1. No category

Health Care Resources for Arizona’s Low
Income and Uninsured Families
June 2014 Edition
Produced by and distributed by:
With the financial support of:
Health Care Resources for
Arizona’s Low Income and Uninsured Families
Produced and distributed by
Funding for this manual was made possible by a grant from
Children’s Action Alliance is a non-profit, non-partisan organization dedicated to
promoting the well-being of all of Arizona’s children and their families through research,
policy development, media campaigns and advocacy.
Children’s Action Alliance
4001 N. 3rd Street, Suite 160
Phoenix, AZ 85012
Phone: (602) 266-0707
Fax: (602) 263-8792
CAA Southern Arizona
33 S. 5th Ave.
Tucson, AZ 85701-1800
Phone: (520) 329-4930
www.azchildren.org
Electronic Document Navigation: To conveniently navigate the electronic version of this
document, click on the topics below to link directly to the complete section within the document.
Table of Contents
I. Overview .................................................................................................................... 5
II. Health Insurance Marketplace ................................................................................ 6
III. AHCCCS Programs ................................................................................................ 10
a.
b.
c.
d.
Characteristics of Arizonans Who May Be Eligible for Medicaid ......................... 11
AHCCCS Acute Services ....................................................................................... 12
Arizona Long Term Care System (ALTCS) Services ............................................ 12
Who Decides AHCCCS Eligibility? ....................................................................... 13
Social Security Administration ........................................................................... 13
Arizona Department of Economic Security (DES) ........................................... 13
AHCCCS Administration ................................................................................... 13
e. Eligibility Requirements ............................................................................................ 14
f. What Does AHCCCS Health Insurance Cost? ........................................................... 14
g. How Does an AHCCCS Health Plan Work? ............................................................. 15
h. Choosing an AHCCCS Health Plan .......................................................................... 16
i. Choosing a Primary Doctor ........................................................................................ 18
j. Grievance and Appeal Process ................................................................................... 18
k. Programs by Covered Group ..................................................................................... 21
l. AHCCCS Programs .................................................................................................... 22
m. How to Order AHCCCS Applications ..................................................................... 40
n. AHCCCS Contact Information .................................................................................. 40
o. AHCCCS Enrollment Assistance .............................................................................. 41
IV. The Arizona Department of Economic Security (DES)....................................... 46
a. General Information ................................................................................................ 46
b. DES Family Assistance Offices .............................................................................. 47
V. Behavioral Health Resources ................................................................................. 49
a.
b.
c.
d.
e.
f.
What are Behavioral Health Services? ................................................................... 49
Maricopa County Emergency Services ................................................................... 49
Regional Behavioral Health Authorities (RBHAs)................................................. 50
Tribal RBHAs ......................................................................................................... 51
Community Based Agencies/Community Crisis Numbers..................................... 51
Support Groups ....................................................................................................... 52
VI. Community Health Centers ................................................................................... 56
a. What is Primary Care? ............................................................................................ 56
b. General Information About CHCs .......................................................................... 56
c. Community Health Center Locations ..................................................................... 58
VII. Dental Health ...................................................................................................... 63
a. Arizona Dental Association .................................................................................... 63
b. Arizona Dental Sealant Program ............................................................................ 64
c. Arizona School-Based Fluoride Mouthrinse Program ............................................ 64
d. Arizona Fluoride Varnish Program ......................................................................... 64
e. Other Organizations ................................................................................................ 65
f. Dental Treatment Referral List ............................................................................... 66
VIII. Native American Health Resources .................................................................. 72
a. General Information ................................................................................................ 72
b. American Indian Health Program (formerly “Indian Health Service”) .................. 72
c. Questions and Answers ........................................................................................... 72
IX. Services For Children With Special Needs ........................................................... 74
a.
b.
c.
d.
What are Special Needs? ........................................................................................ 74
Arizona Department of Education (ADE) Services ................................................ 74
Children's Rehabilitative Services .......................................................................... 75
Arizona Early Intervention Program, Division of Developmental Disabilities, and
Arizona Long Term Care System .......................................................................... 75
e. Other Department of Health Services Programs ..................................................... 82
f. Social Security Benefits .......................................................................................... 82
g. Children in Foster Care/Comprehensive Medical and Dental Program ................. 82
h. Other Resources ...................................................................................................... 83
X. Small Business/Employer Health Resources ........................................................ 86
a. Small Business Health Options Program (SHOP) .................................................. 86
b. Arizona Small Business Association ...................................................................... 86
XI. Youth And Young Adults ....................................................................................... 89
a. Young Adult Transitional Insurance ....................................................................... 89
b. AHCCCS Care ........................................................................................................ 89
c. Continuing Education and Training ........................................................................ 89
Jobs Corps 89
Maricopa Community Colleges .......................................................................... 90
Other Community Colleges in Arizona: ............................................................ 91
d. Other Services for Youth ........................................................................................ 91
XII. Other Community Health Resources ................................................................ 94
a. Arizona Department of Health Services and County Health Departments............. 94
Health Start .......................................................................................................... 96
Women, Infants, and Children (WIC) ............................................................... 96
b. A to Z Child Health Links ...................................................................................... 97
c. Prenatal Care ........................................................................................................... 97
South Phoenix Healthy Start.......................................................................................... 97
d. Birth to Five Helpline ............................................................................................. 98
e. Centers for Independent Living (Arizona Statewide Independent Living Council)98
f. Child Care Resource and Referral .......................................................................... 99
g. Child Protective Services ........................................................................................ 99
h. Maternal, Infant and Early Childhood Home Visiting Programs ......................... 100
i. Community Information and Referral .................................................................. 101
j. Domestic Violence ................................................................................................ 101
k.
l.
m.
n.
o.
p.
q.
r.
s.
t.
u.
v.
w.
x.
y.
z.
aa.
bb.
cc.
dd.
ee.
ff.
gg.
hh.
ii.
jj.
kk.
Family Planning .................................................................................................... 101
Nutrition Assistance (formerly the Food Stamp Program) and Food Banks ........ 104
Head Start.............................................................................................................. 105
Homeless Services ................................................................................................ 106
Immunizations....................................................................................................... 117
Flu Clinics ............................................................................................................. 118
Legal Aid .............................................................................................................. 118
Gay, Lesbian, Bisexual, Transgender Resources .................................................. 120
Medical Services Project....................................................................................... 121
Medical Networks - Discounted Health Services ................................................. 122
Pima Community Access Program (PCAP) .................................................... 123
Community Access Programs of Arizona- Mexico (CAPAZ-MEX) ............. 123
Santa Cruz Health Connection ......................................................................... 124
Prescription Drug Discount Programs .................................................................. 124
School-Based Health Centers ............................................................................... 125
Sexually Transmitted Diseases ............................................................................. 125
Social Security Administration ............................................................................. 129
Spanish-English Hotline ....................................................................................... 129
Substance Abuse ................................................................................................... 130
Unemployment ...................................................................................................... 130
Veterans’ Services ................................................................................................ 131
Vision Benefits and Services ................................................................................ 133
Neighborhood Christian Clinic ............................................................................. 133
Neighborhood Outreach Access to Health (NOAH) ............................................ 133
Prescription Drug Benefit – CoppeRx® ............................................................... 134
Prescription Drug Benefit – Coast2CoastRx ........................................................ 134
Pre-existing Condition Insurance Plan (PCIP) ..................................................... 134
Mission of Mercy .................................................................................................. 135
HIV/AIDS ............................................................................................................. 135
Crews’n Healthmobile .......................................................................................... 138
XIII. Tools ................................................................................................................... 141
a. AHCCCS Income Eligibility Limits ..................................................................... 141
b. AHCCCS Program Eligibility............................................................................... 142
c. How to Apply for AHCCCS Programs ................................................................. 146
Federally Qualified Health Centers Facilitating
Health-e-Arizona
Applications ........................................................................................................ 147
d. Tips for Completing Your AHCCCS Application ................................................ 148
e. How to Renew your AHCCCS Coverage ............................................................. 150
f. How AHCCCS Health Plans Work ...................................................................... 150
g. Citizenship Requirements ..................................................................................... 151
I.
Healthcare for
Adults and
Children: Health
Insurance
Marketplace &
AHCCCS
http://www.azahcccs.gov
http://www.healthcare.gov
I.
Overview
This manual provides detailed information about how families can access health care coverage
and other benefits through AHCCCS (Arizona’s Medicaid agency) and the health insurance
Marketplace. A family’s income will determine whether they qualify for an AHCCCS medical
programs or subsidies to lower the cost of a health insurance plan purchased through the Health
Insurance Marketplace.
There are many different health coverage programs within AHCCCS and each will have its own
income requirements. Filling out an AHCCCS application will determine which program an
applicant is qualified for. Due to the Affordable Care Act, AHCCCS health plans have expanded
coverage to higher income levels than in the past.
Families who earn too much to qualify for Medicaid may still receive financial assistance to
purchase a health plan on the Marketplace. Anyone who does not qualify for an AHCCCS
health plan can apply for a health plan on the Marketplace, but whether they qualify for financial
benefits will depend on the family’s income, employment benefits, and residency status.
AHCCCS and the Marketplace use different application systems. The application system used
by AHCCCS is also used to apply for many other public benefits such as nutrition assistance,
and each program has its own requirements. The Marketplace application system can only be
used to apply for health insurance.
Income requirements for various AHCCCS programs are discussed in this manual in the sections
that follow and are also included in the tools section of this resource manual. The guideline for
determining whether a family’s income qualifies them for AHCCCS programs or subsidized
Marketplace plans is referred to as the Federal Poverty Level (FPL).
To determine where to apply first, applicants can be screened by comparing their estimated
family income to the income requirements for AHCCCS programs. If the applicant’s estimated
income is below 150% of the FPL, then they should consider starting with the AHCCCS
application. The table below can be used as a preliminary screening tool on whether to start with
AHCCCS or the Marketplace. It is important to note that there are many AHCCCS programs
with separate income requirements and it is worth contacting an application assister to consider
options by dialing 211.
Family
size
1
2
3
4
5
If family income is LESS
than 150% of FPL
150% of FPL
If family income is
OVER 150% of FPL
$17,505
$23,595
Consider starting a
$29,685
Marketplace application
(Information on page 6)
$35,775
$41,865
For families over 5 persons, add $6090 for each additional person
Consider starting a
AHCCCS application
(Information on page 10)
5
A 2014 FPL chart is located in the tools section of this resource manual. Please see
http://aspe.hhs.gov/poverty/ for the most current guidelines. The FPL is updated by the federal
government every year and varies by family size.
II.
Health Insurance Marketplace
The Patient Protection and Affordable Care Act (ACA) was signed into law by President Obama
in March of 2010. Millions of Americans have already benefitted from many of
the law’s provisions including coverage for preventive health services, ban on lifetime limits,
and insurance coverage for young adults. On October 1, 2013 the Health Insurance Marketplace
opened to enrollment. Arizona has elected to have the Federal Government operate the
Marketplace for Arizona, which means that Arizonans can apply for coverage through the
federally run website, www.healthcare.gov.
The Marketplace is a new way to find quality health coverage for those who have no coverage
now or who are looking at other options. With one Marketplace application, you can learn if you
can get lower healthcare insurance costs based on your income, compare your coverage options
side-by-side, and enroll. Tax credits to offset premiums and cost-sharing reductions that reduce
out-of-pocket health costs are available based on income.
Categories of Marketplace Insurance Plans
There are five categories of Marketplace insurance plans: Bronze, Silver, Gold, Platinum, and
Catastrophic. All Marketplace insurance plan categories offer the same set of essential health
benefits. The categories do not reflect the quality or amount of care the plans provide. The
category you choose affects how much your premium costs each month and what portion of the
bill you pay for things like hospital visits or prescription medications. It also affects your
total out-of-pocket costs —the maximum amount you’ll spend for the year if you need lots of
care.
When choosing your health plan, pay close attention to both the cost of the premium and the cost
sharing details included in each plan and how it will relate to your health needs. Cost sharing
includes health costs incurred through copayments, deductibles, and coinsurance. A plan with
cheap monthly premiums may save you from paying a higher premium, but may actually result
in higher overall costs when you access health care. It is important to look at the cost-sharing
included in each plan when deciding which plan will best fit your health needs. Note that only
plans purchased at the Silver level or above will qualify for tax credits to offset premium costs;
and cost-sharing reductions only apply to Silver level plans.
In addition to the premium and cost sharing details in each plan, make sure you check with the
health insurance plan to see whether the providers that are under the plan meet your health needs.
If you visit providers that are not covered under the plan, you may encounter significant health
costs. Links to each plan are listed in the Qualified Health Plans section.
6
Essential Health Benefits Package
All Marketplace plans are required to provide essential health benefits. The essential health
benefit benchmark for Arizona is the State employee plan. Complete details are provided here,
http://www.cms.gov/cciio/resources/data-resources/ehb.html - review.
In general the ACA requires an essential health benefits package in every health plan to include
services and items in these 10 broad categories of care:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Ambulatory patient services
Emergency services
Hospitalization
Maternity and newborn care
Mental health and substance use disorder services, including behavioral health treatment
Prescription drugs
Rehabilitative and habilitative services and devices
Laboratory services
Preventive and wellness services and chronic disease management
Pediatric services, including oral and vision care*
*Not all plans on the Marketplace include dental coverage for kids. This is because there are
also separate, stand alone dental plans available for purchase. Stand alone plans do not qualify
for premium tax credits.
How to Apply to the Health Insurance Marketplace and AHCCCS?
There are several ways to apply for health insurance using the Marketplace. You can go directly
to www.healthcare.gov to learn more about the Marketplace and to apply for coverage. You can
also receive assistance from a Navigator or an Assister, trained individuals available in the
community to help you in completing the required application.
Normally, you can only apply for the Marketplace during a certain time frame of the year known
as Open enrollment. Open enrollment for the Health Insurance Marketplace begins November
15th and continues until February 15th. After the February 15th deadline, most applications will
no longer be accepted; however, special circumstances such as the loss of a job, divorce,
relocation, and other situations will allow you to apply. A list of these special circumstances is
available at
https://www.healthcare.gov/screener/marketplace.html?state=Arizona&path=marketplace
Several plans on the Marketplace can be purchased outside of healthcare.gov directly from the
health plan, but consumers should be advised that these plans will not be qualified for any tax
credits or cost sharing reductions.
The Health-e-Arizona Plus application at www.healthearizonaplus.gov serves as the application
portal for the full range of AHCCCS benefits and local health programs, Nutrition Assistance
7
(Food Stamps) and Cash Assistance benefits. You can apply for AHCCCS at any time of the
year.
Navigators and Assisters
Several Arizona organizations received grant funds from the Federal government to help provide
outreach and enrollment assistance for the Marketplace. These organizations can be reached by
dialing the state wide hotline 211. Personnel are trained to provide assistance and are
strategically located throughout the state under the direction of the following organizations:
·
·
·
·
Greater Phoenix Urban League, Inc. 602-254-5611
Arizona Alliance for Community Health Centers 602-253-0090
Arizona Board of Regents, University of Arizona 520-292-6900 or 520-512-0144
Campesinos Sin Fonteras, Inc
928-627-5995
Each of these organizations partner with many other local organizations to coordinate outreach
opportunities throughout Arizona. A map to locate a site nearby is located at
http://coveraz.org/navigators-and-assisters-map/
Consumers can also call 211 for statewide referral to a Navigator near the zip code they reside in.
Direct access to the Marketplace application is at healthcare.gov or by calling 1-800-318-2596.
Qualified Health Plans Offered on the Marketplace
Health plans that are officially registered with the Marketplace are also known as Qualified
Health Plans. Overall, Arizonans have nearly 1,200 options available statewide. Every year,
health insurers will review the plans offered on the Marketplace and consider changes. Listed
below are the names of the qualified health plans with details of the plans offered and links to
additional information. Consumers can also go to healthcare.gov to look at the plans in their
county.
After purchasing a plan on the Marketplace, the consumer must pay the monthly premium to
begin coverage. If you purchased a plan before the 15th of the month, then your coverage can
begin as early as the 1st of the following month. If you purchased a plan after the 15th, then your
plan will begin the month after the next month.
Other sites are available to search qualified plan information by state and region. They include:
·
·
ValuePenguin: http://www.valuepenguin.com/
Cover Arizona: http://coveraz.org/health-plan-information/ (Links to health plan formularies
and provider networks are available and posted on this page also.)
8
Qualified Health
Plan
Health Net of Arizona
Humana Health Plan,
Inc.
Aetna
Blue Cross Blue
Shield of Arizona, Inc.
Health Net Life
Insurance Company
Meritus Mutual Health
Partners
Meritus Health
Partners
Health Choice
Insurance Company
Cigna Health and Life
Insurance Company
University of Arizona
Health PlansUniversity Healthcare
Marketplace
Types of Plans
Offered
HMO,
Catastrophic
HMO,
Catastrophic
PPO,
Catastrophic
PPO,
Catastrophic
PPO
PPO,
Catastrophic
HMO
HMO
PPO
HMO
Counties Where
Options Available
Maricopa, Pima, Pinal
Number of
Plan Options
56
Maricopa, Pima
10
Statewide
105
Statewide
495
Statewide
240
Statewide
135
Maricopa, Pima, Santa
Cruz
Apache, Coconino,
Gila, Maricopa,
Mohave, Navajo, Pima,
Pinal
Statewide
18
Cochise, Graham,
Greenlee, LaPaz,
Maricopa, Pima, Pinal,
Santa Cruz, Yavapai,
Yuma
32
135
51
Qualified Dental Plans are also available for purchase on the Marketplace. Arizona has five
qualified dental plans available offering close to 400 different options to select a child’s plan or a
family plan of coverage.
Qualified Dental
Plan
Delta Dental of
Arizona
Dentegra Insurance
Company
Cigna Health and Life
Insurance
Premier Access
Dental
Types of Plans
Offered
PPO
Pediatric and
Family
PPO
Pediatric and
Family
PPO
Pediatric and
Family
PPO
Pediatric and
Family
Counties Where
Options Available
Statewide
Number of
Plan Options
120
Statewide
159
Statewide
30
Statewide
45
9
Humana Insurance
Company
PPO
Statewide
15
Additional details regarding the qualified health plan formularies and county specific options are
available at http://coveraz.org/health-plan-information/.
III.
AHCCCS Programs
The Arizona Health Care Cost Containment System (AHCCCS, pronounced “access”) is the
agency that administers the State’s quality low or no cost public health insurance programs for
adults and children.
In addition, many people use the term “AHCCCS” for the actual health insurance products
administered by the agency (i.e., “I have AHCCCS”). The largest of these programs is Arizona’s
version of the federal Medicaid program. Thus, the term AHCCCS is often used interchangeably
with the term Medicaid in Arizona. AHCCCS also administers KidsCare, which provides health
insurance for children in families who are two times above the poverty level. However, no new
applications are being approved for KidsCare at this time.
AHCCCS offers cost-effective, quality programs that provide health insurance to many people
who would not otherwise be able to afford some or all of their medical bills. Over a million
people have AHCCCS health insurance in Arizona. However, there are still many uninsured
people in Arizona, and many of them are probably eligible for existing coverage that is explained
in this Manual. Often, people don’t know they are eligible for Medicaid.
AHCCCS health insurance is available only to certain low-income individuals and families who
fit into an eligibility group that is recognized by federal and state law. Some AHCCCS members
are required to pay a monthly premium or small copayment to help offset the cost of their
medical care.
The AHCCCS acute care program is a statewide, managed care system that delivers acute care
services plus the American Indian Health Program. AHCCCS contracts with health plans and
other program contractors, paying them a monthly “capitation” amount in advance for each
enrolled member. The plan or contractor is then “at risk” to deliver the necessary services within
the capitation amount. AHCCCS receives federal, state, and county funds to operate, plus some
monies from Arizona’s tobacco tax.
Eligibility is not performed by one agency, but by various agencies, depending on the category.
For example, pregnant women, families, and children generally enter AHCCCS by way of the
Department of Economic Security (DES). Individuals with blindness or another disability and
the elderly who receive Supplemental Security Income (SSI) enter through the Social Security
Administration (SSA). Eligibility for categories such as long-term care and Medicare Savings
Programs is handled by AHCCCS. AHCCCS also handles SSI Medical Assistance Only
(MAO), which is Medicaid for the aged, blind or disabled Medicaid categories. Each eligibility
group has its own income and resource criteria.
10
Income guidelines for most AHCCCS programs are based on the Federal Poverty Level (FPL)
set by the federal government.
A 2014 FPL chart is located in the tools section of this resource manual. The
FPL guidelines usually change annually. Please see http://aspe.hhs.gov/poverty/
for the most current guidelines.
Some programs use the base Federal Poverty Level or 100% FPL. The FPL is updated by the
federal government every year and varies by family size. Income guidelines for the Arizona
Long Term Care System (ALTCS) program are determined at 300% of the Federal Benefit Rate
(FBR). The FBR is the maximum paid by the SSA to persons determined to be eligible for SSI
Cash. The FBR is updated every January by the federal government.
a. Characteristics of Arizonans Who May Be Eligible for Medicaid
·
Child under 19
·
·
Individual with a disability
Parent of minor child
·
·
Blind individual
Pregnant woman
·
·
Low-income adult
Individual 65 years of age or older
11
b. AHCCCS Acute Services
·
Doctor’s office visits and specialist care, if necessary
·
Hospital services and emergency medical care
·
Pregnancy care
·
Prescriptions & medical supplies (Note: prescription coverage is limited for persons
entitled to Medicare)
·
Laboratory & X-ray services
·
24-hour emergency medical care
·
Family planning services, but not abortion or abortion counseling
·
Preventative dental (children only)
·
Emergency dental
·
Complete physical exams
·
Shots
·
Hearing tests & hearing aids (for members under age 21)
·
Behavioral health services
·
Transportation
c. Arizona Long Term Care System (ALTCS) Services
All AHCCCS Acute services, plus Home- and Community-Based Services (HCBS):
Note: this does not include community-based settings such as assisted living centers and homes
and adult foster care homes, etc.
· Home health nurse and/or aide
· Homemaker
· Personal and/or respite care
· Attendant care
· Transportation
· Adult day health
· Home delivered meals
· Developmentally disabled day care
Institutional care
· Nursing facility
· Intermediate care facility for Mental Retardation and Related Conditions
12
· Hospice
· Behavioral health services
For more information about ALTCS, please see the related section under Children with Special
Health Care Needs.
d. Who Decides AHCCCS Eligibility?
Different government agencies are responsible for determining eligibility for different
publicly funded health care programs. These agencies and the respective program for which
eligibility is determined include:
Social Security Administration
·
SSI Cash: In Arizona, SSI Cash recipients are automatically eligible for
AHCCCS Health Insurance
Arizona Department of Economic Security (DES)
· AHCCCS Care (Low Income Adults) – Under the new Medicaid expansion
that started on January 1, 2014, qualified individuals may again be covered
up to 133% FPL or qualify for health insurance through the Health
Insurance Marketplace
· AHCCCS for Families and Children (Section 1931 of the Social Security
Act)
· SOBRA (Pregnant women & children under age 19)
· Federal Emergency Services (FES [pregnant women, children, families
regardless of immigration status])
· Young Adult Transitional Insurance (Children who turned 18 while in DES
foster care and enrolled on Medicaid) The Affordable Care Act has expanded
coverage for these youth until age 26
AHCCCS Administration
·
KidsCare (Children's Health Insurance Program [CHIP]) Enrollment
Suspended
·
ALTCS (Arizona Long Term Care System)
·
SSI MAO (SSI Medical Assistance Only programs)
·
Medicare Savings Programs (AHCCCS pays Medicare premiums and
deductibles and co-pays)
13
·
Federal Emergency Services (FES [disabled, blind or 65 & older])
·
Breast & Cervical Cancer Treatment Program
·
Freedom to Work
·
SSDI Temporary Medical Coverage – Program Suspended
e. Eligibility Requirements
General Requirements
·
·
·
·
Arizona resident
Citizen or qualified immigrant1 (only for the person for whom application is being made;
for example, if child is the applicant, the parents’ citizenship status is not considered
unless they are also applying for coverage)
Income under specified limit
Provide or apply for Social Security Number (Parents who are enrolling their children but
not themselves DO NOT need to provide their own social security numbers)
Specific Requirements (Do Not Apply to All Programs)
·
·
·
·
·
Resource limits
Transfer of resources penalty
Disability
Age
Not covered by Medicare, Medicaid, VA Medical or other health insurance
f. What Does AHCCCS Health Insurance Cost?
Co-Payments
A co-payment is the amount an AHCCCS member pays to a provider to receive medical
services. Co-payments (www.azahcccs.gov/members/copayments.aspx) have changed effective
October 2010 for some AHCCCS members. The maximum co-pays are as follows:
$5
$30
Physician visit
Non-emergency use of the emergency room (A.A.C. R9-22-711.D.)
The following AHCCCS members do not have a co-payment:
·
·
·
1
Children under age 19 (including KidsCare)
Pregnant women
Individuals up through age 20 eligible for services from Children’s Rehabilitative
Services (CRS) Program
For more information on citizenship and qualified immigrant status, see the tools section at the end of this manual.
14
·
·
·
·
·
·
·
·
·
Persons residing in medical institutions (e.g. hospital, nursing facility or ICF/MR)
ALTCS eligible persons receiving Home- and Community-Based Services (Note: some
exceptions apply)
Persons receiving hospice care
Persons enrolled in the ALTCS Program
Persons with a serious mental illness (SMI)
All fee-for-service populations
Persons receiving family planning services
Persons eligible for Medicare Cost Savings Programs
Native Americans enrolled with the American Indian Health Program or eligible for
Health Insurance for Parents or KidsCare
Premiums
All KidsCare households are charged a monthly premium based on their income and the number
of children enrolled. KidsCare is currently frozen and no new enrollees are accepted; however
current enrollees may stay on if they make their premium payments.
KidsCare premium amounts are available at
http://www.azahcccs.gov/applicants/categories/KidsCare.aspx#Premiums
KidsCare premium notices are mailed out on the 1st of the month and payments are due by the
15th of the month. AHCCCS/KidsCare will notify recipients of any changes in premium
amounts.
Premium payments can be mailed, dropped off in person or paid online.
