Medicaid Managed Care in Arizona

Medicaid is health care for people with low or no incomes. Some people who have Medicaid are in a Medicaid managed care plan. These plans have networks of providers, including doctors, pharmacies, clinics, labs, and hospitals. You must use the providers in your network when you need health care. These Medicaid plans also have interpreter services for members with limited English-speaking skills.

Your Primary Care Doctor

You will have one doctor or clinic that you go to first for most of your health care. The health plan may choose a doctor or clinic for you when you join the plan. You can change your doctor or clinic if you want. Call your plan and ask for a list of doctors and clinics.

Medicaid Benefits

Medicaid may cover the Basic Benefits that all health plans cover. Medicaid may also covers prescription drugs, vision care, and hearing care.

If You Have a Complaint

• You can also file a complaint with your health plan.

Questions and Answers

• How do I get Medicaid?
• Can I get Medicaid if I am pregnant?
• How do I get mental health care through Medicaid?

How do I get Medicaid?
There are many ways to qualify for Medicaid. Medicaid considers both your income and your medical problems. For information, call your county Social Services office.

Resources

Centers for Medicare and Medicaid Services (CMS)
Federal government agency with information on Medicaid (Arizona's name for Medicaid)
www.cms.hhs.gov

 

Family Coverage There are several AHCCCS programs available for families with children under the age of 19. AHCCCS Care, KidsCare, Arizona Families and Children, Medical Expense Deductions and SOBRA for Children are programs that aid children or the family as a whole. There is also coverage available for the parents of children covered by the KidsCare and SOBRA programs. AHCCCS Care Statewide: 1-800-352-8401 Phoenix: 602-542-9935   Description of program INCOME    100% Federal Poverty Level (FPL) Family Size Monthly Income 1 $ 817 2 $ 1,100     RESOURCES No Limit  CITIZENSHIP & IMMIGRANT STATUS U.S. Citizen or Qualified Immigrant ARIZONA RESIDENCY Required  SOCIAL SECURITY NUMBER  Required  SPECIAL REQUIREMENT  None APPLY TO DES AHCCCS for Families and Children (AFC) Statewide: 1-800-352-8401 Phoenix: (602) 542-9935   Description of program   INCOME (monthly)     Family Income Limits Family Size 100% Federal Poverty Level 1 $817 2 $1,100 3 $1,384 4 $1,667       Income excluded $90 Expenses of employment  up to $200 Dependent care expenses  (depends on age)     RESOURCES  No limit CITIZENSHIP & IMMIGRANT STATUS U.S. Citizen  Qualified Immigrant ARIZONA RESIDENCY Required SOCIAL SECURITY NUMBER Required SPECIAL REQUIREMENTS  Absence, Death, Disability Unemployment or Underemployment of a Parent ELIGIBILITY AGENCY  DES KidsCare Statewide: 1-877-764-KIDS (5437)  Phoenix Area: (602) 417-KIDS (5437)   Description of program INCOME   200% Federal Poverty Level Family Size  Monthly Income 1 $ 1,634 2 $ 2,200 3 $ 2,767 4 $ 3,334 for each additional person $ 567     RESOURCES  No Limit CITIZENSHIP & IMMIGRANT STATUS  U.S. Citizen  Qualified Immigrant ARIZONA RESIDENCY  Required SOCIAL SECURITY NUMBER Not Required SPECIAL REQUIREMENTS  Under age 19 Not Medicaid or Medicare eligible Currently without health insurance. APPLY TO AHCCCS Medical Expense Deduction (MED) Statewide: 1-800-352-8401 Phoenix: 602-542-9935   Description of program INCOME   Exceeds 100% FPL Must be less than 40% FPL after deducting allowable medical expenses (spend down). Family Size Monthly Income More Than Income After Spend Down 1 $ 817 $ 327 2 $ 1,100 $ 440     RESOURCES $100,000 (only $5000 may be liquid assets)  CITIZENSHIP & IMMIGRANT STATUS U.S. Citizen or Qualified Immigrant ARIZONA RESIDENCY Required  SOCIAL SECURITY NUMBER Required  APPLY TO DES SOBRA for Children (under age 19) Statewide: 1-800-352-8401 Phoenix: 602-542-9935   Description of program INCOME (Monthly)     Family Size 1 2 3 4 Under age 1 140% Federal Poverty Level $1,144 $1,540 $1,937 $2,334 Ages 1- 6 133% Federal Poverty Level $1,087 $1,463 $1,840 $2,217 6 and older 100% Federal Poverty Level $817 $1,100 $1,384 $1,667     RESOURCES  No Limit  CITIZENSHIP & IMMIGRANT STATUS  U.S. Citizen or Qualified Immigrant  ARIZONA RESIDENCY  Required SOCIAL SECURITY NUMBER  Required SPECIAL REQUIREMENTS  N/A APPLY TO DES