AHCCCS & Kids Care

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AHCCCS Webpage Screenshot

The Arizona Health Care Cost Containment System (written as AHCCCS and pronounced ‘access’) is Arizona’s Medicaid program. AHCCCS oversees contracted health plans in the delivery of health care to individuals and families who qualify for Medicaid and other medical assistance programs. AHCCCS offers medical programs and resources to serve Arizona residents who meet certain income and other requirements.

Frequently Asked Questions*

  1. Who can apply for AHCCCS or Kids Care?
  2. What information do I need to apply for AHCCCS?
  3. What are the income limits to be eligible for AHCCCS?
  4. How long does it take to decide if I’m eligible for benefits?
  5. What are my available insurance options under AHCCCS?
  6. What are the co-payments for AHCCCS?
  7. Where can I apply for AHCCCS Health Insurance or Kids Care online?

 

* This information is from the Arizona Health Care Cost Containment website.


Who can apply?

All Arizona residents can apply. If you are under age 18, you may apply for yourself and your children. However, if you are living with a parent(s), you must include your parent(s) as part of your household. You can apply for a person or household as their representative. You can have someone else apply for you as your representative.

You can fill out an online or paper application here: http://www.azahcccs.gov/applicants/application/AcuteCare.aspx\

 

 

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What information do I need to apply for AHCCCS?

Before you attempt to fill out an application, it will help to gather the following information first:

  • Identification
  • Proof of U.S. citizenship
  • Immigration registration documents (for non-U.S.)
  • Social Security number (or proof of application)
  • Proof of all money your household received in the last month and this month
  • Recent bank statements
  • Proof that your employment has ended
  • Proof of pregnancy and due date (if applicable)
  • Proof of dependent care expenses
  • Proof of any other medical insurance

 

 

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What are the income limits to be eligible for AHCCCS?

You may quality for AHCCCS if

  1. Your employer does NOT offer health insurance,
  2. You do NOT receive Medicare and
  3. You make LESS than the following:
FAMILY SIZE YEARLY INCOME *
1 $ 15,282
2 $ 20,628
3 $ 25,975
4 $ 31,322
5 $ 36,668
6 $ 42,015
7 $ 47,361
8 $ 52,347
For each additional person, add $4,020

 

*Source: http://coveraz.org/screening-tools/

For more detailed information on AHCCCS income requirements, please see: http://www.azahcccs.gov/community/Downloads/resources/EligibilityRequirements.pdf

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How long does it take to decide if I’m eligible for benefits?

Time frames vary by program.

Arizona Long Term Care System (ALTCS) – within 45 days
AHCCCS Health Insurance – within 45

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days; 20 days if pregnant
AHCCCS Freedom to Work – within 45 days; 90 days if a disability determination is required
Medicare Savings Programs –

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within 45 days
KidsCare – within 30 days (Program currently capped)

 

 

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What are my available options through AHCCCS?

For more specific information, select one of the following that best describes you (or the

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person you are applying for):

 

 

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What are the Co-payments for AHCCCS?

Copayments are never charged to the following persons:

  • Children under age 19
  • People determined to be Seriously Mentally Ill (SMI) by the Arizona Department of Health Services
  • Individuals up through age 20 eligible to receive services from the Children’s Rehabilitative Services program
  • People who are acute care members and who are residing in nursing homes, or residential facilities such as an Assisted Living Home and only when the acute care member’s medical condition would otherwise require hospitalization. The exemption from copayments for acute care members is limited to 90 days in a contract year
  • People who are enrolled in the Arizona Long Term Care System
  • People who are eligible for Medicare Savings Programs only*
  • People who receive hospice care
  • American Indian members who are active or previous users of the Indian Health Service, tribal health programs operated under P.L. 93-638, or urban Indian health programs

There may be charges for other people under different circumstances. For more information, visit: http://www.azahcccs.gov/applicants/copayments.aspx?ID=acute

Or view this information sheet: http://www.azahcccs.gov/applicants/Downloads/ApplicationForms/AH-800.pdf

 

 

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Where can I apply for AHCCCS Health Insurance or Kids Care online?

You can fill out an online or paper application here: https://www.healthearizona.org/app/Default.aspx

 

 


 

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