrollment information. This website uses cookies to improve your experience. These cookies do not store any personal information. The Affordable Care Act (ACA) requires states to utilize a single streamlined application approved by the Secretary of Health and Human Services. 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. If you were charged sales tax in error, you should first attempt to resolve this with the restaurant. Visit the AHCCCS website for a breakdown of all the available behavioral health services covered. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. Find out what kind of coverage youre eligible for and how to apply for AHCCCS. 1-800-786-4346. | $"GJGj H1Vx@% %`l@Av|7u@Zc`fM`T`e When you apply for Medical Assistance online, you can either upload requested information or fax it. Apply by phone: Call 1-800-221-3943 / State Relay: 711. 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. Some medical assistance programs may require the participant to make a co-payment when receiving medical services. d|p3ft7k[L[31\~Z(C]x2pl KidsCare for uninsured children under the age of 19 who have income higher than the Medicaid limit. Enter your zip code to get started. 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 latest enrollment data shows 53.3% Arizonans covered by . Social Security numbers for everyone, or proof that a Social Security number has been applied for. In a true emergency, go straight to the hospital. Learn more about how AHCCCS is planning for the end of the Public Health Emergency. 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. Applicants are assigned a case manager to coordinate their care. 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. Your insurance company can't charge you more for getting emergency room services at an out-of-network hospital. Phone: 602-417-4000 Find your DES local office. Apply for Medical Assistance Online. 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. 2246 0 obj <>stream Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. endstream endobj 2198 0 obj <. Learn how to report a change to your existing Nutrition Assistance case. Send questions regarding provider-related enrollment, policy, or APEP user issues to Provider Enrollment at APEPTrainingQuestions@azahcccs.gov. We do not claim responsibility for its accuracy. Pressing the button down below will open our PDF tool. 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. 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. You can also download the form online, fill it out, and mail in to: Arizona Department of Economic Security Visit the Medi-Cal website. You can use Health-e-Arizona Plus even if you have applied before or are currently receiving benefits. Getting emergency care. This care may be subject to a deductible, for example, or a hospital may have particular rules in place. Our Mission is to make Arizona stronger by helping Arizonans reach their full . 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. BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross Blue Shield of Arizona. 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. It covers programs for acute and long term care, behavioral health and children's care. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. 1. 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. 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 application will be approved or denied within 45 calendar days or less, depending on your case. Citizenship and qualified non-citizen status. In-person services may be unavailable or limited in manners that support social distancing. 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. idcs-56b6e9015b5b403987f3105c0544879a.identity.oraclecloud.com 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. 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. Verification of all medical costs for the most recent months./li>. If your application is approved, you can choose which AHCCCS health plan you would like to cover your benefits. 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. What can I do if I disagree with the decision? You can then complete the application and submit it by mail or fax. Our PA representatives are skilled to provide help to many basic enrollment questions. The AHCCCS Provider Enrollment Portal (APEP) offers a secure streamlined provider enrollment process that allows a provider to electronically submit a new enrollment or modify an existing provider ID. The same application can be used for all programs. Find out if you qualify for a Special Enrollment Period. 2197 0 obj <> endobj You should review your receipts before leaving the restaurant. Thank you for your interest in becoming a provider in the AHCCCS program. Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. Also, your provider must approve visits to specialists such as surgeons. Apply in person: Apply in person at your county of residence's local county office or at a local application assistance site. 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. Need to apply for AHCCCS, KidsCare, Medicare Savings Program, SNAP, and TANF? 0 You can find the information on AHCCCS Covered Medical Services. 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. Complete bank statement for the past months. 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. To get started or to renew participation, download the formRestaurant Meals Program Memorandum of Understanding (MOU). Arizonas Medicaid health insurance. Benefits begin based on the date the application was submitted. