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Arizona Medicaid Expansion
Medicaid Expansion:
Arizona is fully participating in the Medicaid Expansion under provisions of the Affordable Care Act (ACA).
 
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in Arizona:
The Health Care Cost Containment System administers Arizona Medicaid.
Information about the state’s Medicaid program, including beneficiary enrollment information, can be found at: http://www.azahcccs.gov/.

Provider Participation:
Providers must enroll in the AZ Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: http://www.azahcccs.gov/.
The AZ Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.azahcccs.gov/.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
 
Medicaid Managed Care:

Some Medicaid beneficiaries are enrolled in managed care plans. Basic information about the programs, called AHCCCS Health Plans, can be found at: http://www.azahcccs.gov/applicants/healthplans/healthplans.aspx.
Some managed care plans cover individual Arizona counties and independent cities. The Medicaid website has jurisdictional information: http://www.azahcccs.gov/.

Medicaid Beneficiaries Participating in Managed Care:

Managed care plans participating in AHCCCS Health Plans offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.

Reporting Problems:

The state Medicaid office is primarily responsible for examining and addressing issues with the Medicaid Managed Care plans offered in the state, and for working with the companies that offer them. If you are experiencing problems as a medical provider with the Managed Care plans or companies operating in the state, or if your patients are experiencing problems with the Managed Care plans or companies in the state, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state Medicaid Office: 
 
Arizona Health Care Cost Containment System:
www.azahcccs.gov/shared/contacts.aspx
800-523-0231
 
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies. 

Managed Care Plans Participating in AHCCCS Health Plans:

This list is being routinely updated, and may change as insurers join or leave the Exchange. Please check back for updates.


American Indian Health Program
 
Care 1ST AZ
 
CRS Fully Integrated
 
CRS Partial Acute
 
DES/CMDP
 
Health Choice AZ
 
Health Net Access
 
Maricopa Health Plan
Plan Website: http://www.mhpaz.com
 
Mercy Care Plan
 
Phoenix Health Plan
 
United Healthcare
 
University Family Care
 

 

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