·
Mail: AHCCCS Health Insurance, PO Box 29144, Phoenix, AZ 85038 – 9144
·
Drop Off In Person: AHCCCS Administration, 701 E. Jefferson, Phoenix, Arizona 85034
·
Online: Go to www.myahcccs.com to pay premiums online.
Coverage ends when premiums are more than one month in arrears (i.e., when payment is a
month late). Overdue premiums must be paid before a family can be re-approved.
g. How Does an AHCCCS Health Plan Work?
AHCCCS is a statewide, managed care system that delivers services through prepaid, “capitated”
health plans. AHCCCS contracts with health plans and other program contractors, paying them a
monthly “capitation” amount for each enrolled member. The plan or contractor is then “at risk”
to deliver the necessary services within the capitation amount. AHCCCS also contracts with
American Indian Health Program (AIHP) to deliver care on a fee-for-service basis.
The health plan works with health care providers (i.e., doctors, hospitals, pharmacies) to provide
all AHCCCS covered services.
15
The health plan will send a member handbook when a person is enrolled.
The phone number for member or customer services can be found in the Member Handbook and
on the AHCCCS ID Card.
A person can call the health plan with questions about benefits or services, or to request
interpreter services or an accommodation for a disability.
h. Choosing an AHCCCS Health Plan
A person applying for AHCCCS needs to choose a health plan that serves their county (except
for a few zip codes that cross county lines, which are noted on the application form). All
AHCCCS health plans are required to provide the same array of services. Nonetheless, some
differences do exist between health plans (for example, health plans may contract with different
providers). Thus, it is wise for applicants to find out more information about the different health
plans they may be eligible for before choosing a plan. Applicants should choose an AHCCCS
health plan when they apply.
Native Americans, who can receive services from AIHP, may choose either the AIHP or an
AHCCCS Health Plan located in their county of residence.
Individuals applying to AHCCCS who do not choose a health plan when applying will be
assigned to a health plan by AHCCCS and given 30 days to choose another health plan if they
wish.
Individuals who have been enrolled in an AHCCCS health plan within the past 90 days will be
enrolled with their previous health plan if it is available.
A person who is approved for emergency services only will not be enrolled in an AHCCCS
Health Plan.
For a list of health plans organized by Arizona County, please refer to the chart below.
AHCCCS Health Plans
AHCCCS members must select a health plan that serves their county. The health plan should be
selected when an AHCCCS application is filled out.
Health Plans
United Healthcare Community Plan
(www.uhccommunityplan.com)
1 E. Washington St
Phoenix, AZ 850004
Phone
County
Apache, Coconino, Cochise,
Graham, Greenlee, La Paz,
(800) 348-4058
Maricopa, Mohave, Navajo,
Pima, Santa Cruz, Yavapai, Yuma
16
Health Plans
Bridgeway Health Solutions
(www.bridgewayhs.com)
1501 W. Fountainhead Corporate
Park, Suite #295
Tempe, AZ 85282
Phone
County
(866) 516-7224
Yavapai
Care 1st Health Plan Arizona
(www.care1st.com)
(602) 778-1800
2355 E. Camelback Street, Suite 300
Phoenix, AZ 85016
(866) 560-4042
Maricopa
Health Choice Arizona
(www.healthchoiceaz.com)
(480) 968-6866
410 N. 44th Street, Ste 900
Phoenix, AZ 85008
(800) 322-8670
Apache, Coconino, La Paz,
Maricopa, Mohave, Navajo,
Pima, Santa Cruz, Yuma
Maricopa Health Plan
(www.mhpaz.com)
(602) 344-8760
2502 E. University Drive, Suite 125
Phoenix, AZ 85034
(800) 582-8686
Mercy Care Plan
(www.mercycareplan.com)
(602) 263-3000
4350 E. Cotton Center Blvd, Bldg D
Phoenix, AZ 85040
(800) 624-3879
Phoenix Health Plan
(www.phoenixhealthplan.com)
(602) 824-3700
7878 N. 16th Street, Suite 150
Phoenix, AZ 85020
(800) 747-7997
Maricopa
Cochise, Graham, Greenlee,
Maricopa, Pima
Apache, Coconino, Gila,
Maricopa, Mohave, Navajo,
Pima, Pinal, Yavapai
University Family Care
(www.universityfamilycare.net)
2701 E. Elvira Road
Tucson, AZ 85756
(520) 874-5290 Cochise, Gila, Graham, Greenlee.
Pima, Pinal, Santa Cruz
(800) 582-8686
Split ZIPS: 85220, 85342, 85353 and 85390 to Maricopa; 85292 to Gila; 85643 to Cochise,
85645 to Santa Cruz, 86336 and 86340 to Yavapai; and 86434 and 86351 to Coconino.
17
i. Choosing a Primary Doctor
Each member must choose a primary doctor or one will be assigned.
The health plan sends new enrollees a list of available primary doctors. The primary doctor will:
·
Take care of the person's health care.
·
Be responsible for obtaining authorization for medically necessary non-emergency
medical services.
·
Refer the person to a specialist when needed.
The person may change primary doctors by calling their health plan's member service or
customer service department.
Did You Know . . . ?
Information on individual physicians (education, training, regulatory actions taken
against them) can be found through the following state licensing boards:
· Arizona Medical Board
(480) 551-2700
www.azmd.gov
· Arizona Board of Osteopathic Examiners
(480) 657-7703
www.azdo.gov
j. Grievance and Appeal Process
AHCCCS members who disagree with decisions about the amount or type of services they
receive can appeal these actions to their health plan. Appealable actions include:
· Denial of requested services
· Termination or reduction of services
· Failure to take timely action
They can also request a state fair hearing. Members who are unhappy about other aspects of their
care (quality of service) can file complaints (grievances) to resolve the problem. Members must
follow certain steps, beginning with contacting their health plan. Please see the Frequently
Asked Questions (below) for more information about appealing an action or filing a complaint
(grievance).
Members Enrolled In a Health Plan – Appeal Process
·
Members enrolled in a health plan must appeal to their health plan.
18
·
Members should refer to the member handbook provided by their health plan for
instructions. If they are appealing an action, they must appeal to their health plan Claim
Dispute and Appeal department. Their health plan should resolve their appeal within 30
days unless there is an extension.
·
If a member or a health service provider feels that the member’s health will be in serious
jeopardy if they have to wait 30 days for a decision from their health plan, they can
request an expedited appeal. If the expedited appeal request is accepted by the health
plan, the health plan should resolve the appeal within three working days unless an
extension is granted or the appeal is determined not to require expedited handling.
·
If the member disagrees with their health plan's decision after the member appeals an
action, they can request a state fair hearing.
·
A member’s written request for a hearing must be filed with the health plan, which will
forward it to AHCCCS to schedule a hearing. State fair hearings are only available when
a health plan issues a decision on an appeal regarding the action.
Grievances
·
If the member has a complaint (e.g. environmental conditions at a doctor's office,
impoliteness or rudeness of providers) about something other than an action, the member
can file a grievance with the health plan. The health plan's decision is final; there is no
state fair hearing on the health plan's decision.
·
There is no state fair hearing for a health plan's decision on a grievance (that is a
complaint about something other than an "action"). The health plan's decision on a
grievance is final.
Members Not Enrolled In A Health Plan (Fee-For-Service)
·
·
Members not enrolled with a health plan are enrolled on a fee-for-service basis.
If a member is AHCCCS eligible and not enrolled with a health plan, the member may
contact AHCCCS Member Services with their complaint at (602) 417-4000 or (800) 6548713.
·
If the member is appealing an action, they must appeal to the AHCCCS Office of
Administrative Legal Services (OALS).
·
If a member or a health service provider feels that the member’s health will be in serious
jeopardy if they have to wait 30 days for a decision, they can request an expedited appeal.
If the appeal is expedited, it will be scheduled directly to hearing and AHCCCS will mail
a decision within three working days after the hearing.
·
If the AHCCCS decision on the appeal is unfavorable the member may request a state
fair hearing. Their written request for a hearing must be filed with AHCCCS Office of
Administrative Legal Services. See address below.
AHCCCS
Attention: Office of Administrative Legal Services
19
701 E. Jefferson, MD 6200
Phoenix, AZ 85034
(602) 417-4232 or (800) 654-8713 ext. 74232
Continuing Services During An Appeal
·
If a member is currently receiving services, the member may be able to continue to
receive services during the appeal process.
·
If services were reduced, suspended or terminated the member may ask to continue to
receive services during the appeal. Services will only be continued if they have already
been approved and are being provided. To continue receiving the services the member
must file their appeal before the day the reduction or termination is to take effect. If there
is less than 10 days between the date of the notice of reduction, termination, and
suspension and the effective date on the notice, they have 10 days from the date of the
notice to request continued services. However, if the member loses their appeal, they may
have to pay for the services they received during the appeal process. There are also rules
regarding payment of the premium during an appeal process in order to continue services.
·
This is a summary of the grievance and appeal process. The complete rules can be found
at Arizona Administrative Code (A.A.C.), Title 9, Chapter 34,
(http://www.azsos.gov/public_services/Title_09/9-34.htm) Article 2 (enrolled members),
and Article 3 (non-enrolled members). The Arizona Administrative Code can be found at
the Secretary of State's Office Web site at www.azsos.gov or by following the previous
hyperlink.
Frequently Asked Questions
1. Who can file a complaint (grievance), appeal or request for hearing?
An AHCCCS member, a guardian or conservator or an authorized representative
appointed by the member may file. The member must identify the authorized
representative in writing.
2. What actions can be appealed?
A member can appeal any denial, reduction, suspension, or termination of service, or
denial of claim payment for a non-covered service. This can include a failure to act
timely. These are called “actions.” Examples include a denial of a request for surgery, a
denial of a request for a wheelchair, a reduction in physical therapy days, etc.
3. What are the time frames for filing an appeal?
The appeal must be filed (received) no later than 60 days from the notice of action. The
notice of action describes the reasons for the action, and tells the member how to file an
appeal.
20
4. What if the member needs help filing their appeal?
Their health plan is required to provide reasonable assistance, including information on
the process.
5. Who will make the decision on the member’s appeal?
A qualified health care professional will make decisions on medical decisions. The
person who reviews the appeal cannot be the same person who made the original
decision.
6. What do you mean when you say "seriously jeopardizing one's health"?
This means serious harm to member’s life or health or ability to attain, maintain or regain
maximum function.
k. Programs by Covered Group
Different health insurance programs offered by AHCCCS are available for different "coverage
groups.”
·
·
·
·
·
·
Family Coverage
Coverage for Children Only
Coverage for Adults without Children
Coverage for Women Only
Senior Services
Partial Coverage
Family Coverage
There are several AHCCCS programs available for families with children under the age of 19.
AHCCCS Care, Health Insurance for Parents, AHCCCS Families and Children, Medical
Expense Deduction, and SOBRA for Pregnant Women and Children are programs that aid
children or the family as a whole. Individuals and families eligible for many AHCCCS programs
in this coverage group may also be eligible for Cash Assistance, Supplemental Nutrition
Assistance (SNAP, formerly Food Stamps) and Child Care Subsidy programs through the
Arizona Department of Economic Security.
Coverage for Children Only
There are several AHCCCS programs available for children under age 19. KidsCare, SOBRA
for Children and Arizona Long Term Care are programs that aid children. Young Adult
Transitional Insurance (YATI) covers young adults leaving foster care that are under the age of
26.
Coverage for Adults without Children
There are several AHCCCS programs available for adults who do not have children under the
age of 19 living with them (if there are children under 19 in the household, see Family
21
Coverage). AHCCCS, Arizona Long Term Care, and SSI Medical Assistance Only are programs
that aid adults without children. Individuals eligible for many AHCCCS programs in this
coverage group may also be eligible for Cash Assistance and/or TANF, and SNAP (formerly
Food Stamp) programs through the Arizona Department of Economic Security. The Freedom to
Work program offers assistance to employed adults who have a disability.
Coverage for Women Only
The following programs are available for women only: SOBRA for pregnant women and the
Breast and Cervical Cancer Treatment Program.
Senior and Disabled Services
There are several AHCCCS programs available for seniors such as Medicare Cost Savings, SSI
Cash/Medical Assistance Only and Arizona Long Term Care. For adults with disabilities, SSI
MAO, Medicare Savings Programs, Freedom to Work, ALTCS are offered.
Partial Coverage
There are programs under the AHCCCS umbrella that provide limited coverage and do not
include full health coverage benefits. These programs include Family Planning Services for
women who were covered by AHCCCS when they gave birth to a child, and Federal Emergency
Services (FES). FES coverage is limited to emergency situations, and Family Planning Services
is limited to family planning and is only available for up to two years after the end of the
pregnancy.
l. AHCCCS Programs
·
·
·
·
·
·
·
·
·
·
·
·
AHCCCS Care
AHCCCS for Families and Children
Arizona Long Term Care System (ALTCS)
Breast and Cervical Cancer Treatment Program (BCCTP)
Family Planning Services
Federal Emergency Services (FES)
Freedom to Work
KidsCare- Enrollment Frozen
Medicare Cost Savings Program
SOBRA
SSI CASH/SSI Medical Assistance Only (MAO)
Young Adult Transitional Insurance (YATI)
22
AHCCCS Care for Adults without Children
The AHCCCS Care program provides medical coverage, such as doctor's office visits,
hospitalization, prescriptions, lab work and behavioral health services.
·
After allowable income deductions, the annual income is equal to or less than
133% of the Federal Poverty Level (FPL).
·
There is no limit on the resources or property that may be owned.
·
An individual may apply at any Department of Economic Security (DES) office,
Community Health Center or PCAP (http://www.pcap.cc/) in Pima County.
·
Call (800) 352-8401 or (602) 542-9935 for additional information.
·
Ages 19-64.
Income
133% Federal Poverty Level (FPL)*
Resources
No Limit
Citizenship & Immigrant
Status
U.S. Citizen or Qualified Immigrant**
Arizona Residency
Required
Social Security Number
Required
Special Requirement
None
Apply at
Phone
DES, Community Health Center, or
www.healthearizonaplus.gov
Statewide:
(800) 352-8401
Phoenix:
(602) 542-9935
* An FPL Chart is located in the tools section of this resource manual.
** For more information on citizenship or qualified alien requirements see the citizenship page located in
the tools section at the end of this resource manual.
AHCCCS for Families with Children
AHCCCS for Families with Children provides medical coverage, such as doctor's office
visits, hospitalization, prescriptions, lab work, and behavioral health services to families.
To qualify, there must be a child in the household under the age of 18 years (or 19 years
if a full-time student).
·
The annual income limit for this program is 133% of the Federal Poverty Level
(FPL).
23
·
There is no limit on the resources or property that may be owned.
·
Deductions that can be subtracted from income before comparing the family's
income to the income limit include $90 per month for each person employed
and up to $200 per month for child care to enable a family member to work or
seek employment.
·
An individual may apply at any Department of Economic Security (DES) office,
Community Health Center, PCAP or Health Care Center. Within Maricopa
County, families can visit the Kids Health Link website
(http://www.kidshealthlink.org) or call 211 for assistance with applying.
·
Call (800) 352-8401 or (602) 542-9935 for additional information.
Income
133% Federal Poverty Level (FPL)*
Income excluded
$90 for expenses of employment; Up to
$200 for dependent care
expenses (depends on age)
Resources
No limit
Citizenship & Immigrant Status
U.S. Citizen or Qualified Immigrant**
Arizona Residency
Required
Social Security Number
Required for all persons applying
Special Requirement
Family must include a child deprived of
parental support due to absence,
disability, unemployment/underemployment, or death of a parent(s).
Apply to
DES, or Community Health Centers,
PCAP in Pima County, or Kids Health
Link (www.kidshealthlink.org) in
Maricopa County
Also, www.healthearizonaplus.gov
Statewide:
Phone
Phoenix:
211 for assistance
(800) 352-8401 (DES)
(602) 542-9935 (DES)
* An FPL Chart is located in the tools section of this resource manual.
** For more information on citizenship requirements see the citizenship page in the tools section of this
resource manual.
24
Arizona Long Term Care System (ALTCS)
ALTCS is for the elderly (65 and over), blind, or individuals with a disability who need,
or are at risk of needing, ongoing services at a nursing facility level of care, including
children. However, program participants do not have to currently reside in a nursing
home. Many ALTCS participants live in their own homes, assisted living facilities or
other community settings and receive needed in-home services. ALTCS participants are
also covered for medical care, including doctor's office visits, hospitalization,
prescriptions, lab work, and behavioral health services.
The income limit for this program is 300% of the Supplemental Security Income Rate
(Federal Benefit Rate), which is $2,163 in 2014. Persons with AHCCCS approved
income-only trusts may have income in excess of this amount. The resource (cash, bank
accounts, stocks, bonds, etc.) limit is $2,000 for a single individual. When the applicant
has a spouse who resides in the community, the spouse can retain one-half of the couple's
resources, up to a maximum of $113,640 (in 2012; subject to change). Some resources,
such as a person's home, vehicle, and irrevocable burial plan generally are not counted
toward the resource limit. For specific eligibility requirements, see the chart on the next
page.
Recently, a new ALTCS Member-Directed Option called Agency with Choice is
available. Member directed models or options allow members to have more control over
how certain services are provided, including services like attendant care, personal care
and housekeeping. Member directed options are available to most ALTCS members who
live in their own home. For more information visit the following website:
http://azahcccs.gov/shared/SDAC.aspx?ID=memberresources
25
Arizona Long Term Care System (ALTCS)
Income
300% of the SSI maximum ($2,163 in 2014)
Resources
$2,000
Citizenship & Immigrant
Status
Arizona Residency
Social Security Number
Apply for and take all
required actions to Obtain
Other Health Resources
U.S. Citizen or Qualified Immigrant**
Required
Required
Required
Living Arrangement
Must Reside in an AHCCCS Approved and Registered
Living Arrangement
Apply for Other Cash
Benefits such as Social
Security or Veterans
Benefits
Required
Special Requirement
Apply to
Phone
Aged, Blind or Disabled
Medically eligible – need the level of care provided in
a nursing facility.
ALTCS
Statewide: (800) 654-8713
Phoenix:
(602) 417-7000
Any individual or their representative may apply at any ALTCS office. Call (800) 654-8713 or
(602) 417-7000 for additional information.
For more information on citizenship and qualified alien requirements see the citizenship
page in the tools section of this resource manual.
26
Long Term Care Offices
Casa Grande
500 North Florence Street
Casa Grande, AZ 85222
(520) 421-1500
(855) 277-0260
Chinle
Tseyi Shopping Center, Hwy
191
P.O. Box 1942
Chinle, AZ 86503
(928) 674-5439
(888) 800-3804
Cottonwood
1 North Main Street
Cottonwood, AZ 86326
(928) 634-8101
(855) 873-0393
Flagstaff
2717 North Fourth Street,
Suite 130
Flagstaff, AZ 86004
(928) 527-4104
(800) 540-5042
Globe/Miami
Cobre Valle Plaza
2250 Highway 60, Suite H
Miami, AZ 85539-9700
(928) 425-3165
(888) 425-3165
519 East Beale Street, Suite 130
Kingman, AZ 86401
2160 N. McCulloch Blvd., Suite
105
Lake Havasu City, AZ 86403
801 E. Jefferson Street,
MD 1600
Phoenix, AZ 85034
(928) 753-2828
(888) 300-8348
Prescott
1519 W. Gurley Street, Suite 11
Prescott, AZ 86305
(928) 778-3968
(888) 778-5600
Sierra Vista
820 E Fry Blvd
Sierra Vista, AZ 85635
(520) 459-7050
(888) 782-5827
Tucson
1010 N. Finance Center Drive
Suite 201
Tucson, AZ 85710
(520) 205-8600
(800) 824-2656
Yuma
3850 W. 16th Street, Suite A
Yuma, AZ 85364
(928) 782-0776
(855) 419-6527
Kingman
Lake Havasu City
Phoenix
For a list of ALTCS Contractors, see next page
27
(928) 453-5100
(800) 654-2076
(602) 417-6600
ALTCS Program Contractors
County
ALTCS Program
Toll Free
Apache
United Healthcare Community Plan-LTC
(800) 293-3740
Cochise
Bridgeway Health Solutions
(866) 475-3129
Coconino
United Healthcare Community Plan-LTC
(800) 293-3740
Gila
Bridgeway Health Solutions
(866) 475-3129
Graham
Bridgeway Health Solutions
(866) 475-3129
Greenlee
Bridgeway Health Solutions
(866) 475-3129
La Paz
United Healthcare Community Plan-LTC
(800) 293-3740
Maricopa
ALTCS members in Maricopa County may choose
among three different program contractors.
1. Mercy Care Plan
2. Bridgeway Health Solutions
3. United Healthcare Community Plan-LTC
(602) 263-3000
(800) 624-3879
(866) 475-3129
(800) 293-3740
Mohave
United Healthcare Community Plan-LTC
(800) 293-3740
Navajo
United Healthcare Community Plan-LTC
(800) 293-3740
Pima
Pinal
ALTCS members in Pima County may choose among
two different program contractors.
1. Mercy Care Plan
2. United Healthcare Community Plan-LTC
(602) 263-3000
(800) 624-3879
(800) 293-3740
Bridgeway Health Solutions
(866) 475-3129
Santa Cruz United Healthcare Community Plan-LTC
(800) 293-3740
Yavapai
United Healthcare Community Plan-LTC
(800) 293-3740
Yuma
United Healthcare Community Plan-LTC
(800) 293-3740
*Native Americans living on a reservation are enrolled with a Tribal Program Contractor or with a Native
American Community Health Center. Individuals with a developmental disability are enrolled with the
Department of Economic Security, Division of Developmental Disabilities.
28
Breast and Cervical Cancer Treatment Program
The Breast and Cervical Cancer Treatment Program provides full AHCCCS health
insurance coverage to uninsured women who have been screened by the Department of
Health Services’ Well Woman HealthCheck Program (WWHP) or one of the three Native
American programs of the National Breast and Cervical Cancer Early Detection Program
(NBCCEDP) and have been diagnosed as needing active treatment for breast and/or
cervical cancer or pre-cancerous cervical lesions. Once the diagnosis is made, they are
enrolled in AHCCCS via a streamlined process.
To qualify, women should first be screened by either the WWHP or the NBCCEDP, and
then referred to AHCCCS’s program based on the screening results.
1. The Well Woman Health Check Programs (WWHP) at ADHS
The goal of WWHP (azdhs.gov/hsd/healthcheck/wellwoman/) is to increase
women’s access to and utilization of quality screening and diagnostic services.
Screening is intended to decrease the number of women requiring treatment for,
or dying from, breast and cervical cancer. The program targets women who are
at risk due to age, medical conditions, income or inadequate access to medical
care.
WWHP screening services are available to
· Women 18-64 years of age
· Women who are uninsured or underinsured
· A small number of female Medicare patients who have not purchased
Medicare Part B.
Services include
· Breast and cervical cancer screening for women 40-64
· Cervical cancer screening for women 18-64
· Mammogram
· Clinical breast exam
· Pap test and pelvic exam
· Colposcopy
· Fine needle aspiration
· Biopsy
· HPV Testing
· Case Management
· Transportation for clinical services
Services are delivered via contracts in each county of Arizona. Each contractor
designs their service delivery system to meet the needs of their specific county.
This allows the contractor to develop networks that can respond to the specific
cultural and economic needs of their community.
29
The WWHP County Partners include: Apache, Cochise, Coconino, Graham,
Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz,
Yavapai, and Yuma. The program is comprised of coalitions and partnerships,
professional development, public education and recruitment, ongoing quality
assurance and quality improvement, screening, tracking, follow-up and case
management.
·
For more information please call the toll-free number 1 (877) 257-8502
or visit http://www.wellwomanhealthcheck.org/.
2. Native American programs of the National Breast and Cervical Cancer
Early Detection Program (NBCCEDP)
·
For more information about screening through this program, please visit:
http://www.cdc.gov/cancer/NBCCEDP/
3. The Breast and Cervical Cancer Treatment Program at AHCCCS
Historically, the Breast Cervical Cancer Treatment Program at AHCCCS
was available to those that were referred by the WWHP and met the
income requirements. In 2012 this changed. Legislation passed, allowing
any qualifying woman regardless of the location of her diagnosis to
receive treatment through Medicaid.
Income
250% Federal Poverty Level (FPL)*
Resources
No Limit
Citizenship &
Immigrant Status
U.S. Citizen or Qualified Immigrant**
Arizona Residency
Required
Social Security
Number
Required
Special Requirement
Apply to
· Under age 65
· Diagnosed as needing treatment for breast or cervical
cancer or pre-cancerous cervical lesions.
· No other health insurance coverage or Medicare.
AHCCCS
30
Phone
AHCCCS/Statewide
Phoenix
ADHS Well Woman HealthCheck
(800) 528-0142
(602) 417-5010
(888) 257-8502
* An FPL Chart is located in the tools section of this resource manual.
** For more information on citizenship and qualified immigrant requirements see the citizenship page in
the tools section of this resource manual.
Family Planning Services
Family planning services are covered when provided by physicians or practitioners to
members who voluntarily choose to delay or prevent pregnancy. Family planning and
family planning extension services include covered medical, surgical, pharmacological,
and laboratory benefits. Covered services also include the provision of accurate
information and counseling to allow members to make informed decisions about specific
family planning methods available. There are no co-payments for family planning
services. The following groups are eligible for family planning services:
·
Eligible AHCCCS/ALTCS members
·
SOBRA Pregnant Women receive up to 24 months of family planning services
after the pregnancy ends if not eligible for other coverage. Eligibility for family
planning services is re-determined by the end of the first 12-month period.
Women cannot qualify if they have other creditable health coverage during this
24-month period.
Services
Acute Care, ALTCS, and
Fee-for-Service Members
SOBRA Family Planning
Pregnancy
Screening
Covered service
Covered only when completed
prior to provision of long-term
contraceptives.
Pharmaceuticals
Covered service when
associated with medical
conditions related to family
planning or other medical
conditions.
Covered service only when
associated with medical conditions
related to family planning.
31
Services
Acute Care, ALTCS, and
Fee-for-Service Members
SOBRA Family Planning
Screening and
treatment for
sexually
transmitted
diseases (STDs)
Both screening and treatment
for STDs are covered
services.
