How to Get Arizona Medicaid Benefits 

This article is a collection of the best answers to Arizona Medicaid’s most frequently asked questions.

Medicaid is a government-sponsored healthcare program for low-income families and individuals who fulfill specific income and resource requirements. Only the aged, blind, or disabled can access resources within the defined restrictions.

We have scoured the internet to provide all you need to know about the Arizona Medicaid Benefits.

You will learn everything you need to know about Arizona Medicaid in this article.

What is the Arizona Medicaid Program (AMP)?

Arizona Medicaid is a state-run healthcare program supported equally by the federal government and the state.

Arizona’s Medicaid organization, the Arizona Health Care Cost Containment System (AHCCCS), provides healthcare programs to Arizona residents. Thousands of Arizonans are covered by the AHCCCS medical insurance program each year. 

It assists citizens in obtaining necessary doctor’s appointments, physical exams, vaccines, prenatal care, hospital care, and medicines.

Who is eligible for Arizona Medical Program (AMP)?

To qualify for Arizona Medicaid, you must be a resident of Arizona and a U.S. citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. 

You must also be one of the following:

• Pregnant, or
• You must be the parent or guardian of a child who is 17 years old or younger.
• Have a disability or have a family member with a disability.

Annual Household Income Limits (before taxes)

*For households with more than eight people, add $6,277 per additional person.

What if a person’s income is too high to qualify for regular Medicaid benefits?

Even if a person’s assets exceed Medicaid’s asset limit, they can still qualify for Medicaid if they reduce their countable assets. 

This can be accomplished by “spending down” excess assets on non-countable items such as home modifications (wheelchair ramps, roll-in showers, and stair lifts), vehicle modifications (wheelchair lifts, adaptive control devices, and floor modifications to allow driving from a wheelchair), funeral and burial expenses, and debt repayment. 

Assets cannot be given or sold for less than their fair market worth, as this would violate Medicaid’s look-back rule. It is suggested that documentation of how assets were spent be kept as proof that the look-back rule was not broken.

How do I contact Medicaid in Arizona?

You can contact Arizona Medicaid in the following ways

Phone

877-267-2323

Mailing Address

Centers for Medicare and Medicaid Services

7500 Security Boulevard

Baltimore, Maryland 21244-1850

Medicaid.gov@cms.hhs.gov

What are the Medicaid plans in Arizona?

Arizona has contracts with nine health plans: five national four-profits plans. 

1. Bridgeway Health Solutions Centene Corporation 
2. Care 1st Health Plan 
3. Health Choice
4. Health Net of Arizona
5. Evercare/United Health Care Community Plan 
6. Maricopa Health Plan 
7. Mercy Care Plan 
8. Phoenix Health Plan  
9. University Family Care 

Arizona picks its plans through a competitive procurement process, and a competitive bid process determines capitation rates.

What is covered by Arizona Medicaid?

Regarding treatments covered by Medicaid in Arizona, doctor visits, immunizations, x-rays, lab work, pregnancy care, surgical procedures, emergency care, family planning, dialysis, and behavioral health are only the beginning.

Children under the age of 21 are provided with special healthcare services. They can have a dental examination and treatment, a visual examination and glasses, and even a hearing examination and hearing aids. Adults above 21 are eligible for dental care, but only in an emergency.

In addition, they are only allowed to spend up to $1000 annually through their insurance coverage.

Can I have both Arizona Medicaid and Medicare?

If you are 65 or older, you can qualify for both Medicare and Medicaid. If your age is below 65, you can only avail of the benefits of Medicaid if other eligibility criteria are fulfilled.

Arizona Medicaid Waivers?

Arizona does not have a 1915(c) waiver; instead, it has a one-of-a-kind 1115 Demonstration Project waiver covering the whole state. Long Term Care (Long Term Care) in Arizona is a federally sponsored Medicaid program that provides assistance and services to people with disabilities.

Medicaid Eligibility

What is the highest income limit for Arizona Medicaid?

The highest income limit for Arizona Medicaid for individuals is $18,075 per year and the resource limit is $2,000 for an individual.

What documents do I need to apply for Medicaid?

You may need one or more of the following pieces of information to complete your application, whether you’re applying for the first time or renewing your benefits:

1. Everyone requesting for benefits must provide proof of citizenship and identity.
2. If you have non-U.S. citizens in your family, you’ll need Alien Registration Cards.
3. Everyone should have a Social Security number, or proof that one has been applied for.
4. Everyone who is claiming for benefits should have a copy of their birth certificate.
5. Landlord or neighbor’s name, address, and daytime phone number
6. A statement that verifies your residence as well as the names of all people who live with you. A non-relative who does not live with you must make the assertion. It must be signed, dated, and contain the person’s name, address, and phone number.
7. Proof of ALL money your household got last month and this month from whatever source.
8. Proof confirming your employment ended and that you were paid till the end of the month.
9. Any medical insurance other than AHCCCS must be verified.

What is the best Medicaid in Arizona?

All plans in the Arizona Health Care Cost Containment System, or AHCCCS, receive the same services. There is no single optimum plan for the entire state; instead, residents must choose a strategy that works best for their own county.

Regardless of which plan you choose, you will receive the same level of care and assistance.

Where do I find the letter showing the reason(s) for denial or discontinuance from Arizona Medicaid?

You can check the status of your Arizona Medicaid health information by using the Medicaid Patient Access Portal.

Where can I upload the documents for Arizona Medicaid?

You can do it in the following ways:

1. Fill out and submit an online application through Health-e-Arizona Plus.
2. Fill out the Application for Benefits (FAA-0001A) and mail or fax it in.
3. To get a paper application addressed to you, call (855) 432-7587. After receiving and completing the application, send it back by mail or fax.
4. Enter your ZIP code to identify community assistants in your area who can help you with the application process. Make a phone call to the community assessor’s office. In-person services may be unavailable or restricted in ways that contribute to social isolation.

Note: If you’re applying for Medical Assistance for the first time, you’ll need to choose a health plan for each individual you’re applying for. If you do not choose a plan, one will be chosen for you.