Frequently Asked Questions Caregiver. Medicaid Plans that are low cost or no-cost Medicare dual eligible special needs plans Plans that provide special coverage for those who have both Medicaid and Medicare. From Email. To Email. This plan is available in the following counties: Gila , Maricopa , Pima , and Pinal. Find providers and coverage for this plan. Provider Icon. Provider Lookup.
Provider Directories opens modal window Provider Icon. Provider Directories. Drug List. Pill Icon. View Drug List. Behavioral Health.
Mental Health Icon. Find a Provider. Dentures Icon. Find a Dentist. Find a Pharmacy. Expand All. Document Folder Icon. That includes: Choice of Doctor. Find a doctor you trust in our network. Fill your prescriptions at local network pharmacies. Well Care. Preventive checkups, shots and needed lab tests. We pay for rides to and from medical visits or the pharmacy. Pregnancy Icon. Prenatal Visits. Care for you before your baby is born. Get extra support and rewards to keep you and your baby healthy.
Document Clipboard Icon. Benefits include: Care Management. Personal support from an experienced professional as needed. Asthma Support. Individual care to help you control asthma or COPD as needed. Counseling, substance abuse counseling, and other treatments are covered. Star Icon.
We make the sight, smile and hearing of our members up to age 21 are at their best: Vision. Eye exams, frames and lenses are covered. We pay for cleanings, checkups and dental work. Tests, checkups and hearing aids are included.
Home Icon. Benefits include: Equipment and Supplies. In-home medical and safety equipment are covered. Personal Care. Services to aid healing after illness or injury. Document Multiple Icon. For those times, you can rely on: Transportation. Our plan provides trips to and from medical and behavioral health visits or the pharmacy. An interpreter can go with you to medical and behavioral health visits. Language Help. Translated materials are available at no cost.
Social Services. Sometimes a person's health and safety requires help from community programs. Here they can get information about a variety of programs like: Food and housing assistance. Community child care. They can help members get much needed relief in many ways. Member Services. Our member services team can help answer questions. They are available Monday - Friday from 8a. Asthma Inhaler Icon. Benefits include a customized treatment plan and medicine to: Manage flare-ups.
Reduce symptoms. Help you stay active. Network Icon. Care Management Do you or a loved one have a serious health problem, a behavioral health issue, a substance abuse issue or a high-risk pregnancy? They will: Explain medical terms in plain language. Coordinate your doctor appointments. Provide your care team with your medical records. Your care manager will stay with you on your medical journey.
He or she will: Think beyond your medical and behavioral health needs. Make sure you have support at home. A: You can cancel the service yourself by de-enrolling your account. A: Contact a Premium Billing customer service representative. Toggle navigation. Behavioral Health Services. Home Opioid Use Disorder and Treatment. Opioid Treatment Program Reports. Get Covered. Already Covered. Eligibility Policy Manual.
A: First, you will need your account group number and your zip code. Q: Where can I find my account number? Q: Who can I contact if I am unable to log in? How Can I Pay. Q: What types of credit cards are acceptable? Q: Can I make an online payment using my bank account? Q: How do I add new bank account information? When Can I Pay. Q: Can I make an online payment on the last day of the month and not lose my coverage? A: Your payment will process the following normal business day after pm AZ.
Q: How far in advance can I make a single payment? A: A single payment can be scheduled up to 45 days from the current date. Behavioral Health Services. Home Opioid Use Disorder and Treatment. Opioid Treatment Program Reports. Get Covered. Already Covered. Eligibility Policy Manual. Eligibility - renewal.
For ALTCS customers, financial and non-financial conditions of eligibility are reviewed by: A face-to-face interview; An interview by phone; or Mail Customer Assistance If needed, eligibility workers and other staff will help the customer with the renewal process. This includes: Going with the customer to the local office; Helping the customer fill out the application; and Representing the customer Customer Cooperation Customers and their representatives must cooperate in the renewal process.
Eligibility — status of pending application, determination results, Processing Period. Timeframes If the customer is applying for: Then the processing period is SSI-MAO or FTW based on disability 90 calendar days from the application date MSP 45 calendar days from the application date BCCTP 7 calendar days from the application date Medical Assistance and is pregnant 20 calendar days from application date Medical Assistance and is hospitalized 7 calendar days from the application date Note: Only if there no proof or other information needed for the determination.
If there is anything still needed, the timeframe is 45 days All other programs 45 calendar days from the application date.
KidsCare If eligibility is determined by the 25th day of the month, eligibility begins with the first day of the following month. If eligibility is determined after the 25th day of the month eligibility begins the first day of the second month following the determination.
All other programs First day of a month, if the customer is eligible at any time during that month. Medicare Part B — buy in, and other related questions. What is Medicare? Medicare is a Federal health insurance program that is available to most US citizens and legal residents who are: Age 65 or over; Persons of any age with permanent kidney failure; and Certain disabled individuals There are four parts or benefit packages in the Medicare program.
There are three situations when a customer will be automatically enrolled in Medicare Part B When an individual is age 65 and receives Social Security or Railroad Retirement benefits, the person is automatically enrolled in Medicare Part A and B beginning with the first day of the month the individual attains age When an individual is under age 65 and receives Social Security Disability Insurance or Railroad Retirement disability benefits, enrollment automatically begins effective with the 25th month after the beginning of the receipt of such disability benefits.
This association is often created for multiple providers using the same Tax ID. For privacy reasons, providers are restricted from viewing claims submitted by other providers, unless a provider group affiliation is established.
A Master account has all the functionality of Individual accounts. However, a Master account holder will also have the ability to administer all the Individual accounts for the same provider. This provides an authorized representative from a provider, such as a supervisor or manager, the ability to monitor and maintain who can and cannot access information from the system.
When the registration process is complete for a Master account, a letter will be generated and sent to the mailing address specified by the account holder. The account holder specifies the address by selecting one of the options in the drop-down list during the sign up process. The letter will contain the authentication code necessary to activate the Master account. If the Master account is not activated within 15 days of creation, it will be deleted from our system.
Please keep in mind that during this time, no other Master accounts can be created. Therefore, please do not attempt to create a Master account unless you are authorized to do so since this will delay your setup process.
0コメント