Screening services for STDs are
covered but treatment services are not
provided through AHCCCS - a
referral is made to an agency, which
provides low or no cost STD
treatment services.
Sterilization
Services are covered for both
male and female members when
the requirements specified in
this policy for sterilization
services are met.
Services are covered for female
members when the requirements
specified in this policy for
sterilization are met.
Limitations
The following are not covered for the purpose of family planning or family
planning extension services:
·
Infertility services including diagnostic testing, treatment services or
reversal of surgically induced infertility
·
Pregnancy termination (abortion) counseling
·
Pregnancy terminations (abortion)
·
Hysterectomy
·
Hysteroscopic tubal sterilization (such as the Essure
Micro-Insert).
32
Income
There is an income test (150% FPL) at the 12month review, but otherwise income changes do
not affect eligibility.
Resources
N/A
Citizenship &
Immigrant Status
U.S. Citizen or Qualified Immigrant*
Arizona Residency
Required
Social Security Number
Required
Special Requirement
Automatic** eligibility after end of
SOBRA Pregnant Woman eligibility
No other creditable health coverage
Redetermination
12 months
Apply to
AHCCCS
Phone
Statewide: (800) 654-8713
Phoenix: (602) 417-7000
* For more information on citizenship and qualified immigrant requirements see the citizenship
page in the tools section of this resource manual.
** Some exceptions
33
Federal Emergency Services
The AHCCCS Emergency Services Program (FES) provides emergency health care
services only on a Fee for Service basis to qualified immigrants and non-citizens who are
not eligible for full AHCCCS medical services. These services are provided through the
Federal Emergency Services Program. To be eligible for FES services the client must be
(1) Pregnant (covers delivery only, no prenatal or postpartum care is provided), (2) a
child under the age of 19 or (3) individuals with blindness or another disability and the
elderly, or the parent of a child under the age of 19 (1931 category).
Income
100% of the FPL
Resources
N/A
Citizenship & Immigrant
Status
To qualify for this program you do not have
to meet the U.S. Citizenship or Qualified
Immigrant status requirement that is needed
for other programs.
Arizona Residency
Required
Social Security Number
Required if individual has or can legally
obtain.
Special Requirement
Apply to
Individual or family must meet the
requirements of SOBRA, SSI-Cash, SSI
Medical Assistance Only or AHCCCS for
Families and Children.
· DES- children and adults who are not
aged and do not have a disability or
blindness.
·
AHCCCS - for aged (65 and older), with
blindness or disability.
DES
Statewide: (800) 352-8401
Phoenix:
(602) 542-9935
Phone
AHCCCS
Statewide: (800) 654-8713
Phoenix: (602) 417-7000
34
Freedom to Work Program
This program is for individuals with disabilities between the ages of 16 to 64 whose
monthly earned income is up to 250% of the Federal Poverty Level. An applicant must
be a U.S. citizen or qualified immigrant and an Arizona resident. There is no limit on
resources.
Only the individual’s earned income is counted toward the income limit. The
individual’s unearned income and the income of other family members living in the home
are not counted toward the income limit.
An applicant for this program must be working (paying Medicare and Social Security
taxes) and ineligible for services under other AHCCCS programs.
Members may have to pay a very small monthly premium (up to $35/month).
Members can receive either AHCCCS Acute Care or ALTCS services.
For more information, call the AHCCCS – Freedom to Work Unit at
(602) 417-6677 in the Phoenix area or (800) 654-8713, option 6 in the rest of the state or
visit their website page at:
http://www.azahcccs.gov/applicants/categories/workingdisabled.aspx
Income
250% of the FPL
Resources
N/A
Citizenship & Immigrant Status
Required
Arizona Residency
Required
Social Security Number
Required
Obtaining Other Cash Income such as
Social Security and Veterans Benefits
Required
· Individuals with a disability
Special Requirement
· Employed – paying Social
Security and/or Medicare Taxes
Apply to
AHCCCS
Phone
Statewide: (800) 654-8713
Phoenix: (602) 417-7000
35
KidsCare – No New Applications Accepted
KidsCare, Arizona's Children's Health Insurance Program (CHIP), provides
comprehensive, cost-effective medical coverage for children who have had no health
insurance for the last three months.
Since January 1, 2010, enrollment into KidsCare has been frozen. Families already
enrolled should renew their eligibility and pay their premiums on time so they are
not dropped and unable to re-enroll. No new applications are being approved at
this time.
You may renew for KidsCare at Community Health Centers, the Pima Community
Access Program (PCAP), Santa Cruz Health Connection, or through Kids Health Link, or
by dialing 211
Premiums
A required monthly premium is charged, except to Native Americans. The amount of the
premium depends on the income of the family and the number of children they have
enrolled in KidsCare.
KidsCare premium amounts are available at
http://www.azahcccs.gov/applicants/categories/KidsCare.aspx#Premiums
KidsCare premium notices are mailed out on the 1st of the month and payments are due
by the 15th of the month. AHCCCS/KidsCare will notify recipients of any changes in
premium amounts.
Premium payments can be mailed, dropped off in person or paid online.
·
Mail: AHCCCS Health Insurance, PO Box 29144, Phoenix, AZ 85038 – 9144
·
Drop Off In Person: AHCCCS Administration, 701 E. Jefferson, Phoenix,
Arizona 85034
·
Online: Go to www.myahcccs.com to pay premiums online.
Coverage ends when premiums are more than one month in arrears (i.e., when payment is
a month late). Overdue premiums must be paid before a family can be re-approved for
AHCCCS/KidsCare Health Insurance for Parents.
36
Medicare Savings Programs
The Medicare Savings Programs provide help with Medicare expenses for people who
are age 65 or older, blind, or have a disability. There is no limit on resources, such as
cash, bank accounts, stocks, or bonds. Applicants for all programs must be eligible for
Medicare Part A hospital insurance. The income limits, special eligibility requirements,
and benefits for each program are listed below. Individuals may apply for this program
by mail.
·
Qualified Medicare Beneficiary (QMB) - The monthly income limit for this
program is less than or equal to 100% FPL.* If the person qualifies, benefits are
payment of the Part A and Part B Medicare premiums, deductibles, coinsurance
and co-pays. Individuals eligible for QMB can qualify for other AHCCCS
coverage groups and enroll in an AHCCCS health plan. Many of the services for
which Medicare does not pay, such as transportation, are covered by AHCCCS.
There are some services (for example, chiropractic) that Medicare covers that
AHCCCS does not.
·
Specified Low-Income Medicare Beneficiary (SLMB) - The individual must be
receiving or entitled to receive Medicare Part B. Monthly income is more than
100% FPL but less than or equal to 120% FPL*. The SLMB benefit is payment
of the Medicare Part B premium. SLMB members cannot enroll in an AHCCCS
health plan.
·
Qualified Individual - 1 (QI-1) - Monthly income is more than 120% FPL but less
than or equal to 135% FPL*. The Qualified Individual benefit is payment of the
Medicare Part B premium. Qualified Individual members cannot enroll in an
AHCCCS health plan.
Call (602) 417-5010 or (800) 528-0142 for additional information or to request an
application. You may also download an application at
www.azahcccs.gov/applicants/application/AcuteCare.aspx?ID=acute or apply for
services through Community Health Centers or the Pima Community Access Program in
Pima County.
*An FPL Chart is located in the tools section of this resource manual.
SOBRA
AHCCCS provides medical coverage to children under 19 and pregnant women through
the SOBRA program.
·
For children under the age of 1, the monthly income limit is 147% of FPL
·
For children ages one through five, the monthly income limit is 141% of the FPL
37
·
For children age six and older, the monthly income limit is 133% of the FPL
·
For pregnant women, the monthly income limit is 156% of the FPL
·
There is no limit on the resources or property that may be owned; however, the
income of a child’s parents is counted in determining eligibility.
SOBRA for Children (under age 19)
Under age 1
Ages 1- 5
6 and older
No Limit
Income
Resources
Citizenship & Immigrant
Status
Arizona Residency
Social Security Number
147% Federal Poverty Level*
141% Federal Poverty Level*
133% Federal Poverty Level*
U.S. Citizen or Qualified Immigrant **
Required
Required
DES, Community Health Centers, PCAP in Pima
County, or Kids Health Link in Maricopa County.
(800) 352-8401 (DES)
(602) 542-9935
Apply to
Phone
SOBRA for Pregnant Women
Income
Cannot exceed 156% Federal Poverty Level
(FPL)* after allowed deductions (limits are
higher when more than one baby is expected)
Resources
No Limit
Citizenship & Immigrant
Status
U.S. Citizen or Qualified Immigrant **
Arizona Residency
Social Security Number
Required
Required
Special Requirement
Must be pregnant
DES, Community Health Centers, PCAP in Pima
County, or Kids Health Link in Maricopa County.
Apply to
Phone
Statewide: (800) 352-8401
Phoenix: (602) 542-9935
* An FPL Assistance
Chart is located Only
in the tools
section of this resource manual.
Medical
(MAO)
** For more information on citizenship requirements see the citizenship page in the tools section
of this resource manual
The Medical Assistance Only program (SSI/MAO) provides medical coverage for
individuals who are age 65 and over, blind or have a disability, but do not receive
monthly cash benefits under the Supplemental Security Income (SSI) program.
38
SSI
·
·
·
·
The income limit is 100% of Federal Poverty Level
There is no limit on the resources or property that may be owned
Individuals may apply for this program by mail
Call (602) 417-5010 in the Phoenix area or (800) 528-0142 from the rest of
Arizona for additional information or to request an application.
Income
100% Federal Poverty Level (FPL)*
Resources
No limit
Citizenship & Immigrant
Status
U.S. Citizen or Qualified Immigrant **
Arizona Residency
Required
Social Security Number
Required
Special Requirement
·
·
·
·
Blind
Individuals with a disability
Age 65 or over
Obtain Other Cash Income for which the
person might be eligible such as Social
Security or Veterans benefits
Apply to
Social Security Administration - for SSI Cash
AHCCCS - for SSI Medical Assistance Only
Phone
Statewide: (800) 528-0142
Phoenix:
(602) 417-5010
*An FPL Chart is located in the tools section of this resource manual.
** For more information on citizen and qualified immigrant requirements see the citizenship page in the
tools section of this resource manual.
Young Adult Transitional Insurance (YATI)
The Young Adult Transitional Insurance program covers young adults between the ages
of 18 to 26 who were in Department of Economic Security (DES) foster care when they
turned 18 and eligible for Medicaid when turning 18. They receive medical services
through AHCCCS.
Income
No limit
Resources
Citizenship & Immigrant
Status
No limit
U.S. Citizen or Qualified Immigrant*
39
Arizona Residency
Required
Social Security Number
Required
Special Requirement
·
·
Apply to
DES
Phone
Statewide:
Phoenix:
Under age 26
Child was in DES Foster Care when child
became 18 and eligible for Medicaid
(800) 352-8401
(602) 542-9935
* For more information on citizenship and qualified immigrant requirements see the citizenship page
in the tools section of this resource manual.
m. How to Order AHCCCS Applications
The following applications can be printed off the AHCCCS website, www.azahcccs.gov:
·
·
Application for AHCCCS health insurance (English and Spanish)
Medicare Savings Programs
Once you access the AHCCCS website, click on “Apply for AHCCCS” under the Most Popular
menu on the left side of the page. You may also click on “AHCCCS Applicants” from the box in
the center of the page and then click “Apply for AHCCCS” On the left side of the page.
You can also apply online through http://www.healthearizonaplus.gov. Dial 211 to get help from
a local assister. In Maricopa County, families can be assisted with an electronic application
through Kids Health Link (www.kidshealthlink.org) and in Pima and Santa Cruz Counties
through the Your Health Hotline (http://www.pcap.cc/health_hotline.php).
n. AHCCCS Contact Information
AHCCCS / Main Number
(602) 417-4000
Administrative address
801 E. Jefferson
Phoenix, AZ 85034
Public Information Office
[email protected]
Community Partners
[email protected]
40
File a Grievance
Office of Administrative Legal Services
701 E. Jefferson, MD 6200
Phoenix, Arizona 85034
(602) 417-4232
(800) 654-8713 ext. 74232
Fraud and Abuse
602-417-4045 or 888-487-6686
Member Services
(602) 417-4000
(800) 654-8713
Provider Assistance
(602) 417-7670
(800) 794-6862
Office of Client Advocate (OCA)
(602) 417-4230
(800) 654-8713
ext: 4230
Central Office
AHCCCS mail address
Enrollment
Prior Authorization
TDD Telecommunications Device for the
Deaf
Automated Verification Line (VRU/IVR)
Member Verifications
(also www.myahcccs.com)
AHCCCS Administration
KidsCare Office
SSI/MAO Office
801 E. Jefferson
Phoenix, AZ 85034
(602) 417-7100
(800) 334-5283
(602) 417-4400
(800) 433-0425
(602) 417-4191
(800) 826-5140
(602) 417-7200
(800) 331-5090
(602) 417-7000
(800) 962-6690
801 E. Jefferson
Mail Drop 7500
Phoenix, AZ 85034
701 E. Jefferson
Mail Drop 3800
Phoenix, AZ 85034
801 E. Jefferson
Phoenix, AZ 85034
(602) 417-4000
(800) 654-8713
(602) 417-5437
(877) 764-5437
(602) 417-5010
(800) 528-0142
When calling from within Maricopa County, callers will be restricted from calling 800
o. AHCCCS
Enrollment
numbers
and must dial
the local 602Assistance
numbers instead.
For help with renewals or enrollment, dial 211 to connect with a local assister agency
Four Arizona organizations were awarded funding by the federal government in August 2013 to
help provide outreach and enrollment assistance for the Health Insurance Marketplace and
AHCCCS. They have personnel statewide in a number of organizations and can be located at
http://coveraz.org/navigators-and-assisters-map/
or
Find Local Help: https://localhelp.healthcare.gov/
Greater Phoenix Urban League, Inc.
602-254-5611
41
Arizona Alliance of Community Health
Centers
Arizona Board of Regents, University of
Arizona
Campesinos Sin Fronteras, Inc.
602-218-3900
Several Locations Statewide
Tucson Chinese Cultural Center -520-2926900
Pan Asian Community Alliance -520-5120144
928-627-5995
Regional Center for Behavioral Health
Additionally, federally qualified Community Health Centers and other community organizations
provide assistance enrolling families in AHCCCS programs. Organizations include:
Arizona Small Business Association
4600 E Washington St, Suite 340
Phoenix, AZ 85034
(602) 306-4000
AZ Women’s Education & Employment
640 N. First Avenue
Phoenix, AZ 85003
(602) 223-4333
4811 E. Grant Road, Suite 262
Tucson, AZ 85712
(520) 327-0222
Asian Pacific Community in Action
6741 N. 7th Street
Phoenix, AZ 85014
(602) 265-4598
Empowerment Systems
2066 W. Apache Trail, Suite 116
Apache Junction, AZ 85120
(480) 367-6937
Keogh Health Connection
2375 E Camelback Rd, #250
Phoenix, AZ 85016
(602) 749-4184
Maricopa Clinics:
950 E. Van Buren
Avondale, AZ 85323
(623) 344-6800
Desert Mission Community Health Center
9201 N. 5th Street
Phoenix, AZ 85020
(602) 331-5779
Homeward Bound
2302 W. Coulter Road
Phoenix, AZ 85015-2750
(602) 263-7654
L&A Services, Inc.
3240 E Union Hills Dr, Suite 101
Phoenix, AZ 85050
(602) 996-6010
Maricopa Integrated Health System
2601 E. Roosevelt Street
Phoenix, AZ 85008
(602) 344-5011
12428 W. Thunderbird Road
El Mirage, AZ 85335
(623) 344-6500
McDowell Healthcare Center
1144 E. McDowell Road
Phoenix, AZ 85006
(602) 344-6550
42
7th Avenue FHC
1205 S. 7th Avenue
Phoenix, AZ 85007
(602) 344-6600
934 W. Hatcher
Phoenix, AZ 85021
(602) 344-6300
811 S. Hamilton
Chandler, AZ 85225
(480) 344-6100
5825 E. Calle Guadalupe
Guadalupe, AZ 85283
(480) 344-6000
5141 W. LaMar
Glendale, AZ 85301
(623) 344-6700
4011 N. 51st Avenue
Phoenix, AZ 85031
(623) 344-6900
59 S. Hibbert Street
Mesa, AZ 85210
(480) 344-6200
33 W. Tamarisk
Phoenix, AZ 85041
(602) 344-6400
Mariposa Community Health Center
1852 N. Mastick Way
Nogales, AZ 85621
(520) 281-1550
Phoenix Day/HealthLinks
115 E. Tonto Street
Phoenix, AZ 85004
(602) 252-4911
Native Health Center
4520 N. Central Avenue, Suite 620
Phoenix, AZ 85012
(602) 279-5262
Pima Community Access Program
(PCAP)
2501 E. Elm Street
Tucson, AZ 85716
(520) 694-0418
· UPH Hospital
· Juvenile Court
· UPH
· Kino Teen Center
· Wingspan
· Pima County Jail
43
St. Elizabeth Health Center
(Catholic Charities)
140 W. Speedway Boulevard, Suite 100
Tucson, AZ 85705
(520) 628-7871
Tucson Indian Health Services
7900 South J. Stock Road
Tucson, AZ 85746-7012
(520) 295-2405
Facilities:
Sells Hospital
Santa Rosa Clinic
San Xavier Health Clinic
44
IV.
Department of
Economic
Security
www.azdes.gov
45
IV. The Arizona Department of Economic Security (DES)
a. General Information
The Arizona Department of Economic Security (DES) is divided into several different divisions
that provide a variety of services such as:
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
Adoption Services
Adult Protective Services
Cash Assistance
Child Protective Services
Child Care Assistance
Child Support Enforcement
Developmental Disabilities
Domestic Violence Program
Foster Care
Foster Grandparent Program
Healthy Families
Homeless Program
JOBS Program
Low-Income Home Energy Assistance Program
Medical Assistance
Migrant Seasonal Farm Workers Outreach Program
Nutrition Assistance (formerly the Food Stamp Program)
One Stop Career Centers
Refugee Resettlement
Senior Community Service Employment Program
Short Term Crises Services Program
Substance Abuse Treatment
Tuberculosis Control Program
Unemployment Insurance (Extended Benefits Program)
The Family Assistance Administration provides financial assistance and/or nutrition assistance to
eligible applicants and determines eligibility to receive medical benefits from the Arizona Health
Care Cost Containment System (AHCCCS). The Family Assistance Administration establishes
eligibility for:
·
·
·
·
·
AHCCCS Medical Assistance
Cash Assistance
Emergency Food Assistance Program (TEFAP)
Nutrition Assistance (formerly the Food Stamp Program)
Tuberculosis Control Program
46
DES provides one application that can be used to apply for cash assistance, nutrition assistance
and AHCCCS Health Insurance.
The application can be downloaded at www.azdes.gov or obtained from your local DES Family
Assistance office. Apply for benefits on-line at www.healthearizonaplus.gov.
If you need assistance filling out your application, you may call Family Assistance Client
Services at (800) 352-8401 or (602) 542-9935 (see next section for more information). The DES
Application is one way to apply for AHCCCS Health Insurance Programs. You can also apply by
filling out an AHCCCS Application by hand, by downloading one from the internet at Apply for
AHCCCS Health Insurance, or visiting your local Community Health Center. You may also
receive assistance from the organizations listed on pages 34 and 35.
b. DES Family Assistance Offices
There are many offices you can go to apply for AHCCCS Health Care and other DES Services,
but it is very important that you go to the DES office that serves your zip code.
DES Office contact information changes frequently. To find the local office nearest you, please
visit https://www.azdes.gov/faa/ziploc.asp and enter your zip code.
You can also call:
·
Statewide: (800) 352-8401
·
Phoenix: (602) 542-9935
You can email at: https://www.azdes.gov/forms.aspx?menu=162&ekfrm=5418
47
V.
Behavioral
Health Resources
www.azdhs.gov/bhs/index.htm
48
V.
Behavioral Health Resources
a. What are Behavioral Health Services?
Behavioral Health Services include:
·
·
·
·
·
·
·
·
·
Treatment services (i.e., counseling and therapy, assessments, evaluations and
screenings);
Rehabilitation services (i.e., pre-job training and development, psychosocial
rehabilitation living skills training);
Medical services (i.e., medication, medical management, laboratory, radiology);
Support services (i.e., case management, personal care services, therapeutic foster care,
peer support);
Crisis intervention services (i.e., crisis stabilization, mobile crisis team);
Inpatient services (i.e., hospitalization, residential treatment centers);
Residential services (i.e., short-term and long-term residential treatment centers);
Behavioral health day programs (i.e., supervised, therapeutic or psychiatric day
programs); and
Prevention services (i.e., health promotion, referral services, outreach).
Behavioral health services are not only for those who feel depressed. Behavioral health services
often help people deal with the stresses of everyday life. Below is a list of valuable community
resources. Please remember that individuals may also seek help through a clergy member,
school teacher, school counselor, coach, nurse, co-worker, or someone else they trust. However,
it is critical to seek professional assistance immediately if a person’s behavioral health and their
actions are life threatening in any way.
For additional referral or other information, please contact:
·
MIKID at (602) 253-1240 or (800) 356-4543 Arizona only
http://www.mikid.org/ Locations in Eagar, Mohave County, Prescott, Phoenix, Tucson
and Yuma.
·
National Alliance on Mental Illness of Arizona at (602) 244-8166, or http://namiaz.org.
Several location throughout the state.
b. Maricopa County Emergency Services
Maricopa Crisis Line
(www.crisisnetwork.org)
EMPACT Suicide Prevention Center
(www.lafronteraarizona.com/index.php?option=c
om_wrapper&view=wrapper&Itemid=94)
49
(800) 631-1314
(602) 222-9444
TTY (602) 274-3360
TTY (800) 327-9254
(480) 784-1500 (Maricopa County)
(866) 205-5229 (Statewide)
(800) SUICIDE (National)
St. Luke’s Medical Center
(www.stlukesbehavioralhealth.com/services/inpat
ient/adult_mental_health)
Magellan of Arizona Urgent Psychiatric Care
Center (UPC)
(magellanofaz.com/for-members/how-to-getcare.aspx)
Recovery Innovations Psychiatric Recovery
Center (PRC West)
Teen Lifeline
(teenlifeline.org)
TERROS
(www.terros.org)
Banner Health Services-Behavioral Health
(www.bannerhealth.com/Services/Behavioral+He
alth/_Behavioral+Health.htm)
(480) 736-4949 (Sexual Assault
Hotline-Maricopa County)
(602) 251-8535 or
(800) 821-4193
(602) 416-7600 or
(800) 631-1314 Crisis Line
(602) 650-1212, then press 2
(602) 248-TEEN (8336) or
(800) 248-TEEN
602-685-6000 ext. 1950or
(800) 631-1314
(602) 254-HELP (4357) or
(800) 254-4357
c. Regional Behavioral Health Authorities (RBHAs)
Regional Behavioral Health Authorities (RBHAs, pronounced “reehbahs”) contract with a
network of service providers to deliver a full range of behavioral health care services, including
prevention programs for adults and children, a full continuum of services for adults with
substance abuse and general mental health disorders, adults with serious mental illness and
children with serious emotional disturbance.
RBHAs are the primary source for behavioral health services provided to individuals enrolled in
the State’s insurance programs (e.g. AHCCCS). If an individual is not enrolled in any insurance
program, they should contact AHCCCS to become enrolled in a health plan before seeking
services at a RBHA, unless it is an emergency or crisis situation.
The State is divided into six Geographical Service Areas (GSAs) served by four Regional
Behavioral Health Authorities (RBHAs).
Mercy Maricopa – Serves Maricopa County. Call (800) 564-5465
Community Partnership of Southern Arizona (CPSA) – Serves Pima County. Call (800) 7719889 or (520) 318-6946.
Northern Arizona Behavioral Health Authority (NARBHA) – Serves Mohave, Coconino,
Apache, Navajo and Yavapai Counties. Call (800) 640-2123 or (928) 774-7128. Crisis Line:
(877) 756-4090
Centpatico Behavioral Health of Arizona – Serves Cochise, Santa Cruz, Pinal, Graham,
Greenlee, Gila, Yuma and La Paz Counties. Call (866) 495-6738. Crisis Line: (866)495-6735.
50
d. Tribal RBHAs
In addition to RBHAs, the Arizona Department of Health Services (ADHS) has
intergovernmental agreements (IGAs) with some of Arizona’s American Indian Tribes to deliver
behavioral health services to persons living on the reservation. ADHS currently has agreements
with five Arizona Indian Tribes to provide covered behavioral health services for American
Indians on reservations.
The Tribal RBHAs, or TRBHAs (pronounced “treebahs”), are the primary source for behavioral
health services provided to individuals enrolled in the State’s insurance programs or American
Indian Health Program (AIHP) and living on a reservation. If the individual is not enrolled in
any insurance program, they should contact AHCCCS or AIHP to become enrolled in a health
plan before seeking services at a TRBHA, unless it is an emergency or crisis situation.
Gila River Indian Community, Navajo Nation, Pascua Yaqui Tribe and the White Mountain
Apache Tribe of Arizona each have an agreement with ADHS to deliver both Medicaid and nonMedicaid services. Colorado River Indian Tribe has an agreement for non-Medicaid services
only. Services to other Native American Indian Tribes are provided and covered by the local
RBHA in which the tribal reservation resides.
·
Gila River Regional Behavioral Health Authority – (888)-484-8526 ext. 7100, Crisis
Line (800) 259-3449
·
Navajo Nation Tribal Behavioral Health Authority – (928) 871-6235
·
Pascua Yaqui Tribal Behavioral Health Authority – (520) 883-5020 ext 6060
·
White Mountain Apache Regional Behavioral Health Authority – (928) 338-4811 or
(877) 336-4811
e. Community Based Agencies/Community Crisis Numbers
EAST VALLEY
(480) 969-4024
A New Leaf
Centro de Amistad Inc.
