AHCCCS Medicaid, provided by the Arizona Health Care Cost Containment System. AHCCCS offers health care programs that serve Arizona residents. Clients must meet certain income and other requirements.
Who Qualifies For AHCCCS Medicaid?
To be eligible for Arizona AHCCCS Medicaid, you must:
- Be an Arizona Resident and a United States citizen or qualified immigrant.
- Have, or be eligible for, a Social Security number.
- Have a limited income.
- Be a senior, age 65+, or approved for Supplemental Security Income (SSI), based on disability, by the Social Security Administration.
The gross monthly income limit as of January 2021 was $1,415 for a single applicant and $1,911 for a family of two.
Click here for additional information on eligibility.
AHCCCS Medicaid Services
AHCCCS contracts with health plans to provide covered services. An AHCCCS health plan works with doctors, hospitals, pharmacies, specialists and other health care professionals. Clients choose a health plan that responds to their location and they select their primary care doctor.
AHCCCS Medicaid plans provide these services:
- Doctor’s Visits
- Immunizations (shots)
- Prescriptions (Not covered if you have Medicare)
- Lab and X-rays
- Early and Periodic Screening Diagnosis and Treatment (EPSDT) Services for Medicaid eligible children under age 21
- Specialist Care
- Hospital Services
- Transportation to doctor
- Emergency Care
- Podiatry Services Performed by a Podiatrist
- Pregnancy Care
- Surgery Services
- Physical Exams
- Behavioral Health
- Family Planning Services
- Glasses (for children under age 21)
- Vision Exams (for children under age 21)
- Dental Screening (for children under age 21)
- Dental Treatment (for children under age 21)
- Emergency Dental (for adults 21 and older)
Covered behavioral health services include:
- Behavioral Health Day Programs
- Crisis Services including mobile team services, telephone crisis response, and urgent care Inpatient Services
- Rehabilitation Services
- Health Promotion – Prevention, Education and Medication Training
- Residential Behavioral Health Services
- Support Services including case management, personal assistance, Family & Peer Support, therapeutic foster care, respite, housing support, interpreter services, transportation, assistance accessing community resources and locating and applying for benefits, child care connections; and
- Treatment Services – counseling, consultation, assessment and specialized testing, and substance abuse treatment.
AHCCCS Long Term Care Services
Arizona Long Term Care (ALTCS) coverage includes:
- Services from program contractors that work with doctors, nursing homes, assisted living facilities, hospitals, pharmacies, specialists and other health care professionals to provide care.
- A case manager who coordinates client’s care.
In addition to the services listed above, AHCCCS long term care clients may receive services from:
- A Nursing Facility
- Attendant Care
- An Assisted Living Facility
- Adult Day Care Health Services
- Home Health Services, such as nursing services, home health aide, and therapy
- Home Delivered Meals
- A Case Manager
- Dental Services
For more information on AHCCCS covered services visit the AHCCCS website.
Apply For AHCCCS Medicaid
There are four different ways that Arizona seniors can apply for AHCCCS Medicaid. You can:
- Contact ACCESSMed Foundation at (602) 375-2412 from 8:00 AM – 4:00 PM, Monday through Friday. We will provide you with personal Medicaid counseling and help you enroll.
- Click on the GET HELP link that is at the bottom of every page on this website. An ACCESSMed volunteer (who is a highly experienced health insurance professional) will contact you to provide AHCCCS Medicaid counseling and help you enroll in the best benefits available.
- Submit an online application through Health-e-Arizona Plus.
- Call the Arizona Department of Economic Security at (855) 432-7587 and request a paper application.
AHCCCS Medicaid provides low-cost and possibly no-cost health care insurance for vulnerable seniors. If you are an Arizona senior dealing with health challenges and also with a limited income, ACCESSMed Foundation can help you enroll.