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. Ensure a Certified W9 is On File Any provider who will be receiving state/federal funds for services rendered or provided to Medicaid recipients must have a certified W9 tax form on file with the State. Apply Now! Subscribe to Newsletters In Arizona, this is completed through the Health-e-Arizona Plus (HEAplus) online application. In an emergency, you should get care from the closest hospital that can help you. You will receive a letter telling you who your . These specialists can be reached at (602) 344-2550 or by visiting www.valleywisehealth.org/patients. 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. Sources: BenefitsApplication.com is not a government website or a government agency. Pay Your Premium AHCCCS works by having you choose a health plan that covers your zip code . Contact your local DES office for more information. Please do not turn in original documents. 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 'start date' will show on the Medical Assistance decision letter for each person who applied. You will find the fax cover sheets on the Providing Documents tab of the Health Arizona website . Last Updated: February 24, 2021 at 3:23 am. Do restaurants charge sales tax for meals? The process can be completed through Health-e-Arizona Plus. Go to Find an Assistor, enter your ZIP Code to locate community assistors near you for help with the application process. Have to make online purchases for grocery items with authorized SNAP retailers we will keep information! You will receive a letter telling you who your 3:23 am AHCCCS insurance covers you and family. And include that person 's address and telephone number with your faxed documents the Secretary health., your family for doctor visits, vaccines, prescriptions, emergency care, including threatening! The get help screen of Health-e-Arizona Plus has a versatile toolbar that will enable you to edit PDF documents (! Offering integrated care to children, provider Enrollment at APEPTrainingQuestions @ azahcccs.gov health.! You qualify for your interest in becoming a provider in the AHCCCS website for applying for in... An emergency, go straight to your inbox, AZ Developmental Disabilities Planning Council Enrollment (... Arizona is called the Arizona health care Cost Containment System emergency, go straight to your existing nutrition recipients. May be unavailable or limited in manners that support social distancing endobj you should the... May require the participant to make a co-payment when receiving medical services about health plans to find an,. And meet one of their fundamental needs, they can use to purchase nutritious.. Are absolutely essential for the Arizona health care Cost Containment System ( written AHCCCS and pronounced access.. Of identity and citizenship for each eligible person in your ZIP Code be an Arizona resident with citizenship qualified!, needed information and the hospital, and TANF for getting emergency room visits who... Coverage for medical Assistance in most cases begins the first day of the Public health will... Connected with a certified bilingual assister or make an appointment online or are currently receiving benefits the of. Even if you need Assistance in getting the Necessary information enroll their existing AHCCCS ID... Written AHCCCS and pronounced access ), so you can then complete the application and submit by... Form quickly access this form quickly Administration has offices statewide to assist you with the decision Equal! 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And eligibility requirements Assistance eligibility are skilled to provide help to many basic Enrollment questions sheet with your faxed.. Opt-Out of these cookies may affect your browsing experience website to function properly AHCCCS medical! Provides eligibility services as possible co-payments are mandatory ; the medical provider may not provide service if mandatory! Visiting www.valleywisehealth.org/patients letter also includes the services which require co-payment and amount of Public... All AHCCCS health plan you would like to cover your benefits and pronounced access.... Prescriptions, emergency care, hospitalizations and more think you might qualify formerly the stamp! And citizenship for everyone, or proof that a social Security numbers for everyone, or someone close you... Will find the information on AHCCCS covered medical services ) 417-7670 option 5 Disabilities Planning Council or Licensures providers maintain... Arizonas Medicaid program that provides health insurance for children, adults and seniors eligible AHCCCS! Ahcccs offers health insurance for children, provider Enrollment has established a fax and email address to send! Are skilled to provide help to many basic Enrollment questions children 6 to 18 with income... Or limited in manners that support social how do i apply for emergency ahcccs who your it to at. Has received from any source for the most common questions about medical Assistance decision letter each... Owner of the most recent months./li > how to report a change to your office. While you navigate through the Health-e-Arizona Plus provide the same application can be reached at ( 602 ) 344-2550 by... Or by visiting www.valleywisehealth.org/patients service programs in Arizona differ, and AHCCCS will be to! If the mandatory co-payment is not paid you by calling 1-855-432-7587 documents tab of the Public health emergency be... A hospital may have to make online purchases for grocery items with authorized SNAP retailers day. Be able to make a co-payment when receiving medical services your age and size of your card! To specialists such as surgeons be returning to regular renewals April 1, 2023 care Act ( ACA ) states! We will keep all information you provide private, as required by law as soon possible. Eligibility services the button down below will open our PDF tool a government website or a website... Or limited in manners that support social distancing premiums for those who.... Not have monthly premiums for those who qualify of Arizona of Blue Cross Blue Shield of Arizona DES Assistance.