(602) 749-4405 or
(888) 818-4445
(480) 839-2926
Scottsdale Psychological Associates
(480) 922-5440
Jewish Family & Children’s Services
(602) 256-0528
Phoenix Interfaith Counseling
(480) 317-9868
PSA Behavioral Health Agency
(480) 894-1568 Tempe
Superstition Mountain Mental Health Center
(480) 983-0065
Desert Vista Behavioral Health Center
(480) 344-2000
Catholic Charities
PHOENIX COMMUNITY-BASED AGENCIES
51
Black Family and Children’s Services
(602) 243-1773
(602) 749-4405 or
(888) 818-4445
(602) 264-9891
Catholic Charities
Family Service Agency
Jewish Family & Children’s Services
Maricopa Medical Center-Psychiatric Services
Native American Connections
(602) 256-0528
(602) 344-2000
(602) 254-3247
(602) 248-9247 or
(602) 992-7521
(602) 995-1767
(602) 265-8338 main
check website for specific clinic
number
(602) 808-2822
602-685-6000 ext. 1950
Crisis:
(602) 222-9444 or
(800) 631-1314
(877) 931-9142
Phoenix Interfaith Counseling
PSA Behavioral Health Agency
Southwest Behavioral Health
Lifewell
TERROS
Community Bridges
NATIONAL AGENCIES
Depression and Bipolar Support Alliance
(800) 826-3632
National Institute of Mental Health Anxiety
Disorders
The International Foundation for Research and
Education on Depression (iFred)
Substance Abuse and Mental Health Services
Administration (SAMHSA)
Anxiety Disorders Association of America
(888) ANXIETY
(888) 269-4389
(800) 442-HOPE (4673)
Español (877) 784-2432
http://store.samhsa.gov/mhlocator
(locator by city of services)
(800) 969-6642
In Crisis: (800) 273-TALK
(8255)
(240) 485-1001
National Alliance on Mental Illness Helpline
(800) 950-NAMI (8264)
National Mental Health Association
f. Support Groups
Mental Health of America of Arizona has Peer Support Groups that are free and do not require
registration for adults 18 years and older.
52
Please call to verify time and place before attending: (480) 994-4407 ext 10 or
http://mhaarizona.org/SupportGroups.html
NAME
Calm Waters
DISORDER
Bipolar and
Depression
Caregiver’s
For Individuals who
Support Group have a loved one
with a mental illness
Taking
Bipolar, Depression
Control
New Dawn
General Mental
Health Issues
Bipolar Bears
Bipolar, Depression
Minds Over
Matter
Anxiety &
Depression
Being Heard
Anxiety, Depression,
Schizophrenia,
Bipolar, All mental
illnesses
Eating
Disorders
Group
Obsessive
Compulsive
Disorders
Group
Guiding Light
Eating Disorders
Obsessive
Compulsive
Disorders
Bipolar Depression
Support Groups
TIME
LOCATION
Monday
Boswell Hospital
6:00–8:00 pm 13180 N. 103rd Drive,
Sun City
Wednesday
Gilbert Community
6:30- 8:00pm Center, 130 N. Oak
St., Gilbert
Tuesday
Deer Valley Church,
6:00-8:00 pm 15220 N. 39th
Avenue, Phoenix,
AZ 85053, Room 8
Phoenix
Tuesday 7:00- PSA Behavioral
9:00 pm
Health Agency, 2255
W. Northern Ave.,
Phoenix Suite B100
Wednesday
St. Luke’s Behavioral
7:00-9:00 pm Health Services
1800 E. Van Buren
Street, Phoenix
1st and 3rd
Granite Reef Senior
Wednesday
Center
4:00-5:30 pm 1700 N. Granite Reef
Road, Scottsdale
Wednesday
Banner Desert
7:00-9:00 pm Medical Center
1400 S. Dobson
Road, Mesa,
Mesquite Room
nd
th
2 &4
Active Forever,
Thursday
10799 N. 90th St.,
3:15-4:45pm
Scottsdale
2nd & 4th
Banner Behavioral
Thursday
Health Center, 7575
7:00-9:00 pm E. Earll Dr.,
Scottsdale
Friday 3:00Via Linda Senior
4:45 pm
Center,
10440 E. Via Linda,
Conf Rm 8,
Scottsdale
53
CONTACT
MHA (480)
994-4407 Ext
10
MHA (480)
994-4407 Ext
10
MHA (480)
994-4407
Ext 10
MHA (480)
944-4407
Ext 10
MHA (480)
994-4407
(480) 7676800
MHA (480)
994-4407
MHA (480)
994-4407 Ext
10
NAME
Finding
Balance
New Dawn
Hanging on
Together
Peer Support
Group
PTSD
First Light
Calm Waters
New Day
Hope
Support Groups
DISORDER
TIME
LOCATION
Bipolar, Depression
Friday
Arrowhead
4:00-6:00 pm Physicians Bldg
18699 N 67th Ave,,
Sierra Room,
Glendale
Bipolar and
Tuesday
Presbyterian Service
Depression
7:00-9:00 pm Agency
2255 W. Northern
Avenue, Phoenix
Anxiety, Bipolar,
Friday
Banner Desert
and Depression
7:00-9:00 pm Medical Center
1400 S. Dobson
Road, Rosati
Education Center.
Cholla RoomMesa
PTSD
Thursday
VA
6:00-8:00 pm 650 E Indian School
Rd, Phoenix Rm K112
Bipolar &
Tuesday
Lord of Life Lutheran
Depression
5:30-7:30 pm Church
13724 W Meeker
Blvd, Sun City West
Biplar & Depression Sunday
Menke’s Sun City
4:00-6:00pm
Room
10307 W Coggins Dr,
Sun City
Depression
Thursday
West Valley Center
5:30-7:30pm
for Spiritual Living,
9745 W. Peoria Ave.,
Peoria
Depression
Monday
Christ Evangelical
5:30-7:30pm
Lutheran Church, 918
S. Litchfield Road,
Goodyear, Classroom
C
54
CONTACT
MHA (480)
994-4407 Ext
10
PSA (602)
995-1767
MHA (480)
994-4407
Ext 10
MHA (480)
994-4407
Ext 10
MHA (480)
994-4407
Ext 10
MHA (480)
994-4407
Ext 10
MHA (480)
994-4407
Ext 10
MHA (480)
994-4407
Ext 10
VI.
Community Health
Centers
www.aachc.org
55
VI.
Community Health Centers
The Community Health Centers (CHCs) and the Sliding Fee Community Clinics provide
“Primary Care Services” to any person regardless of whether they have insurance, Medicaid, or
no insurance. In addition to the list provided below, visit the following website for a current list
of community health centers and sliding-fee-schedule clinics: www.azdhs.gov/hsd/slidingfees/locations.htm
a. What is Primary Care?
Primary Care services can be defined as:
“A basic level of care usually given by doctors who work with general and family
medicine, internal medicine, pregnant women, and children (pediatricians). A nurse
practitioner, a state licensed registered nurse with special training, can also provide this
basic level of health care.”
Your primary care doctor is the doctor you see first for most health problems. He or she makes
sure that you get the care that you need to keep you healthy. He or she also may talk with other
doctors and health care providers about your care and refer you to them. In many health plans,
you must see your primary care doctor before you see any other health care provider.
b. General Information About CHCs
CHCs are public, not-for-profit organizations established by a federal law in the 1960’s to treat
and provide primary care to all patients regardless of ability to pay or lack of insurance.
CHCs are also known as Federally Qualified Health Centers (FQHCs). FQHCs are the single
largest primary health care system in the United States. They provide access to comprehensive
patient-centered healthcare in medically underserved urban and rural areas. Their integrated
healthcare system includes a continuum of primary healthcare services including: pharmacies,
labs, X-ray, dental services, treatment of chronic diseases (i.e. asthma, diabetes, heart disease,
etc.) and behavioral health services. They also provide transportation services, Women Infant
and Children (WIC) and a number of other support services.
The clinics listed in this section (see chart below) provide primary care services to their local
communities. They provide services to any community member and discounted fee services to
Arizona residents who are uninsured, ineligible for other insurance programs, and have incomes
below 200% of the Federal Poverty Level. They also screen clients for publicly funded health
insurance programs such as AHCCCS and KidsCare.
56
How to Enroll
Patients should make an appointment to see a provider at one of the contractor’s clinics. Some
clinics have the capacity to take “walk-ins.” The patient must bring proof of the previous
month’s income (pay stub, letter from employer, etc.) and proof of residency (State ID, license,
utility bills, etc.) for verification. Check with the clinic to verify what documents are required to
determine eligibility for services.
The clinic will determine if the patient is eligible, and if so, they will be automatically enrolled in
the program on site, and may receive covered services on that visit.
Payments
Eligible patients will pay for the services they receive on a sliding fee scale basis. A sliding fee
scale shows how much a person will have to pay for the care they receive at the clinic. The scale
is a discounted rate for the cost of the service based on how much money the person earns.
Patients are asked to pay only for the services they receive at the clinic at the time the services
were received. Sliding fee scales AND services may differ from clinic to clinic. Below is a
sample* sliding fee scale:
Income Range
0%-100% FPL
101%-150% FPL
151%-200%FPL
Above 200% FPL
Sliding Fee Scale
Patient pays 25% of service cost
Patient pays 50% of service cost
Patient pays 75% of service cost
Patient pays full cost of service
*NOTE: This scale is an example and may differ from clinic to clinic.
Services Offered*
·
·
·
Medical Diagnosis and Treatment
· Tracking and Follow-up Services
Physical Exams
· Emergency Stabilization
Early Detection of Illness and
· Non-emergency Transportation
Disease
Services
· Prenatal Care Services
· Urgent Care Services
· Diagnostic Laboratory, Radiology
· Nutrition Counseling
and Imaging Services
· WIC
· Pharmacy Services
· Case Management
· Preventive Health Services
· Patient Transportation for
Appointments
· Dental and Restorative Services
· Outreach Services
· Integrated Behavioral Health Care
· Health Education and Referral
*Not all clinics on the next page provide the full list of services above.
57
c. Community Health Center Locations
City
1
2
3
4
5
AJO
Desert Senita Community Health Center
AMADO
United Community Health Center Amado
Clinic
ARIVACA
United Community Health Center Arivaca
Clinic
ASH FORK
AVONDALE
6
AVONDALE
7
BISBEE
BLACK
CANYON CITY
8
9
11
BUCKEYE
BULLHEAD
CITY
BULLHEAD
CITY
12
CASA GRANDE
13
CASA GRANDE
10
14
Organization
CHANDLER
North Country HealthCare - Ash Fork Clinic
Adelante Healthcare Avondale-OB/GYN
Address
Zip
Phone
410 N. Malacate Street
853212219
520-387-5651
28720 S Nogales Hwy
856459997
520-407-5510
17388 W. 3rd Street
856010233
520-407-5500
112 Park Avenue
86320
928-637-2305
3400 N Dysart Rd, Ste. F-121
85392
877-809-5092
853231506
623-344-6800
85603
520-432-3309
Avondale Family Health Center
Chiricahua Community Health Center, Inc.Bisbee Clinic
950 E. Van Buren Street
Randy C. Hancock, D.O. Family Practice
34601 S. Phyllis Street
85324
623-374-0200
Adelante Healthcare Buckeye
North Country HealthCare-Bullhead City
Clinic
306 E. Monroe Avenue
853262706
877-809-5092
2585 S Miracle Mile, Suite 116
86442
928-704-1221
River Cities Community Clinic
Sun Life Family Health Center, Inc.-Casa
Grande
Sun Life Family Health Center, Inc.-Center
for Women & Children
813 Hancock Rd, Suite 2
86442
928-704-9700
865 N. Arizola Road
85222
520-836-3446
1856 E Florence Blvd
85222
520-381-0380
811 S. Hamilton Street
852256308
480-344-6100
520-723-9131
Chandler Family Health Center
108 Arizona Street
15
COOLIDGE
Sun Life Family Health Center, Inc.-Coolidge 1284 N. Arizona Blvd
85128
16
COTTONWOOD
Community Health Center of Yavapai
86326
928-639-8132
1100 F Avenue
856071920
520-364-3285
815 15th Street
85607
520-364-5437
227 Main Street
85534
928-359-1380
12428 W. Thunderbird Road
853353113
623-344-6500
10566 N. US Highway 191
856109021
520-642-2222
85131
520-466-7883
2920 N 4 Street
86004
928-213-6100
928-773-1245
17
DOUGLAS
18
DOUGLAS
19
20
21
22
23
DUNCAN
Chiricahua Community Health Centers, Inc.Jennifer “Ginger” Ryan Clinic
Chiricahua Community Health Centers, Inc.15th Street Pediatric Center of Excellence
Duncan Community Health Center
EL MIRAGE
El Mirage Family Health Center
ELFRIDA
Chiricahua Community Health Centers, Inc.Cliff Whetten Clinic
ELOY
FLAGSTAFF
Sun Life Family Health Center, Inc.-Eloy
North Country HealthCare Flagstaff Clinic
51 Brian Mickelsen Parkway
205 N Stuart Blvd
th
24
FLAGSTAFF
NACA Family Health Center
1500 E Cedar Ave, Suite 26
86004
25
FLAGSTAFF
Sacred Peaks Health Center
3480 E Route 66
86004
928-863-7333
500 S. Central Avenue
852322945
520-866-7319
928-643-6215
26
FLORENCE
Pinal County Division of Public Health
27
FREDONIA
Fredonia Community Health Center
100 E. Wood Hill Road
86022
28
GANADO
Sage Memorial Hospital
Route 264 & Jct. 191
86505
928-755-4500
100 N. Gila Bend
85337
877-809-5092
623-344-6700
928-402-0491
29
GILA BEND
Adelante Healthcare Gila Bend
30
GLENDALE
Glendale Family Health Center
5141 W. LaMar
85301
31
GLOBE
Canyonlands Healthcare-Globe
5860 South Hospital Dr, Ste 102
85501
58
City
32
33
34
34
35
36
37
38
Organization
Mountain Park Community Health CenterGOODYEAR
Goodyear
GRAND
North Country HealthCare-Grand Canyon
CANYON
Clinic
United Community Health Center at Presidio
GREEN VALLEY Point
United Community Health Center Continental
GREEN VALLEY Family Medical Center
United Community Health Center Continental
GREEN VALLEY Pediatrics
GUADALUPE
GUADALUPE
HOLBROOK
Guadalupe Family Health Center
Guadalupe Health
North Country HealthCare-Holbrook Clinic
Address
Zip
Phone
140 N Litchfield Rd, Suite 200
85338
602-243-7277
1 Clinic Road
86023
928-638-2551
275 W Continental Rd Suite 141
85622
520-407-5400
1260 S Campbell Road
85614
520-407-5900
1260 S Campbell Road
85614
520-407-5800
5825 E. Calie Guadalupe
85283
480-344-6000
852832529
480-768-2025
2109 Navajo Blvd
86025
928-524-2851
Chilchinbeto Chapter House Complex
86033
928-697-8154
9405 S. Avenida del Yaqui
39
KAYENTA
Canyonlands Healthcare-Chilchinbeto Clinic
40
KINGMAN
LAKE HAVASU
CITY
North Country HealthCare-Kingman Clinic
1510 Stockton Hill Rd
North Country HealthCare-Lake Havasu City
Clinic
2090 N Smoketree Ave
86401
928-753-1177
86403
928-854-1800
Canyonlands Healthcare-Beaver Dam
3272 E Rio Virgin Rd
86432
928-347-5971
520-682-4111
41
42
LITTLEFIELD
43
MARANA
MHC Healthcare-Main
13395 N Marana Main Street
85653
44
MARANA
13395 N Marana Main St. #B
85653
520-682-1091
45
MARANA
13395 N Marana Main Street
85653
520-797-0011
46
MARANA
MHC Healthcare-Behavioral Health Services
MHC Healthcare-Obstetrics & Women’s
Health
MHC Healthcare.-Teen Wellness High
School
12000 W Emigh Rd
85653
520-616-6400
Sun Life Family Health Center, Inc.-Maricopa 44765 Hathaway Avenue
85139
520-568-2245
Adelante Healthcare Mesa
1705 W Main Street
85201
877-809-5092
480-344-6200
47
48
MARICOPA
MESA
49
MESA
Mesa Family Health Center
59 S. Hibbert
85210
37
MORENCI
Morenci Healthcare Center
Coronado Blvd & Burro Alley
85540
928-865-4511
38
NOGALES
Carondelet Holy Cross Hospital
1171 W. Target Range Road
856212497
520-285-3000
Mariposa Community Health Center, Inc.Nogales
1852 N Mastick Way
856211061
520-281-1550
Sun Life Family Health Center, Inc.-Oracle
1870 W American Way
85623
520-896-2092
467 Vista Avenue
86040
928-645-8123
928-645-1700
*39*
50 NOGALES
51
52
ORACLE
PAGE
Lake Powell Medical Center
53
PAGE
Canyonlands Urgent Care (Sat hours only)
440 North Navajo Drive
85040
54
PATAGONIA
Patagonia Family Health Center
101 Taylor Street
85624
520-281-1550
850073904
602-344-6600
85007
602-344-6655
877-809-5092
55
56
PHOENIX
PHOENIX
7th Avenue Family Health Center
th
7 Avenue Walk In Clinic
1205 S 7th Avenue
th
1201 S 7 Avenue
57
PHOENIX
Adelante Healthcare Phoenix
7725 N 43 Ave, Suite 510
85051
58
PHOENIX
Arizona Children’s Center
2601 East Roosevelt Street
85008
602-344-5051
9201 N 5 St
85020
602-331-5779
2525 E Roosevelt Street
85008
602-344-1015
220 S. 12th Ave
85007
602-372-2105
1144 E. McDowell Road #300
85006
602-344-6550
635 E. Baseline Road
85042
602-243-7277
690 N. Cofco Center Court #230
85008
602-243-7277
4011 N. 51st Avenue
85031
623-344-6900
59
PHOENIX
Desert Mission Community Health Center
60
PHOENIX
61
PHOENIX
Comprehensive HealthCare Center
Maricopa County Health Care for the
Homeless
62
PHOENIX
McDowell HealthCare Center
63
PHOENIX
64
PHOENIX
65
PHOENIX
Mountain Park Health Center-Baseline
Mountain Park Health Center-East Phoenix
Maryvale Family Health Center (Gyn & Peds
Only)
rd
th
59
City
66
PHOENIX
Organization
Mountain Park Health Center-Maryvale
Address
Zip
Phone
6601 W Thomas
85033
602-243-7277
602-279-5262
67
PHOENIX
Native Health: Central
4520 N. Central Avenue, Ste 620
85012
68
PHOENIX
NHW: Community Health Center West
2423 W. Dunlap Avenue, Suite 140
85021
602-279-5351
1124 North Third Street, Suite 1
85004
602-523-9275
15833 North 29 Street
85032
480-882-4545
33 W. Tamarisk Avenue
850412422
602-344-6400
934 W Hatcher
85021
602-344-6300
420 W. Watkins Road
85002
602-261-6868
th
85014
602-258-6797
st
602-523-9312
69
70
71
PHOENIX
PHOENIX
PHOENIX
72
PHOENIX
73
PHOENIX
74
PHOENIX
NP Healthcare-Grace
Palomino Health Center
South Central Family Health Center
Sunnyslope Family Health Center
St. Vincent de Paul Free Medical/Dental
Clinic
Valle Del Sol Pediatric Care
th
3807 North 7 Street
75
PHOENIX
Valle Del Sol Family & Adult Care
1209 South 1 Ave
85003
76
PHOENIX
Wesley Community & Health Center
1300 S 10th St
85034
602-257-4323
Community Health Center of Yavapai
1090 Commerce Drive
86305
928-583-1000
Community Health Center of Yavapai
Mariposa Community Health Center at Rio
Rico
3212 N. Windsong Drive 2nd Floor
86314
928-583-1000
1103 Circulo Mercado
85648
520-281-1550
85546
928-428-1500
85629
520-576-5770
928-627-3822
85349
928-726-5950
1896 E Babbit Lane
85349
928-722-6112
Rio Vista Estates Lot 24
86512
23 McNab Pkwy
85631
520-385-2234
480-882-4545
77
78
PRESCOTT
PRESCOTT
VALLEY
79
RIO RICO
th
80
SAFFORD
81
SAHUARITA
82
SAN LUIS
Canyonlands Healthcare Safford
2016 W 16 St
United Community Health Center at Sahuarita
Heights
2875 E Sahuarita Road
815 E. Juan Sanchez Boulevard (Internal
Med and Pediatrics)
815 E. Juan Sanchez Blvd (Women’s
Sunset Community Health Center-San Luis
Health)
83
SAN LUIS
San Luis Walk In-Clinic, Inc.
84
SANDERS
85
SAN MANUEL
Sanders Clinic
Sun Life Family Health Center, Inc.-San
Manuel
928-688-3903
86
SCOTTSDALE
Heuser Family Medicine Center
7301 E Second St, Ste 210
85251
87
SELIGMAN
North Country HealthCare – Seligman Clinic
22585 West Oak Street
86337
928-422-4017
2650 E Show Low Lake Rd, Suite 1
85901
928-537-4300
4655A N Commerce Drive
85635
520-459-3011
115 N. Somerton Avenue
85350
928-627-2051
214 W Main Street
85350
928-627-1120
488 S Mountain Ave
85938
928-333-0127
625 North 13 West
85936
928-337-3705
259A West Highway 264
86511
928-810-3800
15351 West Bell rd
85374
877-809-5092
1492 S Mill Avenue, Suite 312
85281
602-243-7277
167 North Main St
86045
928-283-2501
2030 E. Broadway, Suite 214
85719
520-990-3984
5979 E Grant Road, Suite 107
85712
520-670-3909
225 W Irvington Rd
85706
520-670-3909
101 W Irvington Rd, Bldg 10
85714
520-670-3909
88
SHOW LOW
89
SIERRA VISTA
90
SOMERTON
91
SOMERTON
92
93
North Country HealthCare-Show Low Clinic
Chiricahua Community Health Centers, Inc.Sierra Vista Mobile Medical Clinic
Sunset Community Health Center-Somerton
Regional Center for Border Health, Inc.
North Country HealthCare-Round Valley
SPRINGERVILLE Clinic
ST. JOHNS
North Country HealthCare-St. Johns Clinic
94
ST. MICHAELS
95
SURPRISE
St. Michaels Clinic
Adelante Healthcare- Surprise
Comprehensive
96
TEMPE
Mountain Park Health Center-Tempe
97
TUBA CITY
98
TUCSON
99
TUCSON
100 TUCSON
101 TUCSON
Tuba City Regional Health Care
Dequenesh Community Clinic (Women’s
Health only)
El Rio Community Health Center-Birth &
Women’s Center
El Rio Community Health Center-OB/GYN
Associates
El Rio Community Health Center-El Pueblo
Clinic
th
60
City
102 TUCSON
103 TUCSON
104 TUCSON
105 TUCSON
106 TUCSON
107 TUCSON
108 TUCSON
109 TUCSON
110 TUCSON
Organization
El Rio Community Health Center-Broadway
Clinic (Homeless & BH)
Address
Zip
Phone
1101 E Broadway Blvd
85719
520-670-3909
El Rio Community Health Center-Congress
El Rio Community Health Center-Northwest
Medical Clinic
El Rio Community Health Center-Southeast
Clinic
839 W. Congress Street
85745
520-670-3909
320 W Prince Rd
85705
520-670-3909
6950 E Golf Links
85730
520-670-3909
El Rio Community Health Center Southwest
Internal Medicine Clinic
El Rio Community Health Center-Pascua
Yaqui Clinic
El Rio Community Health Center- Special
Immunology Associates
El Rio Community Health Center-Summit
View Clinic
El Rio Community Health Center-Sunnyside
Teen Clinic
1510 W. Commerce Court (Internal)
1500 W Commerce Court (Peds)
857466015
520-670-3909
7474 S. Camino de Oeste
85746
520-670-3909
1701 W St. Mary’s Road
85745
520-670-3909
1900 E Summit St
85706
520-670-3909
1725 E Bilby Rd
85706
520-670-3909
857057698
520-628-7871
111 TUCSON
St. Elizabeth Health Center
140 W. Speedway Blvd, Suite 100
112 TUCSON
Marana Health Center, Inc.-Clinica del Alma
Marana Health Center, Inc.-East Side Health
Center
Marana Health Center, Inc.-Ellie Towne
Health Center
Marana Health Center, Inc.-Flowing Wells
Family Health Center
Marana Health Center, Inc.-Freedom Park
Health Center
3690 South Park Ave
85713
520-616-6760
8181 East Irvington Rd
85730
520-574-1551
1670 W Ruthrauff Rd
85705
520-616-6797
1323 West Prince Rd
85705
520-887-0800
5000 East 29th Street
85711
520-790-8500
435 East Glenn Road
85705
520-696-6969
12635 W Rudasill Rd
85743
520-682-3777
2055 W Hospital Drive, Suite 115
85704
520-797-0011
15631 N Oracle Rd, Suite 141
85739
520-825-6763
2355 N Wyatt Dr., Ste 101
520-616-4948
2202 West Anklam Rd
85709
520-616-6790
899 N Wilmot Road, Building B
85711
520-290-1100
15921 W. Ajo Way
85735
520-407-5700
125 VAIL
MHC-.-Primary Care
Marana Health Center, Inc.-West Side Health
Center
MHC Healthcare-Wilmot Family Health
Center
United Community Health Center at Three
Points Clinic
United Community Health Center at Old Vail
Middle School
85712
13299 E Colossal Cave Road
85641
520-762-5200
126 WELLTON
Sunset Community Health Center-Wellton
10425 Williams Street
85356
928-785-3256
877-809-5092
113 TUCSON
114 TUCSON
115 TUCSON
116 TUCSON
117 TUCSON
118 TUCSON
119 TUCSON
120 TUCSON
121 TUCSON
122 TUCSON
123 TUCSON
124 TUCSON
Marana Health Ctr, Inc.-Keeling Health Ctr
Marana Health Center, Inc.-Ortiz Community
Health Center
Marana Health Center, Inc.-MHC Obstetrics
and Women’s Health
Marana Health Center, Inc.-Santa Catalina
Health Center
127 WICKENBURG
Adelante Healthcare Wickenburg
811 N. Tegner St., # 113
85390
128 WILLIAMS
North Country HealthCare-Williams Clinic
301 S 7th Street
86046
928-635-4441
928-289-2000
129 WINSLOW
North Country HealthCare-– Winslow Clinic
620 W. Lee Street
86047
130 YUMA
Sunset Community Health Center – Yuma
2060 W. 24th St.
85364
928-344-4216
2060 W. 24 Street Suite B
85364
928-726-5950
2060 W 24th St.
85364
928-344-5112
131 YUMA
132 YUMA
Sunset Women's Health Group
Sunset Community Health Center-Yuma
Pediatrics
th
61
VII.
Dental Health
http://www.azdhs.gov/phs/owch/oralhealth/index.htm
62
VII. Dental Health
Oral and dental health services are offered through a wide variety of community programs and
agencies, including AHCCCS.
For children enrolled in AHCCCS, dental services are provided primarily through contracted
health plans and their dental provider networks. The member services department of individual
health plans should be contacted for specific questions concerning AHCCCS dental services.
Plans on the health insurance Marketplace are not required to include dental coverage because
stand alone dental plans can be purchased separately. Marketplace consumers should pay close
attention to whether a plan includes dental coverage if they would like to use those services.
Stand alone dental plans are not eligible for subsidies.
Other dental resources are below.
a. Arizona Dental Association
Arizona Dental Association
www.azda.org
Statewide (800) 866-2732
(480) 344-5777
Programs
·
·
·
Discounted Dental Services
o These providers offer discounted dental care to families.
o Discounted services are provided on a sliding scale based on ability to pay.
o A complete list of providers and phone numbers can be obtained and
downloaded at the following web address:
http://www.azda.org/docs/default-source/important-documents/community-dentalclinics.pdf
Donated Dental Services
o This program provides free non urgent dental services to those who qualify.
o Seniors, individuals with a disability, and medically compromised individuals
without financial resources may be able to qualify.
o Individuals must fall within 100% of FPL, be without dental insurance or
financial resources and provide verification of income.
o Application is required and is located at
o Call (480) 850-1474 or (866) 340-4337 to see if you qualify.
Find a Dentist
o Log onto www.azda.org to locate a dentist in your community. First, click on
Public Resources, and then click on Find Arizona Dentist. Your search may
include specific criteria like, language, special needs, financing, or phobias.
63
b. Arizona Dental Sealant Program
·
Dental sealants are tooth colored coatings that are painted on the biting surfaces of the
back teeth. Sealants block food and decay-causing bacteria from entering the narrow
grooves of the teeth where decay is most likely to occur. They are a highly effective
means of preventing tooth decay.
·
Program participants receive sealants on their permanent molars using the Office of Oral
Health’s portable dental equipment that is set up at the school site.
Eligibility
o 2nd and 6th grade children without private dental insurance who have erupted,
non-restored, non-decayed first and/or second permanent molars.
o Public and charter schools with a high level of free and reduced school meal
program participation may apply.
o Parental permission is required
·
·
For more information talk to your school administrators or call the Arizona Department
of Health Services Office of Oral Health at (602) 542-1866 or visit
c. Arizona School-Based Fluoride Mouthrinse Program
·
Fluoride is recognized as an effective agent in the control of dental decay. The most
cost-effective method for the reduction of tooth decay is obtaining systemic fluoride
through community water fluoridation. However, not all Arizona communities have
drinking water with the optimal fluoride levels
·
The program is an effective alternative to systemic fluoride in the reduction of tooth
decay as demonstrated by research conducted over the past 15 years. Fluoride mouth
rinsing is a proven and effective method in reducing tooth decay up to 31%.
Eligibility
o Schools in areas with sub-optimal fluoride levels in the community drinking
water and
o That have over 50% student participation in the free and reduced school lunch
program are encouraged to participate in this program.
·
·
For more information talk to your school administrators or call the Arizona Department
of Health Services Office of Oral Health at (602) 542-1866 or visit
http://www.azdhs.gov/phs/owch/ooh/schools/fluoride.htm
d. Arizona Fluoride Varnish Program
·
Several regions of Arizona have Fluoride Varnish Programs funded by First Things First
(FTF) (http://www.azftf.gov). The Fluoride varnish works to strengthen teeth and help
64
prevent tooth decay. The program provides oral screenings, helpful oral health
education and fluoride varnish from the first tooth through age 5.
·
·
·
The screening and fluoride varnish takes less than 5 minutes and the child can eat and
drink following the fluoride application.
Eligibility
o Must live in the areas of the state where the program is offered
o Child must be 5 or under.
For more information visit http://www.azftf.gov and enter your zip code to determine
your FTF region. Then check the regions page to see if the program is available. In the
following regions, program information is available:
o Select Maricopa County regions:
http://www.maricopa.gov/publichealth/Programs/Oral/firstteeth.aspx
o Yuma: http://extension.arizona.edu/yuma/first-smiles or call 928-726-3904
o Cochise County: http://extension.arizona.edu/cochise/first-smiles or call 520458-8278
o Graham and Greenlee Counties: call 928-428-2611
e. Other Organizations
·
Boys and Girls Club of Metro Phoenix
o Dave Pratt Dental Clinic provides full service dental care to children who cannot
afford it.
o For more information call (602) 271-9961 or visit
http://www.bgcmp.org/dental.htm
·
Arizona School of Dentistry and Oral Health Clinic
o The Arizona School of Dentistry and Oral Health is located at A.T. Still
University of Health Sciences.
o Two Clinics provide dental and oral health care services on a sliding-fee scale.
Locations
o For more information please call (480) 248-8100 or visit
www.atsudental.com/home/
·
Northern Arizona University
o The NAU Dental Hygiene Clinic provides comprehensive dental hygiene and
preventive services to students and the public.
o Fees for services are reasonable and depend on individual needs.
· For more information call (928) 523-3500 or visit their website at
www.nau.edu/chhs/ddh/
·
John C. Lincoln Desert Mission Children’s Dental Clinic
o Serves ages 4-20 with no dental insurance and AHCCCS, located in Phoenix.
Fees are based on a sliding scale rate.
65
o For more information please call (602) 870-6363, or visit the website:
http://www.jcl.com/desert-mission/childrens-dental-clinic
·
Central Arizona Shelter Services Dental Clinic
o The CASS Dental Clinic's priority is to provide quality, comprehensive dental
care to children, families and adults within the homeless population.
o The clinic offers the following programs: Children's Dental Clinic Program,
Homeless Veteran's Dental Program, CASS School of Dental Assisting, and the
Children's Dental Clinic serving the Murphy Community.
o Murphy Kids Dental Clinic is an on-site, no-cost, school-based, comprehensive
dental home for the children who live in the Murphy School District in south
Phoenix. The Murphy Clinic eliminates barriers to services and provides timely
and quality dental care to each of the 2,200 children enrolled in the district’s four
elementary schools.
o 230 South 12th Avenue
Phoenix, AZ 85007
602-256-6945 x 3125
o http://www.cassdentalclinic.org/
·
Gompers Dental Center
o Provides services for those with special needs. Accepts many private insurance
plans as well as affordable payment options for uninsured.
o (602) 336-0061 x 159
f. Dental Treatment Referral List
Call individual clinics for more information on hours, fees, services, and eligibility requirements.
See Chart below for details about Clinic locations.
Agency
Maricopa County:
·
Maricopa Integrated Health
System (MIHS)
·
·
·
Address and Phone
Comprehensive Healthcare
Center
2525 E. Roosevelt St, Phoenix
(602) 344-1015
Avondale Family Health Center
950 E. Van Buren, Avondale
(623) 344-6800
Chandler Family Health Center
811 S. Hamilton, Chandler
(480) 344-6100
El Mirage Family Health Center
12428 W. Thunderbird, El
Mirage
(623) 344-6500
66
Other
Service benefits
depend on
AHCCCS Plan
Some emergency
services may be
available
Agency
·
·
·
·
·
·
·
·
Address and Phone
Glendale Family Health Center
5141 W. Lamar, Glendale
(623) 344-6700
Guadalupe Family Health Center
5825 E. Calle Guadalupe
(480) 344-6000
Maryvale Family Health Center
4011 N. 51st Avenue, Phoenix
(623) 344-6900
McDowell Healthcare Center
1144 E. McDowell Road, #300
Phoenix
(602) 344-6550
Mesa Family Health Center
59 S. Hibbert, Mesa
(480) 344-6200
7th Avenue Family Health Center
1205 S. 7th Avenue, Phoenix
(602) 344-6600
South Central Family Health
Center
33 W. Tamarisk, Phoenix
(602) 344-6400
Sunnyslope Family Health Center
934 W. Hatcher, Phoenix
(602) 344-6300
Other
·
Statewide:
Arizona State AHCCCS
Urgent Care Center
1201 S. 7th Avenue, Phoenix
(602) 344-6650
Enrollment: (602) 417-7100 or
(800) 334-5283
Provider Assistance: (602) 417-7670
or (800) 794-6862
Statewide:
Children’s Rehabilitative
Services
Children’s Clinics for
Rehabilitative Services
(866) 275-5776
TTY# (800) 367-8939 or 711
Metro Phoenix Region:
(602) 914-1520
(855) 598-1871
Southern Region:
(520) 324-5437
(800) 231-8261
67
Variety of dental
services available
Serving children
with cleft lip/palate,
birth defects and
related problems
Agency
Statewide:
KidsCare
Phoenix:
Lincoln Children’s Dental
Clinic
Mountain Park Health Center
Native Health Central
Phoenix College Dental
Hygiene Clinic
Phoenix Indian Medical Center
Dental Clinic
Rio Salado College School of
Dental Hygiene
St. Vincent de Paul Dental
Clinic
Veteran’s Administration
Maricopa County –
Department of Public Health
Services
Other Communities:
Arizona School of Dentistry
and Oral Health Dental Clinic
Arizona School of Dentistry
and Oral Health
Dental Care West
Desert Senita Dental Center
Chiricahua Community Health
Centers, Inc. (Mobil Dental)
Address and Phone
Northern Region:
(928) 773-2054
(800) 232-1018
Southwestern Region:
(928) 336-7095
(800) 837-7309
(877) 764-5437 or (602) 417-5437
9229 N. 4th Street, Phoenix
(602) 870-6363
635 E. Baseline, Phoenix
(602) 243-7277
4520 N. Central Avenue, 3rd Floor,
Suite 620, Phoenix
(602) 279-5262
1202 W. Thomas Road, Phoenix
(602) 285-7323
4212 N. 16th Street, Phoenix
(602) 263-1592
2323 W. 14th Street, Tempe*
(480) 517-8000
*opens Summer 2013
420 W. Watkins, Phoenix
(602) 261-6868
Other
For children under
age 19
Sliding-fee scale
Prevention Services
Native Americans
Prevention Services
Priority for working
people and their
families
650 E. Indian School Road, Phoenix
(602) 222-6550
(888) 214-7264
220 S. 12th Avenue
(602) 372-2100
Eligible Veterans
5855 E. Still Circle, Mesa
(480) 248-8100
20325 North 51st Avenue, Unit 156
Glendale, AZ 85308
(623) 251-4700
410 Malacate Street Building B, Ajo
(520) 387-4500
10566 Highway 191, Elfrida
(520) 642-2222
Sliding-fee scale
68
Homeless
Sliding-fee scale
Clinics in Douglas
and Elfrida
Agency
Community Health Center of
Yavapai/YCCHS
Address and Phone
3212 North Windsong Drive
Second Floor, Prescott Valley
(928) 771-3377
Sun Life Family Health Center, 865 N. Arizola Road, Casa Grande
Inc.
(520) 836-3446
United Community Health
Center, Inc.
North Country Healthcare
Mariposa Community Health
Center, Inc.
Adelante Healthcare
El Rio Community Health
Center
St. Elizabeth Health Center
Pima Community College
Dental Hygiene Clinic
MHC Healthcare
NOAH Dental Clinic
81 W. Esperanza Boulevard
Suite 201, Green Valley
(520) 407-5600
2929 N 4ht Street, Flagstaff
(928) 213-6151
1852 N. Mastick Way, Nogales
(520) 281-1550
306 East Monroe Ave, Buckeye
(623) 386-1630
15317 W Bell Rd, suite 108, Surprise
(623) 544-5189
Northwest Dental
4009 North Flowing Wells Rd,
Tucson (520) 670-3909
Southwest Dental
1530 West Commerce Court, Tucson
(520) 670-3909
140 W. Speedway Suite 100Tucson
(520) 628-7871
2202 W. Anklam Road
Tucson
(520) 206-6090
13395 N Marana Main St
Marana
(520) 616-6200
Main Office:
6535 E Osborn Road
Scottsdale
(480) 882-4545
Mohave Community College
Dental Hygiene School
3400 Highway 95
Bullhead City(928) 704-7788
Coconino County Public
304 S Humphreys
69
Other
Clinic in Prescott
Clinics in Casa
Grande, San
Manuel, Coolidge,
Eloy, and Maricopa
Clinics in Arivaca,
Green Valley, and
Tucson
Dental Clinics in
Ash Fork,
Winslow, and
Flagstaff locations
Clinics in Nogales
and Patagonia
Clinics in Surprise,
Buckeye, Queen
Creek, Gila Bend,
and Wickenburg
Dental offered in
Central, Northwest
and Southwest
locations in Tucson
Tucson
Tucson
Marana
Phoenix
Scottsdale
Cleaning & exam
only
Age 3 and older
Set fee schedule
Uninsured under
Agency
Health Services District Dental
Clinic
NAU Homebound
Address and Phone
Flagstaff
(928) 679-7825
Flagstaff
(928) 523-6709
NACA Family Health Center
Flagstaff
(928) 773-1245
Sunset Community Health
Center
(928) 785-8008 Wellton
(928) 627-8806 Somerton
(928) 627-8584 San Luis
(800) 558-3487
EDS Dental
Kool Smiles
Smiles Changes Lives
(520) 325-5665 South
(520) 748-3501 East
(888) 900-3554
www.smileschangeslives.org
70
Other
250% FPL;
AHCCCS/KidsCare
Low income and
those with
disabilities
Dental for
individuals referred
by Native
Americans for
Community Action
Tucson area; annual
fee, discounted
dental
Braces for 11-18
years old; low
income
VIII.
Native American
Health Resources
www.ihs.gov
71
VIII. Native American Health Resources
a. General Information
Native Americans have a choice of selecting either the American Indian Health Program
(AIHP) or an AHCCCS Health Plan as their health care provider. Native Americans who
choose the American Indian Health Program, may also receive services rendered by tribal
providers and other AHCCCS-registered providers and health plans that will bill AHCCCS on a
fee-for-service basis.
If selecting an AHCCCS Health Plan, Native Americans can choose from several providers
(within the network) across Arizona. You will be assigned a Primary Care Provider (PCP). This
can be helpful if you don’t live near an AIHP facility or if you prefer to receive services from
other providers.
At any time, Native Americans may change enrollment from an AHCCCS Health Plan to the
American Indian Health Program or from the American Indian Health Program to an AHCCCS
Health Plan. Health plan to health plan changes may only be made at the member’s annual
anniversary date.
To select an AHCCCS health plan or the American Indian Health Program, contact the
Division of Member Services at AHCCCS:
Metro Phoenix: (602) 417-7100
Outside Phoenix: (800) 334-5283
Fax: (602) 252-2136
b. American Indian Health Program (formerly “Indian Health
Service”)
Indian Health Service facilities still exist. However, when a Native American wants to receive
services through AHCCCS, they are enrolled in the “American Indian Health Program.” For
more information on AIHP call your local area office:
· Phoenix Area American Indian Health Program – (602) 364-5039
· Tucson Area American Indian Health Program – (520) 295-2405
· Navajo Area American Indian Health Program – (928) 871-5811
Each area office has service units, hospitals and clinics throughout Arizona.
c. Questions and Answers
For more information you may also contact AHCCCS Native American Coordinator
at (602) 417-4610 or visit the website www.azahcccs.gov/tribal/default.aspx.
72
IX.
Services for
Children with
Special Needs
www.hs.state.az.us/phs/ocshcn
73
IX. Services For Children With Special Needs
a. What are Special Needs?
This section describes services for children with a wide variety of “special needs” from those
with physical and mental disabilities to those with learning disorders, chronic illnesses, or any
kind of condition that is potentially disabling. It also describes services for kids in foster care
and those with birth defects, epilepsy, burn scars, metabolic disorders, sickle cell anemia,
children who are developmentally delayed and many more.
Different programs define their special needs populations differently, so call to find out if your
child qualifies for a specific program.
b. Arizona Department of Education (ADE) Services
Exceptional Student Services
The Arizona Department of Education works to identify children with delays or disabilities even
before they start school. Even parents of young children (birth – 5 years) can contact their local
school, school district or Child Find to have their child evaluated and screened.
Contact Information
(602) 542-4013
(800) 352-4558
AZ Find
· Works to identify all children from birth through age 21 with delays or disabilities.
· When children are “found” they are referred to a specialist to screen their development.
· If eligible, the Arizona Early Intervention Program (AzEIP) or a public school system
will offer early intervention or special education services according to the child’s needs.
· (928) 679-8106or (800) 352-4558
Parent Information Network
· The Parent Information Network provides parents with information so they can actively
participate in their child’s special education.
· For more information, call and ask for the Parent Information Network at
(602) 542-4013 or (877) 230-7467
Early Childhood Special Education
·
Works to ensure quality education services for children with disabilities, ages 3-5 years.
74
·
If you suspect a child may have a developmental delay or difficulty learning that may
affect them educationally, contact your local school district for an evaluation to
determine eligibility for early childhood special education preschool services.
Transition Services
·
·
·
Assists students in visualizing life beyond high school and developing a long-range plan.
Ensures the attainment of skills and competencies necessary to achieve the vision.
Identifies and connects students with the appropriate agencies, programs and services
prior to school exit which the student will need to achieve his/her post-school vision.
(877) 230-7467
c. Children's Rehabilitative Services
Children’s Rehabilitative Services (CRS)
Arizona’s Children’s Rehabilitative Services (CRS) is a program that provides medical
treatment, rehabilitation, and related support services to AHCCCS enrolled members who have
completed the CRS application and meet the eligibility criteria to be enrolled in CRS.
UnitedHealthcare Community Plan CRS is the AHCCCS health plan that manages the
integrated CRS program to provide primary, specialty and behavioral health care services for
individuals from birth to age 21 with a one-time option for members to remain beyond age 21.
http://www.uhccommunityplan.com/az/medicaid/childrens-rehabilitative-services.html
CRS Services
CRS services are delivered via a statewide network of Primary Care Providers, specialty and
behavioral health providers. Upon enrollment CRS members are assigned to one of four
geographically based Multi-Specialty Interdisciplinary Clinics located in Flagstaff, Phoenix,
Tucson and Yuma.
CRS Eligibility Requirements
· Individuals under 21 years of age who are enrolled in AHCCCS
· U.S. citizens or qualified aliens
· Arizona Resident
· Diagnosed with a CRS covered condition
Medical Eligibility
Conditions accepted for care include, but are not limited to:
· Cerebral palsy
· Club feet
· Cleft Lip/Cleft Palate
· Scoliosis
75
·
·
·
·
·
·
·
Spina Bifida
Heart Conditions due to congenital anomalies
Metabolic disorders
Muscle and nerve disorders
Sickle cell anemia
Neurofibromatosis
Cystic Fibrosis
CRS Application:
· Anyone can complete a CRS application
· The CRS application is available online at: www.azahcccs.gov
· Once completed, the CRS application can be faxed or mailed to AHCCCS.
o Fax: 602-252-5286
o Mail to: AHCCCS-CRS Attn: CRS Enrollment 801 E Jefferson MD 3500
Phoenix, AZ 85034
If you have any questions contact CRS Member Services. Member Services is available Monday
through Friday from 8 a.m. to 5 p.m., excluding state holidays, by calling
1-800-348-4058 or 1-800-367-8939 (TDD) or 711 for the hearing impaired.
d. Arizona Early Intervention Program, Division of Developmental
Disabilities, and Arizona Long Term Care System
The Arizona Early Intervention Program (AzEIP) and the Division of Developmental Disabilities
(DDD) are run by the Department of Economic Security (DES). The Arizona Long Term Care
System (ALTCS) is run by AHCCCS. Contact Information: (602) 532-9960 or (888) 439-5609
AzEIP
AzEIP is for children between birth and 36 months of age who are “developmentally delayed” or
who have an established condition that has a high probability of resulting in a developmental
delay. A child from birth to 36 months of age will be considered to exhibit developmental delay
when that child has not reached 50 percent of the developmental milestones expected at his/her
chronological age, in one or more of the following domains:
· physical/fine and/or gross motor/sensory
· cognitive/adaptive
· language/communication
· social/emotional
· self-help/adaptive
Determination that a child is developmentally delayed will be based on professional evaluation
or assessment and will include parental involvement and input.
Established conditions that are deemed to result in a high probability of developmental
delay include, but are not limited to:
76
·
·
·
·
·
·
·
·
·
·
·
chromosomal abnormalities
metabolic disorders
hydrocephalus
neural tube defects (e.g., spina bifida)
intraventricular hemorrhage
periventricular leukomalacia
cerebral palsy
significant auditory impairment
significant visual impairment
failure to thrive
severe attachment disorders
Children found eligible for AzEIP may receive the following services:
· An assessment of physical parameters
· Developmental evaluation and/or discipline specific evaluation
· Initiation of the identification of family resources, priorities and concerns
· Parent education and support
· Assistance with referrals for community-based services
· A written developmental report
· Multi-disciplinary case conferences as indicated
· Transportation assistance to families having financial or transportation difficulties
· Developmental evaluations completed in the home by clinic staff
· Nutrition and social service evaluations
· Provision of bi-lingual services when needed
· Communication of the team findings regarding the child's developmental strengths,
needs, medical issues, and eligibility to parents, primary care providers and any other
team members the family identifies
For more information, please contact DES at (602) 532-9960 or (888) 439-5609 or your local
AzEIP program coordinator:
Southern Apache County
Hummingbird Early Intervention Services,
LLC
PO Box 107
Nutrioso, AZ 85932
Phone: (928) 339-4465
77
Coconino County, including the entire Hopi
reservation and the Colorado Strip, but not
including Colorado City or the Navajo Nation
Northland-Rural Therapy Associates
125 E. Elm Ave, Suite 103
Flagstaff, AZ 86001
Phone: (928) 779-1679
TF: (866) 779-1679
Graham, Greenlee, and Cochise Counties
Easter Seals Blake Foundation
1115 E. Florence Blvd, Suite C
Casa Grande, AZ 85222
Phone: (520) 723-4429
TF: (800) 851-6266
Gila County, including the entire San Carlos
Reservation, but not including the White
Mountain Reservation
Easter Seals Blake Foundation
1115 E. Florence Blvd, Suite C
Casa Grande, AZ 85222
Phone: (520) 723-4429
TF: (800) 851-6266
La Paz and Mohave Counties, not including
the Colorado Strip
Milemarkers Therapy, Inc.
276 S. Lake Havasu Ave. #A-11
Lake Havasu City, AZ 86403
Phone: (928) 854-5439
Maricopa County, 1a: East, will include the
following zip codes:
Maricopa County, 1d: Southwest, will include
the following zip codes:
85201, 85203, 85204, 85205, 85206, 85213,
85215, 85234, 85256
85007, 85009, 85017, 85019, 85031, 85033,
85035, 85037, 85039, 85041, 85043, 85322,
85323, 85326, 85329, 85337, 85338, 85339,
85340, 85343, 85353, 85354, 85392, 85395,
85396
Maricopa County, 1b: Southeast, will include
the following zip codes:
85207, 85208, 85209, 85212, 85236, 85242,
85249, 85295, 85296, 85297, 85298
Child and Family Resources
700 West Campbell, Suite 3
Phoenix, AZ 85013
Phone: (602) 234-3941, ext. 34
Maricopa County, 1c: South Central, will
include the following zip codes:
85025, 85040, 85042, 85044, 85045, 85048,
85202, 85210, 85224, 85225, 85226, 85233,
85248, 85251, 85257, 85281, 85282, 85283,
85284, 85286
Rise, Inc.
4554 E. Inverness Ave
Mesa, AZ 85206
Phone: (480) 497-1889
English: x 4925; Spanish x 4953
78
Maricopa County, 1e: Northwest, will include
the following zip codes:
Maricopa County, 1f: Central & Northeast,
will include the following zip codes:
85303, 85305, 85307, 85309, 85311, 85312,
85318, 85320, 85335, 85342, 85345, 85351,
85355, 85358, 85361, 85363, 85373, 85374,
85375, 85376, 85379, 85380, 85381, 85382,
85383, 85385, 85387, 85388, 85390
85003, 85004, 85006, 85008, 85012, 85013,
85014, 85015, 85016, 85018, 85020, 85022,
85026, 85028, 85032, 85034, 85050, 85054,
85055, 85065, 85073, 85250, 85253, 85254,
85255, 85258, 85259, 85260, 85262, 85263,
85264, 85266, 85268, 85331, 85377
United Cerebral Palsy (UCP)
1802 W. Parkside Lane
Phoenix, AZ 85027
Phone: (602) 682-1837
North Central, 1g: will include the following
zip codes:
85021, 85023, 85024, 85027, 85029, 85051,
85053, 85083, 85085, 85086, 85087, 85295,
85301, 85302, 85304, 85306, 85308, 85310
United Cerebral Palsy (UCP)
1802 W. Parkside Lane
Phoenix, AZ 85027
Phone: (602) 682-1838
United Cerebral Palsy (UCP)
1802 W. Parkside Lane
Phoenix, AZ 85027
Phone: (602) 682-1838
Mohave and Coconino County, only including:
Beaver Dam, Littlefield, Scenic, Uzona, and
Desert Springs
The Learning Center for Families
1192 W. Sunset Blvd. # 2
St. George, UT 84770
Phone: (928) 788-0029
Mohave and Coconino County, only including:
Mohave and Coconino County, only including:
Colorado City
Centennial Park, Cane Beds, Moccasin and
Fredonia
The Learning Center for Families
1045 W. Utah Ave
Hildale, UT 84784
Phone: (928) 788-0029
The Learning Center for Families
1192 W. Sunset Blvd. # 2
St. George, UT 84770
Phone: (928) 875-8711
Southern Navajo County
Navajo Nation geographically located within
AZ
Northland Therapy Services
PO Box 328
Show Low, AZ 85902
Phone: (928) 532-1532
Interagency Agreement with Navajo Nation Growing in Beauty
Office of Special Education and Rehabilitation
Services
P.O. Box 1420
Window Rock, AZ 86515
Phone: (928)- 871-7682
TF: (866) 341-9918
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Pima and Santa Cruz Counties
Pinal County, including the entire Gila River
Reservation, but not including Tohono
O’Odham Reservation
Easter Seals Blake Foundation
717 S. Alvernon
Tucson, AZ 85711
Phone: (520) 792-2636 x 5218
Easter Seals Blake Foundation
1115 E. Florence Blvd, Suite C
Casa Grande, AZ 85222
Phone: (520) 723-4429
TF: (866)543-7023
Yavapai County
Yuma County
High Country Early Intervention Program
3105 Clearwater Drive, Suite B
Prescott, AZ 86305
Phone: (928) 776-9285
Child and Family Resources
201 S. 3rd. Avenue
Yuma, AZ 85364
Phone: (928)- 783-4003
TF: (800) 929-8194
Beginning in March 2013, AzEIP is moving toward a team based early intervention model and
will have new contracts as well as regions in place. Visit
https://www.azdes.gov/main.aspx?menu=98&id=9634 to see updated information on the
transition to this new delivery model.
Division of Developmental Disabilities (DDD)
DDD, which is within DES, provides support and services to eligible individuals with
developmental disabilities. DDD coordinates support, services and resources through a central
administrative office, six district offices and over 50 local offices in various communities
throughout the state.
DDD Eligibility
An Arizona resident who has a chronic disability that was manifested before the age of 18 may
be eligible. Individuals with the following diagnosis(es) may be eligible for DDD services:
· Cognitive disability.
· Cerebral palsy.
· Epilepsy.
· Autism.
The disability must also result in “substantial functional limitations” in three or more of the
following areas of major life activity:
· Self-care: eating, hygiene, bathing, etc.
· Receptive and expressive language: communicating with others.
· Learning: acquiring and processing new information.
· Mobility: moving from place to place.
· Self-direction: managing personal finances, protecting self-interest or making
independent decisions that may affect well being.
· Capacity for independent living: ability to live on one’s own.
· Economic self-sufficiency: being able to financially support oneself.
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Children under the age of six years old may be eligible if there is a strongly demonstrated
potential he/she has or will have a developmental disability. Any child from birth to 36 months
who has a developmental delay, or who has an “established condition” which has a high
probability of resulting in a developmental delay, may be eligible for support and services.
Developmental delay occurs when a child has not reached 50% of the developmental milestones
expected at his/her age in one or more of the following areas:
·
·
·
·
·
Physical.
Cognitive.
Language/communication.
Social/emotional.
Adaptive self-help.
Established condition means a diagnosis of a physical or mental condition that has a high
probability of resulting in a developmental delay. Application for services may be made at the
Division office nearest you. You can find a listing of all of the local offices here. You may also
submit a referral at www.azdes.gov/ddd and someone will contact you. You may call a local
office and ask to speak with someone about an intake interview. Upon making an appointment, a
Support Coordinator or Intake Worker will meet with you, review eligibility requirements and
the documentation required, discuss your needs and possible support and help you complete the
necessary paperwork. Documentation to establish eligibility includes items such as:
· Proof of age (i.e., birth certificate).
· Proof of residency.
· Medical records.
· Evaluations such as developmental, physical, occupational, speech and/or psychological.
· School records or other records applicable to determination of eligibility and/or
identification of needs.
· Proof of any health insurance.
Arizona Long Term Care System (ALTCS)
ALTCS is a federally funded Medicaid program of support and services. Individuals who are
eligible for services through the DDD may be eligible for services through ALTCS. If your
Support Coordinator believes that you might be eligible for ATLCS, you will be referred to
AHCCCS for eligibility determination. DDD provides both acute medical services and home
and community based services to people who are eligible for ALTCS. People who are eligible
for ALTCS will receive a Member Handbook which explains the program.
ALTCS Services
· Attendant Care
· Day Treatment and Training
· Employment Support Services
· Habilitation
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·
·
·
·
·
·
Home Health Aide
Home Nursing
Respiratory Therapy
Respite
Therapies: Occupational, Physical and Speech
Transportation (Non-emergency)
Central Administrative Office
1789 W. Jefferson St.
Phoenix, AZ 85007
(602) 542-0419
(866) 229-5553
e. Other Department of Health Services Programs
Family Voices
A newsletter that provides valuable information to families who have children with special
health care needs.
· (505) 872-4774 or (888) 835-5669
· Raising Special Kids is the Family Voices State Affiliate organization in Arizona. (602)
242-4366 or (800) 237-3007
f. Social Security Benefits
Children with a disability under age 18 who have limited income and resources or who come
from homes with limited income and resources may be eligible to receive Supplemental Security
Income (SSI) Benefits for Children. Or, they may be able to receive Social Security payments if
one of their parents is deceased or receives Social Security Disability Insurance benefits.
For more information:
www.ssa.gov
(800) 772-1213 or (800) 325-0778 (TTY)
g. Children in Foster Care/Comprehensive Medical and Dental
Program
The Comprehensive Medical and Dental Program (CMDP) is the health plan responsible for
ensuring, in partnership with foster care providers, the provision of appropriate and quality
health care services for the well being of Arizona’s children in foster care. Children aging out of
the foster care system may be eligible for the Young Adult Transitional Insurance program
through AHCCCS.
For more information contact Member Services at: (602) 351-2245 extension 11275 or (800)
201-1795
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h. Other Resources
Arizona State School for the Deaf and the Blind (ASDB)
Educates children and youth with hearing or vision loss throughout Arizona. ASDB is committed to
partnerships with families, school districts, communities, and others that will enable children and
youth with hearing or vision loss to succeed now and in the future.
· Tucson Campus (520) 770-3468 or (520) 770-3863 (V/TTY)
· Phoenix Day School for the Deaf (602) 771-5300
· Desert Valleys Regional Cooperative (602) 544-1670 (V/TTY)
· Early Childhood and Family Education (520) 770-3002 (V/TTY)
· Eastern Highlands Regional Cooperative (928) 524-6770 (V/TTY)
· North Central Regional Cooperative (928) 774-0655
· Southeast Regional Cooperative (520) 770-3200 (V/TTY)
· Southwest Regional Cooperative (928) 317-0429 (V/TTY)
Raising Special Kids
Raising Special Kids provides support and information for parents of children with disabilities
and special health care needs. Services by this non-profit are offered free of charge.
(602) 242-4366 or (800) 237-3007
Leti Foundation The Leti Foundation addresses the unmet needs of multicultural families with
children facing significant disabilities or complex educational and medical needs.
(602) 978-9128
First Things First
Undertakes activities to increase the quality of, and access to, the early childhood development and
health system that ensures a child entering school comes healthy and ready to succeed. It seeks to
improve the lives of children birth through age five, in order to ensure their readiness for school and
support their families in preparing them for a lifetime of success and wellbeing.
(602) 771-5100 or (877) 803-7234
Children's Developmental Center
The Children’s Developmental Center, Arizona’s first comprehensive facility serving children,
birth to five, with disabilities and behavioral challenges recently opened at Southwest Human
Development.
At the Children's Developmental Center families can expect:
· Comprehensive evaluations, expert assessments, and individualized plans.
· State-of-the-art therapy services to help each child develop to their full potential.
· Care-coordination support for families to assure each child’s plan is understood and
followed by everyone involved (e.g. teachers, child’s physician, therapists).
· Knowledge and expertise about community resources. We act as advocates and a pointof-contact for resources that can help families. This includes working with other early
intervention providers and educators to develop an appropriate and effective service plan
· Services that take place in the home and in our center
· Access to our full professional team
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·
Advice and assistance on payment issues
Call (602) 468-3430 for additional information.
84
X.
Small Business
Employer
Resources
85
X. Small Business/Employer Health Resources
a. Small Business Health Options Program (SHOP)
The Small Business Health Options Program (SHOP) is a new program that simplifies the
process of buying health insurance for small businesses. It is part of the new Health Insurance
Marketplace developed as a result of the Patient Protection and Affordable Care Act.
The SHOP Marketplace is open to employers with 50 or fewer full-time-equivalent (FTE)
employees. Full-time is considered 30 hours or more per week on average. Beginning in 2016,
all SHOPS will be open to employers with up to 100 FTE’s. The advantages of using SHOP
include:
· You can control the coverage you offer and how much you pay toward employee
premiums
· You can compare health plans online on an apples-to-apples basis
· The small business may qualify for a small business health care tax credit. This is only
available for plans purchased through SHOP.
As of June 2014, in order to apply for SHOP in Arizona, you will need to do so with the help of a
Navigator, agent, broker or other assister, or download the application directly at
https://www.healthcare.gov/how-do-i-apply-for-coverage-in-the-shop-marketplace/
You can reach a Navigator in your area but dialing 211.
You can enroll in SHOP anytime throughout the year. The deadline to enroll is always the 15th
of the month for coverage to be effective the 1st of the following month.
For more information please call: Call 1-800-706-7893 (TTY users: 1-800-706-7915). Hours:
Monday through Friday, 9 a.m. to 7 p.m. EST. Agents and brokers may also use this number.
For more online information or to download an application, visit:
https://www.healthcare.gov/small-businesses/
b. Arizona Small Business Association
4600 E Washington St, Suite 340
Phoenix, AZ 85034
(602) 306-4000
www.asba.com
4811 E. Grant Road, Suite 262
Tucson, AZ 85712
(520) 327-0222
ASBA Member Benefits Program
86
Participating in this program provides small business’ employees with access to medical, dental,
vision and life insurance.
For further information contact:
Phone: (602) 386-5611
87
XI.
Youth and Young
Adults
http://www.azahcccs.gov/
88
XI. Youth And Young Adults
a. Young Adult Transitional Insurance
The Young Adult Transitional Insurance Program covers young adults from the age of 18
through their 26th birthday who were in DES Foster Care when they turned 18.
Applicants must be US Citizens or Qualified Immigrants, Arizona residents and have a Social
Security number.
For more information call AHCCCS at (602) 417-7100 or (800) 334-5283.
b. AHCCCS Care
AHCCCS Care is a health plan that can be used for individuals or couples over the age of 18
who do not have children living with them.
To qualify for AHCCCS C are:
· Your income must not be above 100% of the Federal Poverty Level (FPL)
· You must be a US Citizen or Qualified Immigrant and an Arizona resident
· An enrollment freeze is scheduled to begin on this program beginning July 1, 2011,
pending litigation.
For more information and to apply call DES at (602) 542-9935 or (800) 352-8401.
c. Continuing Education and Training
Jobs Corps
Jobs Corps is a national education and training program for unemployed and
undereducated youths, ages 16-24. It is administered by the US Department of Labor.
In addition to meeting the age requirements, applicants must be economically
disadvantaged; a high-school dropout, or if graduated, in need of additional education,
training or intensive counseling to obtain and hold meaningful employment; and a US
citizen, legal resident, permanent resident alien or other lawfully admitted alien. Those
eligible for Job Corps must also sign a commitment to remain free from violence and
drugs.
For more information contact
· Phoenix Job Corps Center (Phoenix): (602) 254-5921 or (800) 733-5627
· Fred G Acosta Job Corps Center (Tucson): (520) 792-3015 or (800) 773-5627
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Maricopa Community Colleges
The Maricopa Community Colleges offer many academic and occupational courses in
areas such as:
· Art/Photography
· Aviation and Aeronautics
· Business and Computer Information Systems
· Child and Family Studies
· Communications and Fine Arts
· Culinary Studies
· Emergency Medical Technology
· Nursing
· Science and Math
· Social and Behavioral Sciences
· Language and Humanities
· Wellness, Health, Nutrition and Physical Education
· And many more …
Call or visit your nearest community college to find out about specific programs and
how to enroll:
Chandler-Gilbert Community College
www.cgc.maricopa.edu
2626 E. Pecos Road, Chandler
(480) 732-7000
Estrella Mountain Community College
www.estrellamountain.edu
3000 N. Dysart Road, Avondale
(623) 935-8000
Mesa Community College
www.mc.maricopa.edu
1833 W. Southern Avenue, Mesa
(480) 461-7000
Phoenix College
www.phoenixcollege.edu
1202 W. Thomas Road, Phoenix
(602) 285-7800
Scottsdale Community College
www.sc.maricopa.edu
9000 E. Chaparral Road, Scottsdale
(480) 423-6000
GateWay Community College
www.gatewaycc.edu
108 N. 40th Street, Phoenix
(602) 286-8000
Glendale Community College
www.gc.maricopa.edu
6000 W. Olive Avenue, Glendale
(623) 845-3000
Paradise Valley Community College
www.pvc.maricopa.edu
18401 N. 32nd Street, Phoenix
(602) 787-6500
Rio Salado College
www.riosalado.edu
2323 W. 14th Street, Tempe
(480) 517-8000
South Mountain Community College
www.southmountaincc.edu
7050 S. 24th Street, Phoenix
(602) 243-8000
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Other Community Colleges in Arizona:
Arizona Western College
www.azwestern.edu
2020 S. Avenue 8 E., Yuma
(928) 317-6000
Cochise Community College
www.cochise.edu
4190 West State Highway 80, Douglas
(520) 515-0500
Dine College
www.dinecollege.edu
1 Circle Drive Route 12, Tsaile
(928) 724-6630 or (877) 988-3463
Mohave Community College
www.mohave.edu
1971 Jagerson Avenue, Kingman
(928) 757-4331or (928) 757-0875
Pima Community College
www.pima.edu
4905 E. Broadway Boulevard, Tucson
(520) 206-4500
Yavapai College
1100 E. Sheldon Street, Prescott
www.yc.edu
(928) 445-7300
Central Arizona College
www.centralaz.edu
8470 N. Overfield Road, Coolidge
(800) 237-9814
Coconino Community College
www.coconino.edu
3000 N. 4th Street, Flagstaff
(800) 350-7122 or (928) 526-7600
Eastern Arizona College
www.eac.edu
615 N. Stadium Avenue, Thatcher
(800) 678-3808
Northland Pioneer College
www.npc.edu 103 N. 1st Avenue, Holbrook
(800) 266-7845
Tohono O’odham Community College
www.tocc.cc.az.us
P.O. Box 3129, Sells
(520) 383-8401
d. Other Services for Youth
Florence Crittenton
715 W. Mariposa Street, Phoenix
(602) 274-7318
This non-profit agency provides education and community-based programs to help children and
teens overcome the issues of abuse, neglect, teen pregnancy and/or mental health problems.
Services
· Independent Living - Independent Living provides a positive pathway to adulthood for
young people who have been in long-term foster care. The community-based program
provides life skills training to teens and young adults, ages 16 to 21. Through one-to-one
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·
·
case management and monthly workshops, Independent Living focuses on teaching
participants how to support themselves and live without assistance.
Residential Group Home - The residential facility is a safe haven for girls 12 to 18 who
have been abandoned, neglected, or whose lives have become so difficult or
unmanageable they are unable to cope any longer. Beyond providing basic needs, the
Residential Group Home focuses on all aspects of the girls' health and well being.
Successful Teen Parent Program - In addition to helping new young parents understand
the responsibilities of having and caring for a child, the Successful Teen Program also
helps these teens finish school, find work, manage money, obtain health care, arrange
childcare, build support and improve family relations.
HomeBase Youth Services Programs of Native American Connections
This program is similar to the program above, targeting homeless and runaway Native American
youth in the Phoenix area. Services provided include:
· Street Outreach
· Day Outreach Center
· Transitional Living
· Other links to affordable housing
For further information call (602) 254-7777 or visit
http://www.nativeconnections.org/behavioral-health/HomeBase-youth-services
AZ Freedom to Work – Work Incentives Planning and Assistance
This program offers benefits, planning and advisement for youth on Social Security disability
benefits, so they can take advantage of work incentives and understand how earned income will
impact their cash and medical benefits.
For more information call (866) 304-WORK (9675) or visit: www.azfreedomtowork.org
Arizona Youth & Family Services, Inc.
Arizona Youth and Family Services (AYFS) is a community-based, child and family centered
agency serving the greater Phoenix area. This program provides strength-based behavioral health
services designed to assist children and adolescents with moderate-to-severe behavioral problems
in maintaining their current living situation or moving to a more desirable placement.
For more information call (602) 277-4833 or visit: www.azyfs.org/
Hospice of the Valley
A pediatric program for children facing serious or life-limiting illness.
- Provides services in hospital or at home.
- Provides services for child and family
For more information call (602) 776-1540, or visit the website: www.hov.org
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XII.
Other
Community
Health Resources
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XII. Other Community Health Resources
a. Arizona Department of Health Services and County Health
Departments
The Department of Health Services (DHS) is involved in a wide array of activities
designed to promote and protect the health of Arizona’s citizens. County Health
Departments offer a variety of low-cost medical services to the public.
You DO NOT have to be on AHCCCS to be eligible for DHS Services.
Your local County Health Department may offer services including:
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
·
Free or Low-Cost Immunization Services
Tuberculosis (TB) Testing
Tobacco Prevention Programs
Breast and Cervical Cancer Screening
Lead Poisoning Prevention
Health Start (see more detailed information below)
Newborn Intensive Care Programs
Health Care for the Homeless
Dental Health Programs
Family Planning Services
Prenatal Care Services
Domestic Violence Programs
Refugee Programs
Leprosy Screening and Treatment
Services for people with HIV/AIDS
AIDS Drug Assistance Program
HIV Counseling and Testing
STD Testing and Education
Women, Infants and Children (WIC) (see more detailed information below)
Child Abuse and Neglect Prevention Programs
Nutrition Programs
For more information call DHS or your County Health Department.
Arizona Department of Health Services
150 North 18th Avenue
Phoenix, Arizona 85007
Main Phone: (602) 542-1001
Referral and Information Line: (800) 314-9243
Web: www.azdhs.gov
94
The Referral and Information Line receives calls from across Arizona and provides information
about:
·
·
·
·
Immunization Locations
Traumatic Brain Injury Referrals
Early Intervention Referrals
Links and Contact Numbers to other DHS Programs and Services
Apache County Health Department
Chris Sexton, Director
(928) 337-7525
[email protected]
Coconino County Health Department
Barbara Worgess, Chief Health Officer
(877) 679-7272 (Flagstaff Area)
(888) 645-2283 (Page Area)
(928) 679-7272
[email protected]
Graham County Health Department
Neil Karnes, Director
(928) 428-1962
[email protected]
La Paz County Health Department
Marion Shontz, Exec. Director
(928) 669-1100
[email protected]
Mohave County Health Department
Patty Mead, Director
(928) 753-9141
[email protected]
Phoenix Area Indian Health Service
Dorothy Dupree, Director
(602) 364-5039
[email protected]
Pima County Health Department
Sherry Daniels, Director
(520) 243-7770
[email protected]
San Carlos Apache Tribe Department of Health
and Human Services
Velda A. Williams, Exec. Director
(928) 475-2798
[email protected]
Santa Cruz County
Carlos Rivera, County Manager (No Dir.)
(520) 375-7900
[email protected]
Yuma County Health Department
Diana Gomez, Director
(928) 317-4550
[email protected]
Cochise County Health Department
Mary Gomez, MN, Director
(800) 423-7271
(520) 432-9400
[email protected]
Gila County Health Department
Michael O’Driscoll, Director
(928) 402-8811 (Globe Area)
(928) 472-5367 (Payson Area)
(800) 304-4452 (in state only)
[email protected]
Greenlee County Health Department
Steven Rutherford, Director
(928) 865-2601
[email protected]
Maricopa County Health Department
(602) 506-6900
Navajo County Health Department
Wade Kartchner, Director
(928) 524-4750
[email protected]
Tucson Area Indian Health Services
George Bearpaw, Acting Director
(520) 295-2405
[email protected]
Pinal County Health Department
Thomas Schryer, Director
(866) 960-0633
[email protected]
Navajo Area Indian Health Service
John Hubbard, Jr., Director
(928) 871-4811
[email protected]
Yavapai County Community Health Services
Robert Resendes, Director
(928) 771-3122 (Prescott Area)
(928) 639-8132 (Verde Valley Area)
[email protected]
Gila River Indian Community Department of
Public Health
Laverne Dallas, Director
(520) 550-8000
[email protected]
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Other DHS Programs Include:
Health Start
Health Start utilizes community members as lay health workers to improve birth
outcomes and child health at a local level by increasing access to early prenatal care and
monitoring a child’s immunization status and developmental milestones. Health Start
clients receive education, support and advocacy services to address individual family
concerns.
The program serves:
· Pregnant/postpartum women, who live in targeted communities and who have
at least one risk factor known to impact birth outcomes.
· Children, who receive periodic developmental screenings and referrals for
intervention services as needed.
· Families, who receive home visits and case management with oversight by
nurses and social workers until the enrolled child reaches age two.
Call (602) 364-1421 or visit http://www.azdhs.gov/phs/owch/healthstart.htm.
Also see similar County Program(s) by calling (602) 304-1166 or viewing:
http://www.maricopa.gov/PublicHealth/programs/HealthyStart/
Women, Infants, and Children (WIC)
Arizona WIC is a federally funded program that provides Arizona residents with
nourishing supplemental foods, nutrition education and referrals. Participants of WIC are
either pregnant, breastfeeding, or postpartum women, and infants and children under age
5 who have nutritional needs and meet income guidelines. All services are free.
WIC supplies women and children with healthy food at no cost – including milk, juice,
cheese, eggs, cereal, peanut butter or beans and infant formula. New Breastfeeding
promotion and support is now available and breastfeeding mothers are eligible to
participate in WIC longer than non-breastfeeding mothers.
Additional services include
· Nutrition education sessions
· Breast-feeding support and education
· Nutritional one-on-one counseling
· Referral services to other social service agencies and to maternal, prenatal and
pediatric health services
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Eligibility
· You must be a pregnant, postpartum (up to 6 months after the birth of the
infant), or breastfeeding woman (up to the infant’s first birthday); OR an infant;
OR a child under 5 years of age.
· Income cannot exceed 185% of the Federal Poverty Level (FPL). A new
income eligibility chart will be implemented July 1, 2011. Visit WIC Income
Eligibility Guidelines 2011-2012 for the new information.
· Be at nutritional risk (an assessment will be completed at the time of
enrollment).
· Be a resident of Arizona.
To enroll
· Visit http://www.fns.usda.gov/wic/.
· In Maricopa County, call (602) 506-6900.
· Statewide, call (800) 252-5942.
· At your appointment bring proof of income (such as a paycheck, tax return, or
letter from employer for everyone who works).
· If you have proof of AHCCCS, TANF, or Food Stamps you will meet WIC
income eligibility.
· Also bring proof of identity (such as a driver’s license, utility bill, or official
identification).
· At this appointment, you will undergo a simple health screening to determine
nutritional risk.
b. A to Z Child Health Links
A to Z Child Health Links is an on-line clearinghouse of child health information for parents and
health providers in Arizona. The website contains local resources, links to informative articles,
physician resources, and more. http://www.azdhs.gov/phs/ocshcn/is/is_links.htm
c. Prenatal Care
South Phoenix Healthy Start
-
The purpose of Healthy Start is to help more babies be born healthy as a result of early
and easy access to high quality, comprehensive prenatal care and the existence of a
network of support for our community’s pregnant women. Services they provide:
Case Management
- Community Resources & Referrals
Health Education & Information
- Participant Advocacy
Depression Screening
- Access to healthcare
Group Education Classes & other
group activities
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For more information contact South Phoenix Healthy Start at (602) 304-1166. Address
2737 W. Southern Ave. Suite 8, Tempe, AZ 85282.
d. Birth to Five Helpline
This toll-free “warm line” covers a full range of concerns families may have about their children.
The Birth to Five Helpline provides vast resources that answer critical questions about topics
such as health, child development, nutrition, sleep, safety, and school readiness. The Helpline is
staffed by a group of professionals including early childhood developmental specialists,
registered nurses, disabilities specialists, early literacy specialists, and mental health counselors.
·
Hours of operation are Monday – Friday, 8 am – 8 pm and Saturday, 10 am – 2 pm.
(877) 705-KIDS (5437)
You may also send an email question at http://www.swhd.org/get-help/birth-to-fivehelpline.
e. Centers for Independent Living (Arizona Statewide Independent
Living Council)
The Centers for Independent Living serve individuals of all ages with all types of disabilities.
They are private, non-profit, non-governmental organizations. The majority of staff and Board
of Directors of Centers for Independent Living are people with disabilities. For a complete
listing visit Arizona Statewide Independent Living Council at http://www.azsilc.org/.
Centers for Independent Living
ABIL
(Arizona Bridge to
Independent Living)
(602) 256-ABIL
(2245)
[email protected]
www.abil.org
(800) 280-2245
Voice/TTY
DIRECT
(520) 624-6452
[email protected]
Tucson/Southern
Arizona
(800) 342-1853
Voice/TTY
www.directilc.org
New Horizons ILC
Prescott Valley and
Northern Arizona
[email protected]
Prescott Valley
www.Newhorizonsilc.org
(928) 772-1266
(800) 406-2377
Voice/TTY
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Centers for Independent Living
S.M.I.L.E.
(928) 329-6681
(Services Maximizing
Independent Living
and Empowerment)
(866) 239-SMIL
(7645)
Yuma area
https://volunteer.truist.com/snap211/org/1482438.html
(928) 782-7458
Voice/TTY
ASSIST! to
Independence
(928) 283-6261
Tuba City
(928) 283-6267
Voice/TTY
http://www.assisttoindependence.org
(888) 848-1449
CyberCil
http://www.cybercil.com
Web based
f. Child Care Resource and Referral
The Arizona Child Care Resource and Referral (CCR&R) is a free community service that
matches parents seeking child care with child care resources. CCR&R also provides training and
technical assistance to child care providers.
CCR&R can assist:
·
·
·
·
Parents seeking child care resources
Child care providers seeking help with their work
Employers trying to assist parents
Community organizations involved with children
For more information call CCR&R at (800) 308-9000 or visit http://arizonachildcare.org/.
g. Child Protective Services
To Report Child Abuse or Neglect Call: (888) 767-2445
In an immediate emergency call 911
Parents who abuse or neglect children need help, but many are afraid to seek it. You can help
by:
· Reporting suspected child abuse or neglect by calling
(888) SOS-CHILD (888) 767-2445
· Helping a relative, friend or neighbor cope with the problems that may lead to child
abuse or neglect.
· Guiding a relative, friend, or neighbor to local family resources.
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·
·
·
·
·
Volunteering your time with your local child abuse prevention
programs.
Making an annual state tax check-off to support child abuse prevention.
Donating to community agencies that provide support services to
children and families.
Becoming a licensed foster caregiver - call (602) 255-KIDS for
information.
Providing permanency for a child through adoption.
If you know of a family that may have a non-emergency need for assistance, contact the DES
Administration for Children, Youth and Families at (602) 542-3981.
h. Maternal, Infant and Early Childhood Home Visiting Programs
In 2010, President Obama signed into law the Patient Protection and Affordable Care Act. This
act establishes the Maternal, Infant and Early Childhood Home Visiting Program (MIECHV)
that provides funds for evidence-based home visiting to families in “at-risk” communities.
These grants go towards Home Visiting Programming aimed at supporting families for free in a
variety of ways from teaching parents how-to be their child’s first ‘teachers’; to providing
guidance and information in regards to developmental milestones; to early childhood literacy and
optimal physical and emotional health for their young children and more.
Programs include:
Nurse-Family Partnership
Arizona Health Start
Early Head Start
Family Spirit
Healthy Families Arizona
High Risk Perinatal/Newborn Intensive Care Program
HIPPY – Home Instruction for Parents of Preschool Youngsters
Parents As Teachers
SafeCare
To fnd out more about whether there is a program in your area please visit:
http://strongfamiliesaz.com/what-is-available-in-your-area/
You can also go to http://strongfamiliesaz.com/programs/ to review programs and contact the
programs directly.
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i. Comunity Information and Referral
Community Information and Referral (CIR) is a private, non-profit organization. They are a vital
link between people who need help and the organizations which provide that help. The CIR
phone number is available 24 hours a day, seven days a week to provide free services to the
residents of Arizona.
CIR has trained bilingual (English/Spanish) Information and Referral Specialists available 24
hours a day, every day of the year. The service is anonymous and free to the public.
24 Hour Information and Referral Helpline:
· 2-1-1 within Arizona
· (877)211-8661 from anywhere
· Using TDD: (800) 367-8939 or 711
You can also find information and referrals on CIR’s website at http://www.cirs.org.
j. Domestic Violence
For information on resources in your community call:
· The Arizona Coalition against Domestic Violence at (602) 279-2900 or
(800) 782-6400 8:30 am to 5:00pm M-F
· National Domestic Violence Hotline at (800) 799-7233 24 hour hotline
· Rural Safe Home Network Program at (602) 542-7341
· Arizona Humane Society Project Safe House (provides temporary foster care for pets of
domestic violence victims) at (602) 997-7585
· Adult Protective Services: To report abuse, neglect, and exploitation of Arizona’s
vulnerable or incapacitated adults, 24 hours a day, 7 days a week call
(877) SOS-ADULT or (877) 767-2385
If you are in immediate danger DIAL 911.
k. Family Planning
Several sources of family planning are available in Arizona, including AHCCCS (see related
section above under AHCCCS Services), the Arizona Family Health Partnership, and the
Arizona Department of Health Services, and Planned Parenthood.
Arizona Family Health Partnership
Through a network of community-based subcontractors, Arizona Family Health Partnership
offers free or low-cost family planning services based on family income. At most of the clinics
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listed below individuals with an income up to 100% of the Federal Poverty Level (FPL) are
eligible for free services and individuals up to 250% of FPL are served on a sliding-fee scale
based on income level.
All services are confidential.
Teens seeking services may receive confidential services without parental involvement and cost
of services is based on their individual income.
A wide range of family planning services is available including:
· Physical Exams
· Birth Control
· Counseling and Education
· Pregnancy Testing
· Infertility Screening
· Sterilization
· Testing and Treatment of Sexually Transmitted Diseases (STDs)
· HIV Testing and Counseling
· Emergency Contraception
For More Information you can call Arizona Family Health Partnership at (602) 258-5777 (from
Maricopa County) or (888) 272-5652 (from outside Maricopa County).
You can also view the Directory of Family Planning Services for Arizona at:
https://www.arizonafamilyhealth.org/locations-2/#.U6DV3PldXTo
The AZ Department of Health Services, Bureau of Women’s and Children’s Health Family
Planning Program
The ADHS Family Planning Program is a statewide, clinic based program that provides
comprehensive reproductive health services to promote optimal health in Arizona’s women.
Women at or below 150% of the Federal Poverty Level (FPL) can receive services free of
charge. Women who are above 150% of the FPL will be provided services on a sliding fee scale.
All services are confidential.
The following services are included as part of an annual exam:
· History
· Education
· Counseling
· Physical Assessment
· Pregnancy Testing
· Sexually Transmitted Disease Screening and Assessment
· Referral and Follow up
For more information visit: http://www.azdhs.gov/phs/owch/women/familyplanning.htm
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ADHS Provider by County
Apache County Health Department
PO Box 697
St John AZ 85936
Cochise County Health Department
1415 West Melody Lane Bldg A
Bisbee, AZ 85603
Coconino County Department of Health Services
2625 North King Street
Flagstaff, AZ 86004
Gila County Health Department
5515 South Apache Avenue Suite 100
Globe, AZ 85501
Graham County Health Department
826 West Main
Safford, AZ 85546
Greenlee County Health Department
253 5th Street
Clifton, AZ 85533
La Paz County Health Department
1112 Joshua Street #206
Parker, AZ 85344
Maricopa Integrated Health Systems
2601 East Roosevelt Street
Phoenix, AZ 85007
Mohave County Health Department
700 West Beale Street
Kingman, AZ 86402
Navajo County Public Health Services District
117 East Buffalo
Holbrook, AZ 86025
Yavapai County Community Health Services
1090 Commerce Drive
Prescott, AZ 86305
Yuma County Department of Public Health
2200 West 28th Street # 137
Yuma, AZ 85364
Phone Number
(928) 337-7592
(520) 432-9400
(928) 679-7272
(928) 425-3189 ext. 8811
(928) 428-0110
(928) 865-2601
(928) 669-6155
(602) 344-5011
(928) 753-0743
(928) 524-4750
(928) 583-1000
(928) 317-4540
Planned Parenthood
For medical questions or to schedule an appointment with your nearest Planned Parenthood
Center, call toll-free (800) 230-PLAN (7526).
Planned Parenthood Arizona
· (602) 277-7526 – Phoenix
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·
·
(520) 624-1761 – Tucson
www.ppaz.org
l. Nutrition Assistance (formerly the Food Stamp Program) and
Food Banks
The Nutrition Assistance program provides eligible households with nutrition assistance
benefits to help supplement their nutritional diets. Nutrition Assistance benefits may be used to
purchase eligible food products and various other products as approved by the program.
The Nutrition Assistance Program is administered by the Family Assistance Administration
(FAA), which is part of the Arizona Department of Economic Security (DES).
To apply for the Nutrition Assistance Program
· Call Family Assistance Administration at (800) 352-8401 or (602) 542-9935
· Call your local DES Office – they will direct you to your local FAA Office where you
can apply (or see the list of FAA Offices under the DES section of this binder)
· Apply online at www.healthearizonaplus.gov.
Eligibility
· To be eligible for the Nutrition Assistance Program you must meet certain low-income
guidelines depending on your family size and composition.
· Your local Family Assistance Administration office can tell you if you are eligible for the
program.
Food Banks
· Yavapai Food Bank, Inc. (928) 775-5255
· Westside Food Bank, Surprise/Phoenix (602) 242-3663
· Desert Mission Food Bank, Phoenix (623) 434-6255
· St. Mary’s Food Bank, Phoenix (602) 352-3640
· St. Vincent de Paul, Statewide (602) 495-3051
· United Food Bank, Mesa (480) 926-4897
· Community Food Bank, Tucson (520) 884-1098
· Yuma Community Food Bank, Yuma (928) 343-1243
· Wilson-Batiz Borderland Food Bank, Nogales (520) 287-2627
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m. Head Start
·
Head Start is a federally funded child and family development program for low-income
families and families whose children have disabilities or other special needs. Head Start
serves children from 3-5-years-old, with priority given to 4-year-olds who will enter
kindergarten the following year. Assistance is provided through five service components:
education, health, nutrition, social services, and parental involvement. Through these
five service components, children may receive individualized learning experiences,
physical examinations, immunizations, hot meals and more.
·
Early Head Start has programs geared for children 0-3 years of age.
·
Migrant Head Start has programs designed for children, 0-5 years, of migrant and
seasonal worker families.
·
American Indian Alaskan Native Head Start addresses the specific needs of children, 0-5
years of age, from these populations.
Eligibility
For Head Start, children must be 3-4 years of age before September 1 of each school year.
Families must meet certain low-income requirements. (Note: Families of children with special
needs may not be subject to income eligibility requirements.)
How to Apply
Contact your regional Head Start Office to find out their specific requirements for eligibility and
enrollment. Each program is slightly different.
Apache, Coconino, Navajo, and Yavapai Counties
NACOG Head Start: (928) 774-9504
La Paz, Mohave, and Yuma Counties
· Yuma County (928) 782-1886
· La Paz County (928) 669-9466
· Mohave County (928) 753-6247
Pinal and Gila Counties
Pinal /Gila Community Child Services: (520) 7235321
Cochise, Graham, Greenlee, Pima, and Santa
Cruz Counties
Child Parent Centers, Inc.: (520) 882- 0100
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Maricopa County
· Maricopa County Head
Start: (602) 506-5916
· East Side: (480) 464-9669
Ext: 200
· West Side: (623) 486-9868
· Central, Northeast, and East
Phoenix: Southwest Human
Development, (602) 2665976
· Central, South, and West
Phoenix: (602) 262-4040
n. Homeless Services
Maricopa County
·
André House
o “André House, located in downtown Phoenix, is a house of hospitality that
reaches out to those most in need by offering simple services like food, clothing,
showers, blankets and shelter.”
o 213 S 11th Av, Phoenix AZ 85007
o (602) 255-0580
o www.andrehouse.org
·
Area Agency on Aging – Care Directions
o “Care Directions® has served over 9,000 HIV positive people living throughout
Maricopa and Pinal Counties. In addition to serving the general population,
specialized case management is provided to women, children, youth, teens and
the homeless. Services are available in English and Spanish.”
o 1366 East Thomas Road Suite 200 Phoenix, Arizona 85014
o (602) 264-CARE (2273)
o caredirections.org
·
Central Arizona Shelter Services, Inc. (CASS)
o 230 S. 12th Avenue
o (602) 256-6945
o Operates three primary shelters: Downtown Single Adult, Men’s Outreach
Shelter and Vista Colina Emergency Family Shelter
o http://www.cassaz.org/
·
Community Bridges - The Center for Hope for Women, Infants & Children
o “CFH Offers long-term support and residential services to pregnant women in
need of a safe and structured environment to address their physical, mental, and
emotional health needs. CFH offers group and individual counseling, parenting
programs, relapse prevention, job skills training, housing, family counseling, and
an on-site child development center for toddlers and infants.”
o (480) 461-1711
o http://communitybridgesaz.org/women-and-children-programs/
·
Chicanos Por La Causa, Inc. – De Colores Domestic Violence Shelter
o “De Colores Domestic Violence Shelter opened its doors in 1985 to serve as a
safe haven for women and their children who have been forced to flee their home
due to domestic violence. De Colores has developed a special focus on
monolingual Spanish speaking women and their children. As a result, it has
become the only domestic violence shelter in Maricopa County in which all staff
and services are bicultural and bilingual. The facility includes 58 beds, a laundry
facility, indoor and outdoor play areas, a learning center, a communal kitchen
and dining area. Staff is available 24 hours a day.”
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o (602) 269-1515
·
Child Crisis Center
o “Children are placed in our shelter either through Child Protective Services or by
their families as a Community Placement. They may stay from several days to
many months, depending upon their circumstances.”
o If you know children that need a safe place to stay temporarily, please call or
visit the Child Crisis Center at ANY hour.
o 604 W 9th St Mesa, AZ 85201
o (480) 969-2308
o www.childcrisis.org
·
Chrysalis – Crisis Shelter and Transitional Housing
o “Chrysalis operates a residential crisis shelter. The shelter can house up to 50
adults and children at once. During their stay (up to 120 days) residents can
receive individual and group counseling and case management. Assistance with
job development, housing and financial referrals, medical services, parenting
information, etc. is provided based on the needs of the individual. Counseling can
be provided to children living in shelter.”
o (602) 944-4999
o http://www.noabuse.org/
·
CONTACS (Community NeTwork for Accessing Shelter) Shelter Hotline
o (602) 263-8900 OR (800) 799-7739
o Call 24-hours-a-day, 7-days-a-week
o Bilingual
o Provides help in locating emergency, homeless or domestic violence shelters
o http://www.cir.org/contacs/
·
Crisis Nursery – Children’s Shelter
o “Children's Shelter provides a safe haven for children threatened with abuse and
neglect and a life line for parents facing emergencies that pose risks to their
children well-being. Shelter staff is available 24/7 to respond to inquiries and
accept admissions. Both overnight stays and day respite services are available for
children from birth to 8 years of age on an emergency or planned basis. Length
of stay is based on the individual needs of each child and family.”
o 2334 East Polk Street Phoenix, AZ 85006
o (602) 273-7363
o www.crisisnurseryphx.org
·
Ebony House, Inc.
o "Ebony House, Inc. is a non-profit agency providing standard and intensive
behavioral health out-patient treatment services; outreach, education and
prevention services to adults, children and their families; and Level II Residential
Treatment for adult men; and Level II Residential Treatment for women,
targeting pregnant and parenting women in the community who are suffering
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from issues related to substance abuse and co-occurring disorders. Ebony House
also provides HIV/AIDS/STD counseling and testing, along with Health
Education and Risk Reduction (HE/RR) health fairs, outreach services, and
provides mobile units that travel across Maricopa County giving HIV oral swab
tests to anyone that wishes.”
o 6222 S. 13th Street Phoenix, AZ 85042
o (602) 276-4288
o www.ebonyhouseinc.org
·
Homeward Bound
o “At Homeward Bound, we assist homeless and domestic violence families with
children achieve economic independence, secure long-term, safe, decent,
affordable housing and break multi-generational cycles of homelessness and
domestic violence.”
o Phoenix
o (602) 374-8717
o www.hbphx.org
·
House of Refuge East
o “House of Refuge is a faith-based non-profit organization helping homeless
families and individuals in crisis by providing transitional housing and
supportive services that assist participants as they strive towards self-sufficiency
and seek to obtain permanent housing.”
o 6935 E Williams Field Rd., Mesa, AZ 85212
o (480) 988-9242
o http://houseofrefuge.org/
·
Human Service Campus
o 220 South 12th Avenue, Phoenix, AZ 85007-3101
o (602) 229-1241
· Central Arizona Shelter Services, Inc. (CASS) - Provides nightly
emergency shelter and supportive services to more than 400 homeless men
and women, including 400 single-bunked emergency shelter beds for
individual men and women, shower and laundry facilities, an employment
program and a state-of-the art and a dental clinic offering comprehensive care.
·
Maricopa County Healthcare for the Homeless (HCH) – Provides
integrated primary healthcare, mental health services, substance abuse
services and case management for homeless men, women and children. HCH
delivers health care through an interdisciplinary approach, combining
aggressive street outreach, primary healthcare, mental health service and
substance abuse counseling.
·
Northwest Organization for Voluntary Alternatives (NOVA) Safe Haven
– Provides severely mentally ill homeless individuals with residential services,
case management and assistance with independent living skills. One of two
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HUD-designated safe havens in Arizona, NOVA Safe Haven (NSH) services
hard-to-reach homeless people with severe mental illness. Twenty-five
emergency shelter beds and a daytime drop-in center, offering supportive and
psychiatric services, form the core of the NSH program. http://www.novaarizona.org/safe.html
·
St. Joseph the Worker (SJW) – Housed in the Lodestar Day Resource
Center (DRC), SJW assists homeless and low-income individuals to secure
and maintain permanent employment. http://www.sjwjobs.org/
·
St. Vincent de Paul (SVdP) – Co-located in the Lodestar Day Resource
Center (DRC), SVdP provides daily meal service, ministry, counseling and
referral service for homeless individuals living within downtown Phoenix.
Mobilizing a large cadre of community volunteers, SVdP serves individuals
and families who are homeless or at risk of becoming homeless.
·
Lodestar Day Resource Center (LDRC) – The Lodestar Day Resource
Center serves as the hub of the campus and reflects both its collaborative
nature and service integration focus. Winner of the National Association of
Counties 2005 Platinum Innovation Award, the LDRC is the most innovative
services enhancement within the HSC. In addition to providing the homeless
with a safe place to be during the day, the LDRC offers a diverse range of
holistic programs and workshops.
The LDRC houses more than 10 member agencies, together with staff from
HSC’s five anchor campus organizations and from a broad range of partner
agencies from across the Valley. Working in close collaboration, these
providers offer homeless outreach, benefit eligibility, behavioral health
screening, housing assistance, legal assistance and a Homeless Court. They
also join forces to provide employee development, training and placement.
·
LDRC Member Agencies:
o Southwest Behavioral Health Services
o People of Color Network
o AZ Department of Economic Security
o Veteran’s Administration
o Madison Street Veterans Association
o CASS Employment
o LDRC Housing
o Blueprints/ Community Bridges
o St. Joseph The Worker
o Chaplaincy for the Homeless
o The New Arid Club
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·
Labor’s Community Service Agency
o LCSA provides a transitional housing program that stabilizes and empowers
homeless families by providing them with safe, transitional housing and
comprehensive case management services. The overall objective is to help
families attain self-sufficiency and move into permanent housing.
o 3117 North 16th Street, Suite 100 Phoenix, Arizona 85016
o (602) 263-5741
o www.lcsaphx.org/home.html
·
Maggie’s Place
o “Maggie's Place is a community of homes that provide hospitality for pregnant
women who are alone or on the streets. We have a two-fold strategy in assisting
mothers to grow. First, Maggie's Place provides for the immediate physical and
emotional needs of our guests including shelter, food, clothing, and a supportive
community. As such, we are a family and a community! In addition, Maggie's
Place connects the mothers to the appropriate agencies and resources including
prenatal care, health insurance, low-cost housing, and education programs.”
o 4001 North 30th Street Phoenix, AZ 85016
o (602) 262-5555
o www.maggiesplace.org
·
Native American Connections
o “Improving the lives of individuals and families through Native American
culturally appropriate behavioral health, affordable housing, and community
development services.”
o 4520 N Central Avenue, Suite 600 Phoenix, Arizona 85012
o (602) 254-3247
o http://www.nativeconnections.org/
·
A New Leaf
o A New Leaf provides services ranging “from caring for the homeless at our
family and men’s shelters, to providing safe haven for survivors of domestic
violence and their children; from detention alternative programs for youth to
foster care programs and behavioral health counseling for children.”
o 868 E. University Dr. Mesa, AZ 85203
o (480) 969-4024
o www.turnanewleaf.org
·
Ozanam Manor
o “Ozanam Manor provides transitional housing to homeless men and women age
50 and above; along with physically or mentally disabled adults age 18 and
above.”
o 1730 E. Monroe Phoenix, Arizona 85034
o (602) 850-6900
o http://www.stvincentdepaul.net/PS-OzanamManor.htm
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·
Phoenix Rescue Mission
o Provides 3 meals daily to men, women and children
o Men’s Emergency Shelter
o Men’s Addiction Recovery Program
o Changing Lives Center for Women and Children
o 1801 S 35th Ave, Phoenix
o (602) 233-3000
o http://phoenixrescuemission.org
·
Phoenix Shanti Group
o “Provides emergency, transitional and supportive permanent shelter to
individuals and families with HIV/AIDS. Persons accepted into the program will
work with case management staff to develop and implement a plan for permanent
housing and independence.”
o 2345 W. Glendale Ave. Phoenix, Az. 85021
o (602) 279-0008
o www.shantiaz.org
·
Salvation Army
o 2702 E. Washington Street, Phoenix
o (602) 267-4196
o Emergency Assistance Program, Kaiser Family Homeless Shelter, Elim House
Domestic Violence Shelter and Project HOPE (homeless outreach)
o http://salvationarmycares.org
·
Save the Family
o “Operates over 180 units of housing valley-wide. Provides transitional housing
for homeless families and housing to keep working poor families stable through
market adjusted rents.”
o 450 W. 4th Place, Mesa, AZ 85201
o (480) 898-0228
o http://www.savethefamily.org/
·
Sojourner Center
o Emergency housing, food, clothing, and a continuum of support services for
families & transitional housing for families leaving emergency shelter
o P.O. Box 20156 Phoenix, AZ 85036
o (602) 244-0089
o www.sojournercenter.org
·
Society of St. Vincent de Paul
o Dining, shelter services, food banks
o 420 W Watkins, Phoenix
o (602) 266-4673
o Other valley locations
o http://www.stvincentdepaul.net/
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·
Southwest Behavioral Health
o “Southwest Behavioral Health provides subsidized independent housing, both
permanent and transitional, to a variety of populations throughout Maricopa
County including U S Veterans, persons that are homeless, persons with a serious
mental illness and individuals with HIV/AIDS.”
o “Southwest Behavioral Health also manages over 150 residential beds at
locations throughout the valley. Programs range from supported independent
living to intensely supervised (24-hour support). Length of stay varies depending
on the individual's needs and ranges from 90 days to over 2 years.”
o 3450 North 3rd Street Phoenix, Arizona 85012
o (602) 265-8338
o www.sbhservices.org
·
Standup For Kids
o (800) 365-4KID (4543)
o Provides housing referral, education assistance, vocational development,
counseling, health services, transportation to self-help meetings, legal assistance,
clothes, furniture, and other daily necessities
o http://www.standupforkids.org/
·
UMOM New Day Centers, Inc.
o “UMOM New Day Centers mission is to provide homeless families and
individuals with safe shelter, housing and supportive services to assist them in
reaching their greatest potential.”
o 3333 East Van Buren Street Phoenix, Arizona 85008
o (602) 275-7852
o http://www.umom.org/
Pima County
·
Casa de los Niños
o 1101 N. 4th Avenue, Tucson
o (520) 624-5600
o www.casadelosninos.org
o Provides residential shelter care for children who are abused, neglected, or
homeless
·
Church on the Street
o 2551 W. Orange Grove Road, Tucson
o Provides a hot meal in Santa Rita Park (22nd St. and 4th Ave.) every 2nd and 4th
Sunday at 1:00 pm
·
Emerge Center
o 2545 E Adams St, Tucson
o (520) 795-9001
o www.emergecenter.org
o Provides crisis intervention and housing
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·
The Giving Tree
o 931 N Swan Rd, Tucson
o (520) 320-5437
o Services include hot meals, emergency food boxes and clothing and toiletries for
homeless, near-homeless and poverty-level children.
·
Gospel Rescue Mission
o 312 W 28th St, Tucson
o (520) 740-1501
o www.grmtucson.com
o Offers emergency services of meals, shelter, clothing, showers, toiletries and
case management services for men.
·
Old Pueblo Community Services
o 4501 E Fifth Street, Tucson
o (520) 546-0122
o http://www.helptucson.org/index.php
o Provides transitional housing, veteran assistance, life skills training program.
·
Open Inn Shelter
o 630 E 9th St, Tucson
o (520) 628-9590
o Additional locations; referrals to: (520) 670-9040 or (866) 520-TEEN
o openinn.org
o Provides transitional and emergency shelter for unaccompanied youth.
·
Pio Decimo Center
o 848 S 7th Ave, Tucson
o (520) 622-2801
o Offers transitional shelter for families in South Tucson
·
Primavera
o 200 E Benson Highway, Tucson
o (520 623-4300
o http://www.primavera.org/index_flash.html
o Shelter for men and families, clothing, food boxes, respite services, toiletries,
showers, transportation services
·
TMM Family Services, Inc.
o 1550 N Country Club Rd, Tucson
o (520) 322-9557
o www.tmmfs.org
o Provides transitional shelter for single women and women with children
recovering from domestic violence, substance abuse and/or mental illness.
o
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·
Tucson Salvation Army Hospitality House
o 1021 N 11th Ave, Tucson
o (520) 622-5411
o http://www.thesalvationarmytucson.org/HospHouse.html
o Provides emergency shelter, meals, education and employment services
·
Tucson Planning Council for the Homeless
o (520) 745-9443
o Provides services and referrals
·
Wingspan Anti-Violence Project
o 430 E 7th Street, Tucson
o (520) 624-1779
o 24 crisis line: (520) 624-0348 or (800) 553-9387
o www.wingspan.org
o provides free, confidential 24-hour crisis intervention, information, support,
emergency shelter and advocacy to LGBT victims/survivors of violence.
·
Winter Shelter Program
o (520) 622-5411 or (520) 745-9443
o Provides overflow shelters, clothing bank during winter months
Other Counties
Apache County:
Old Concho Community Assistance Center
Concho
(928) 337-5047
Motel Vouchers/Rent/Referral Services
New Hope Ranch
St. Johns
(928) 337-5060
Coconino County:
Alternatives Center for Family Based Services
(Flagstaff)
(928) 214-9050
Crisis Intervention/Information and
Referral/Children and Families
Cochise County:
· Bisbee Coalition for Homeless
(520) 432-7839
Emergency/Men
· Hazel Fund – Wilcox Police Department
(520) 384-4673
Families/Motel, Food, and Gas Vouchers
· St. Vincent de Paul (Sierra Vista)
(520) 458-0500
Motel Vouchers/Utilities/Rent/Medication
Gila County:
Veterans Helping Veterans (Payson)
(928) 474-3920
Transitional/Men/Women/Veterans
San Carlos Behavioral Health
(928) 475-2371 or (928) 475-2798
Counseling/Shelter/Referral/Followup/Men/Women
Catholic Social Services Aspen House
Flagstaff
(928) 226-8600
Transitional/Male/Youth
Gila County Community Action Program
Payson
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Coconino Community Services
Flagstaff
(928) 522-7979
Motel and gas vouchers
(928) 474-1759
Gila County Commity Action Program
Globe
(928) 425-3281
Hope Cottage
Flagstaff
(928) 774-9270
Transitional/Women and children
Gila County Minsterial Association
Globe
(928) 425-2422
Northland Family Help Center
Flagstaff
(928) 774-4503
Emergency/children
Salvation Army
Globe
(928) 425-4011
St. Vincent de Paul
Globe
(928) 425-3137
Sharon Manor Transitional Housing Complex
Flagstaff
(928) 773-1882
Time Out Shelter
Payson
(928) 472-8007
Salvation Army
Flagstaff
(928) 774-1403
Sunshine Rescue Mission
Flagstaff
(928)774-3512
Emergency/Men/Women
Mohave County:
Salvation Army
Bullhead City
(928) 758-3141
Motel and Gas Vouchers/Food
Navajo County:
Navajo County Emergency Services
Holbrook
(928) 524-4251
Shelter/Food/Referral Center
Colorado River Region Youth Services
Bullhead City
(928) 763-1945
Lake Havasu City
(928) 680-3678
Emergency/Youth
Holbrook Senior Center
Holbrook
(928) 524-6044
Motel vouchers/rent and utility
assistance/food/referrals
Cornerstone Mission
Kingman
(928) 453-5800
Love Kitchen Charities
Lakeside
(928) 537-1252
Motel vouchers/rent and utility
assistance/food/referrals
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Mohave County Community Development
Kingman
(928) 753-0723
Northern Arizona Center-Homeless
Winslow
(928) 289-5798
St. Vincent de Paul
Bullhead City
(928) 758-5251
Lake Havasu City
(928) 453-3125
Pinal County:
St. Vincent de Paul Society
Casa Grande
(502) 836-2009
Food/Clothing/Lodging/Transportation
Yavapai County:
Catholic Social Services
Cottonwood
(928) 634-4254
Motel, food and gas vouchers
Casa Grande Valley Outreach Center
Casa Grande
(520) 836-8196
Old Town Mission
Cottonwood
(928) 634-7869
Emergency Food/Gas Vouchers/Travelers
Assistance/Medical Prescriptions
Tri-Community Behavioral Health
Oracle
(520) 896-9240
referrals/counseling/women/children
Verde Valley Guidance Clinic
Cottonwood
(928) 634-2236
Outpatient counseling/chemical dependency
treatment/referrals/men/women/children
Catholic Social Services
Prescott
(928) 778-2531
Transitional/Families/Motel
First Baptist Church Reach-Out Program
Prescott
(928) 778-9790
Food/limited housing/utility assistance
Just the Necessities
Prescott
(928) 771-0963
Project Aware Shelter
Prescott
(928) 778-7744
Emergency/transitional/Men
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Salvation Army
Prescott
(928) 778-9150
Motel vouchers for families
Turning Point
Prescott
(928) 778-7900
ER Hotline (800) 628-3089
Youth Crisis
Yavapai County Veterans Administration
Prescott
(928) 445-4860 ext 6018
Adult Community Senior Center
Sedona
(928) 282-2834
Emergency/Families/Women/Meals
Yuma County:
Catholic Community Services in Western
Arizona
(928) 341-9400
Referral
For general information about Homelessness in Arizona call the Arizona Coalition to End
Homelessness at (602) 340-9393.
o. Immunizations
For general information about immunizations, contact TAPI, the Arizona partnership for
immunization coalition at www.whyimmunize.org.
Maricopa County
The Maricopa County Childhood Immunization Partnership is a non-profit public/private
partnership dedicated to increasing childhood immunization rates and childhood immunization
awareness in Maricopa County.
MCCHIP raises public awareness of free immunization clinics through their “free clinic
brochure.”
The brochure of times and locations for free immunizations is available at:
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·
·
·
www.mcchip.org.
On the Maricopa County Department of Public Health’s website:
www.wearepublichealth.org.
By calling:
o Maricopa County Public Health – (602) 506-6767
o Phoenix Fire Department Baby Shots – (602) 534-BABY (2229)
o Chandler Regional Hospital (480) 728-3777
o http://www.cir.org/immunizations/ - for additional times of immunization clinics.
To find out if your child’s shots are up to date, check with your child’s doctor, a school nurse, or
speak with a community health nurse from the Maricopa County Department of Public Health at
(602) 506-6767.
Other Counties
Check with your physician, your health plan, your community health center or your county
health department. A list of County Health Department Contact information is available here:
http://www.azdhs.gov/diro/liaison/countymap.htm
p. Flu Clinics
Flu Clinics
· Flu clinics are established statewide during flu season.
· Flu shot locations can be found by calling the 24 hour bilingual Flu/Pneumonia
Hotline at (602) 324-2814 or (877) 764-2670.
· www.cir.org
· www.azdhs.gov/flu
· Flu clinics can be found on the American Lung Associations Flu Clinic Locator at
http://flucliniclocator.org or http://www.flushotsusa.com/
q. Legal Aid
Community Legal Services
· Provides civil legal services to indigent and low income residents
· Eligibility Requirements:
o Must meet federal poverty level guidelines
o Legal issue must fall within priorities
· Special units for migrant and seasonal farm workers
· No/Low Cost
· Contact:
o 305 S. 2nd Avenue
Phoenix, Arizona 85003-2402
o Telephone: (602) 258-3434 or (800) 852-9075
o Fax: (602) 254-3258
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Arizona Foundation for Legal Services and Education
(Charitable arm of the State Bar of Arizona)
Phoenix – (602) 340-7366
www.azflse.org
William E. Morris Institute for Justice
Phoenix – (602) 252-3432
www.morrisinstituteforjustice.org/
Arizona Center for Disability Law
Provides services statewide
Phoenix- (602) 274-6287 or (800) 927-2260
Tucson- (520) 327-9547 or (800) 922-1447
www.azdisabilitylaw.org
Another helpful website is:
www.AZLawHelp.org
Free/Discounted Legal Services
Maricopa County:
Pima County:
Community Legal Services (Phoenix) –
(602) 258-3434 or (800) 852-9075
Community Legal Services (Mesa) –
(480) 833-1442 or (800) 896-3631
Advocates for the Disabled –
(602) 212-2600 or (800) 875-2272
Arizona Center for Disability Law –
(602) 274-6287 or (800)-927-2260
Arizona Senior Citizens Law Project –
(602) 252-6710
Catholic Social Services (Immigration) –
(602) 997-6105
Friendly House (Immigration) –
(602) 257-1870
Navajo County:
Southern Arizona Legal Aid –
(520) 623-9461 or (800) 640-9465
Arizona Center for Law in the Public
Interest: (520) 529-1798
Arizona Center for Disability Law –
(520) 327-9547 or (800) 922-1447
Asylum Program of Southern Arizona –
(520) 623-4555
Papago Legal Services – (520) 383-2420
White Mountain Legal Aid –
(928) 537-8383 or (800) 658-7958
Chinle Agency Office – (928) 674-2064
Hopi Legal Services –
(928) 738-2251 or (800) 789-9586
Fort Defiance Agency Office –
(928) 729-4336
Tuba City Agency Office –
(928) 283-5265 or (800) 789-8919
Southern Arizona Legal Aid –
(520) 316-8076 or (800) 718-8086
Four Rivers Indian Legal Services
(520) 562-3369 or (866) 312-2290
Pinal County:
Yavapai County:
Community Legal Services –
(928) 445-9240 or (800) 233-5114
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Catholic Charities –
(928) 778-2531
Santa Cruz County:
Apache County:
White Mountain Legal Aid –
(928) 537-8383 or (800) 658-7958
Southern Arizona Legal Aid, Inc
(928) 338-4845
DNA-People’s Legal Service
(928) 871-4151 or (800) 789-5824
Cochise, Greenlee, and Graham County:
Southern Arizona Legal Aid –
(520) 432-1639 or (800) 231-7106
Southern Arizona Legal Aid –
(520) 287-9441
Coconino County:
DNA-People's Legal Services, Inc.:
(928) 774-0653 or (800) 789-5781 Flagstaff
(928) 283-5265 or (800)789-8919 Tuba
City
Catholic Charities
(928) 774-9125
Gila County:
Southern Arizona Legal Aid –
(928) 537-8383 or (800) 658-7958
Catholic Community Services in
Southeastern Arizona Inc.
(520) 432-2285 or (800) 338-2474
Mohave County:
La Paz and Yuma County:
Community Legal Services –
(928) 681-1177 or (800) 255-9031
Community Legal Services –
(928) 782-7511 or (800) 424-7962
Catholic Community Services in Western
Arizona –
(928) 341-9400 or (888) 514-3482
r. Gay, Lesbian, Bisexual, Transgender Resources
Community Centers
· 1n10
(602) 475-7456
www.1n10.org
E-mail: [email protected]
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1 Voice Community Center
725 W. Indian School Road #125
Phoenix, AZ 85013
(602) 712-0111
www.1vcc.org
Wingspan
425 E. Seventh Street, Tucson
(520) 624-1779
www.wingspan.org
E-mail: [email protected]
Prescott Pride Center
111 Josephine Street, Prescott
(928) 445-8800
www.prescottpridecenter.com
E-mail: [email protected]
Other Resources
· TG Harmony
Scottsdale
(602) 280-9074
www.binetaz.org
Non-profit group offering resources, opportunities, and support for the entire transgender
community in the Phoenix Area
· Parents, Families and Friends of Lesbians and Gays (PFLAG)
Tucson
(520) 360-3795
www.pflagtucson.org
Phoenix
(602) 843-1404
www.pflagphoenix.org
· Tucson GLBT Chamber of Commerce
Provides a forum for Tucson’s GLBT business community
(520) 615-6436
http://www.tucsonglbtchamber.org/
· Greater Phoenix Gay and Lesbian Chamber of Commerce
(888) 4GP-GLCC (447-4522) or (602) 266-5055
www.gpglcc.org
s. Medical Services Project
The Medical Services Project (MSP) provides access to health-related services for uninsured,
school age children and their siblings from low-income families in participating communities
throughout Arizona. MSP is administered through the Arizona Chapter of the American
Academy of Pediatrics.
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Eligibility
·
·
·
·
·
Income requirements – the family’s household monthly gross income cannot be higher
than 200% of the Federal Poverty Level.
Child must not currently have health insurance coverage (can be in the application
process)
Child does not qualify for Arizona Health Care Cost Containment System (AHCCCS) or
KidsCare
Child does not qualify for Indian Health Service
Child is currently a student (kindergarten - grade 12), a younger sibling of a school age
child
Services
The MSP is a system of linkages between school nurses and volunteer health care providers who
agree to accept a predetermined fee of $5 or $10 as payment-in-full for an office visit.
Participating health care providers self-determine the number of children they are willing to see
per month and the number may be changed at any time upon the providers’ request. MSP is
designed to meet acute and episodic health care needs of the children participating and is neither
an entitlement program nor insurance. MSP does not provide maintenance of chronic conditions.
Medical providers are encouraged to utilize sample medications when available. If samples are
not provided, the MSP provides able to pay for most medications up to a set annual amount. Lab
services, when not available in the provider’s office, are provided through MSP as well.
Children referred through the Medical Services Project can obtain medical, dental and other
health-related services, including diagnostic procedures, prescribed medications, eyeglasses, and
laboratory services.
Contact Information
For enrollment information, please contact your school nurse. For general information, please
call the Project Manager at (602) 989-9353 or visit www.azaap.org/Medical_Services_Project.
t. Medical Networks - Discounted Health Services
These programs are designed to allow their members to receive some health services at
discounted rates. THESE PRODUCTS ARE NOT INSURANCE COVERAGE but are a
network of providers who are agreeing to see you for health services at a pre-negotiated
discounted fee.
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Pima Community Access Program (PCAP)
Pima Community Access Program (PCAP)
2501 E. Elm Street
Tucson, AZ 85716
(520) 694-0418
www.pcap.cc
Services offered include doctor’s visits, hospitalization, laboratory services,
radiology, specialty care, pharmacy discount plans and discounted transportation
You are eligible for PCAP if:
· You are not eligible for any other program (Medicaid, Medicare, employerbased, commercial or private)
· You live in Pima County
· Your income falls between 100% and 250% of the Federal Poverty Level
PCAP offers affordable co-payments only if services are used, no monthly premiums,
and a low membership fee.
Eligible applicants will be screened for enrollment with Health-e-Arizona, a webbased electronic application process.
Community Access Programs of Arizona- Mexico (CAPAZ-MEX)
Community Access Programs of Arizona-Mexico (CAPAZ-MEX) – Yuma County
(928) 627-1120 or (928) 627-9222
http://www.capazmex.com/
The Community Access Program of Arizona-Mexico CAPAZ-MEX is a Medical
Safety Net to the uninsured and vulnerable residents of Yuma County.
It is a program that facilitates access to professional healthcare at discounts prices the
uninsured can afford. CAPAZ-MEX is a Discount Network, not a health insurance
for Yuma County Residents in which the member is responsible for payment to
healthcare provider at the time of the visit.
Services offered include discounted doctor visits, hospitalization, laboratory services,
primary and specialty services, and San Luis Walk-in-Clinic.
You are eligible for CAPAZ if:
· You are uninsured.
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·
Your income falls between 100% and 400% of the Federal Poverty
Guidelines.
Santa Cruz Health Connection
Santa Cruz Health Connection
1852 N. Mastick Way
Nogales, AZ 85621
(800) 311-0627
Services offered include doctor’s visits, hospitalization, laboratory services,
radiology, specialty care, pharmacy discount plans, and discounted transportation.
You are eligible for if:
· You are not eligible for any other program (Medicaid, Medicare, employerbased, commercial or private)
· You live in Santa Cruz County
· Your income falls between 100% and 250% of the Federal Poverty Level
Offers affordable co-payments, no monthly premiums, and a low membership fee.
Eligible applicants will be screened for enrollment with Health-e-Arizona, a webbased electronic application process.
u. Prescription Drug Discount Programs
·
PatientAssistance.com is a free resource designed to help connect patients who can’t
afford their prescription medications with patient assistance programs.
o Go to http://www.patientassistance.com/how-it-works.html, sign up for an
account, locate prescription assistance programs and get medications.
o Patient assistance programs can help patients receive assistance in acquiring their
needed medicines at a discounted price. This site also posts medication coupons.
For information on drug discount programs for seniors please see the Senior Section of this Manual.
Yavapai County Discount Card
The Yavapai County Discount Card is available to all Yavapai County residents. It can help if
you are:
· Without prescription drug insurance or waiting for it to start.
· In need of medication not covered by your health insurance.
· There is no cost to use this prescription drug discount program.
· The cards are available at participating pharmacies, local libraries and community health
center locations in Yavapai County.
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·
·
·
·
Card holders receive an average of 20% off retail and often save more on generic or mail
order purchases.
Nine out of 10 pharmacies nationwide accept this discount card.
Family coverage with just one card, unlimited use.
To learn more, call: (877) 321-2652.
www.yavapaihealth.com/?page_id=1500
Prescription Assistance Service
Free prescription medication is available for those who qualify.
Qualifications:
- The applicant cannot have prescriptions medication insurance that covers the needed
medication.
- The applicant does not qualify for government or other programs that provide
prescription medications.
- The applicant has an income level that causes a hardship when prescription medication
is purchased.
To see if you qualify and for additional information, call (928) 708-0727
v. School-Based Health Centers
The Arizona School-Based Health Care Council is an alliance of organizations and individuals
that provides basic, primary health services in 100 school sites throughout Arizona through
School-Based Health Centers. School-Based Health Centers provide primary care services such
as treatment for acute conditions like sore throats and earaches, chronic disease management like
asthma and preventive services like immunizations, physical examinations, and health education.
Some School-Based Health Centers also offer dental services, behavioral health services, and
transportation.
Most School-Based Health Centers are open one day per week while school is in session.
Arizona School-Based Health Care Council
202 E McDowell Rd, #130m Phoenix, Arizona 85004
Phone: (602) 263-8002
Fax: (602) 258-5497
Web site: www.azsbhc.org
Locations: www.azsbhc.org/locations.php
w. Sexually Transmitted Diseases
The clinics listed below can offer help with treatment and prevention of Sexually
Transmitted Diseases (STDs):
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Health Care Clinics
Apache County
Cochise County
130 S Mountain Ave, Springerville
126 W 5th Street, Benson
(928) 333-2415
(520) 586-8200
4115 E Foothills Dr, Sierra Vista
(520) 803-3900
1415 Melody Lane, Bldg A, Bisbee
(520) 432-9400
450 S Haskell Ave, Willcox
(520) 384-7100
Coconino County
Department of Health Services
2625 N. King Street, Flagstaff
(928) 679-6222
Greenlee County
253 5th Street, Clifton
(928) 865-2601
PO Box 153, North of Fairgrounds, Duncan
(928) 865-2601
LaPaz County
1112 Joshua Ave., Parker
(928) 669-1100
Maricopa County
County Health Department
1645 E. Roosevelt, Phoenix
(602) 506-1678
Maricopa Medical Center
2601 E. Roosevelt, Phoenix
(602) 344-5411
Phoenix Indian Medical Center
4212 N. 16th Street, Phoenix
(602) 263-1200
Public Health Clinic
1825 E. Roosevelt St., Phoenix
(602) 506-1678
Maricopa County (continued)
Roosevelt Primary Care Center
1825 E. Roosevelt, Phoenix
(602) 258-6381
Seventh Avenue Primary Care
1407 S. 9th Avenue, Phoenix
(602) 344-6600
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Sunnyslope Primary Care Center
934 W. Hatcher, Phoenix
(602) 344-6300
Mohave County
Navajo County
700 W Beale St, Kingman
(928) 753-0714
117 E Buffalo St, Holbrook
(928) 524-4750
1222 Hancock Rd, Bullhead
(928) 758-0703
619 E Third St, Winslow
(928) 289-6830
2001 College Dr, Lake Havasu City
(928)453-0703
251 N Penrod Rd, #1, Show Low
(928) 532-6050
Pima County
Pinal County
County Department of Health
Theresa E. Lee Health Center
322 South Freeway, Tucson
(520) 624-8272
575 N Idaho #301, Apache Junction
(480) 982-0230 or (520) 866-6132
820 E Cottonwood Bldg E, Casa Grande
(520) 836-5931 or (520) 866-7438
119 W Central, Coolidge
(520) 723-4174 or (520) 866-7344
402 E First St, Eloy
(520) 466-4136 or (520) 866-7454
355 Alden Rd., Kearney
(520) 363-7612 or (520) 866-7873
110 Main St, Mammoth
(520) 487-2110 or (520) 866-7850
500 S Central Ave, Florence
(520) 866-7289
1470 Justice Dr, Oracle
(520) 896-9777 (520) 866-7860
36711 W Papago Dr, Stanfield
(520) 866-7995
60 E Main St, Superior
(520) 689-5953 or (520) 866-6952
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Santa Cruz County
1852 N Mastick Way, Nogales
(520) 281-1550
Yavapai County
Yuma County
1090 Commerce Dr, Prescott
(928) 583-1000
County Health Department
2200 W. 28th Street # 178, Yuma
(928) 317-4580
3212 N Windsong, Ste 200, Prescott Valley
(928) 583-1000
10 S 6th Bldg C, Cottonwood
(928) 639-8132
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x. Social Security Administration
The Social Security Administration is a Federal Agency that offers many services such as:
·
·
·
·
·
Social Security Retirement Benefits
Survivor’s/Spouse’s Benefits
Disability Benefits
Medicare Health Insurance Benefits
Supplemental Security Income (SSI)
o Provides supplemental income for those who are age 65 and over, blind or who
have a disability, including children, and who have little or no income and limited
resources.
Contact Information
National toll-free number: (800) 772-1213 or www.socialsecurity.gov
Arizona Offices: (800) 772-1213
Casa Grande – 501 N. Marshall Street
Casa Grande, AZ 85222
Douglas – 600 E. 15th Street
Douglas, AZ 85607
Flagstaff – 1585 S. Plaza Way, Ste. 130
Flagstaff, AZ 86001
Glendale – 5907 W. Kings Avenue
Glendale, AZ 85306
Prescott – 205 N. Marina Street
Prescott, AZ 86301
Safford – 650 S. 14th Avenue
Safford, AZ 85546
Tucson – 3500 N. Campbell Avenue
Tucson, AZ 85719
Yuma – 1235 S. Redondo Center Drive
Yuma, AZ 85365
Miami – 2105 E. US Highway 60, Ste. 102
Miami, AZ 85539
Mesa – 702 W. Jerome Avenue
Mesa, AZ 85210
Nogales – 1760 N. Mastick Way
Nogales, AZ 85621
Phoenix – 16241 N. Tatum Boulevard
Phoenix, AZ 85032
Phoenix (South) – 250 N. 7th Avenue
Suite 100
Phoenix, AZ 85007
Show Low – 2500 E. Cooley, Ste. 407
Show Low, AZ 85901
Tucson (South) – 88 W. 38th St. Ste. 100
Tucson, AZ 85713
y. Spanish-English Hotline
The National Hispanic Family Helpline can link you to clinics and public health programs like
KidsCare and AHCCCS as well as give you information on numerous health care topics.
Call: (866) SU-FAMILIA OR (866) 783-2645, Monday – Friday 9:00 am- 6:00 pm, Eastern
Time.
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z. Substance Abuse
National Clearinghouse for Alcohol and Drug Information (Spanish and English):
(800) 662-HELP (4357) or (800) 729-6686 or (301) 984-1471
This toll-free, 24-hour hotline can tell you how and where to get help for alcohol and other drug
problems. For more information on substance abuse resources, see the Behavioral Health
Resources Section of this binder.
aa. Unemployment
Unemployment services in Arizona are administered by the Department of Economic Security
(DES) – Employment Administration. The Unemployment Insurance Program provides a
measure of economic security to workers when unemployment beyond the worker’s control
occurs.
If you become unemployed and think you qualify for Unemployment Insurance, call:
·
·
·
·
·
·
·
(602) 364-2722 from Phoenix
(520) 791-2722 from Tucson
(877) 600-2722 from outside Phoenix or Tucson
The system is available Monday – Friday from 8:00 am – 4:00 pm
If your Social Security Number ends with 0,1,2, or 3 file your claim on Monday
If your Social Security Number ends with 4,5,6, or 7 file your claim on Tuesday
Wednesday, Thursday and Fridays are open to all Social Security Numbers
It is your responsibility to initiate a claim for unemployment insurance as soon as you become
unemployed. You will not receive benefits for any period prior to filing a claim.
Arizona Employment Service is a network of public employment offices providing placement
services to job seekers. The Job Service focuses on providing a variety of employment related
services including:
·
·
·
·
·
·
·
Job search assistance
Job referral and placement assistance
Re-employment services.
Assessment of skill levels, abilities and aptitudes
Career guidance
Job search workshops
Referral to training
For more information about Arizona Employment Service and upcoming Career Fairs contact
your local Job Service Office:
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Job Offices
South Mountain/Phoenix – (602) 276-5587
Gilbert – (480) 372-9700
East Valley/Mesa – (480) 962-7678
East Tucson – (520) 584-8226
North Valley/Phoenix – (602) 861-0208
North Tucson – (520) 293-1919
West Valley/Phoenix – (623) 245-6200
South Tucson – (520) 741-7188
Yuma – (928) 247-8740
Bullhead City – (928) 763-4154
Casa Grande – (520) 374-3020
Douglas – (520) 364-8906
Cottonwood – (928) 634-3337
Globe – (928) 425-3101
Flagstaff – (928) 779-4557
Lake Havasu City – (928) 854-0354
Kingman – (928) 753-4333
Page – (928) 645-5201
Nogales – (520) 375-7670
Payson – (928) 468-9800
Parker – (928) 669-6755
Prescott Valley – (928) 277-2600
Prescott – (928) 277-2820
San Luis – (928) 627-9439
Safford – (928) 428-2911
Sierra Vista – (520) 458-9309
Show Low – (928) 532-1516
Eagar – (928) 333-3161
Somerton – (928) 627-9439
Wilcox – (520) 428-2911
Tuba City – (928) 283-5201
Winslow – (928) 289-4644
Window Rock – (928) 871-4131
JobPath is a workforce development program in Tucson and Pima Counties that sponsors
underemployed, under-skilled and unemployed adults in training for good jobs with benefits and
a career future. Call (520) 324-0402 or (888) 652-3244.
bb. Veterans’ Services
Arizona Department of Veterans’ Services
See www.azdvs.gov The Adult Day Healthcare Center provides adult day healthcare to veterans
needing supervision and physical and emotional relief to caregivers.
4141 North Herrera Way
Phoenix, AZ 85012
(602) 255-3373
The Arizona State Veteran Home
A licensed and skilled nursing facility built to serve the long term needs of veterans. An
applicant is eligible for admission if the applicant is a veteran or the spouse of a veteran. The
applicant must require skilled nursing care as determined by a physician.
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4141 W. Herrera Way
Phoenix, AZ 85012
Phoenix Area: (602) 248-1550
Outside the Phoenix Area: (800) 406-3373
3333 North Central Avenue, Suite 1052
Phoenix, AZ 85012
From Phoenix Area: (602) 627-3261
From Outside Phoenix Area: (800) 852-VETS
Department of Veterans Affairs
See www.va.gov.
For information of VA Benefits Call (800) 827-1000
Life Insurance (800) 669-8477
Education (GI Bill) (888) 442-4551
Health Care Benefits (877) 222-8387
Facilities in Arizona
National Cemetery Administration: Phoenix – National Memorial Cemetery of Arizona - (480)
513-3600
Veterans Benefits Administration: Phoenix – Phoenix Regional Office – (800) 827-1000
Veterans Health Administration
Mesa – VA Southwest Health Care Network – (602) 222-6568
Prescott – Northern Arizona VA Health Care System – (928) 445-4860 or (800) 949-1005
Tucson – Southern Arizona VA Health Care System – (520) 792-1450 or (800) 470-8262
Phoenix – Carl T. Hayden VA Medical Center – (602) 277-5551 or (800) 554-7174
Community-Based Outpatient Clinics
Bellemont Clinic – (928) 226-1056 or (800) 949-1005 Ext: 7820
Buckeye Clinic – (623) 386-6093 or (888) 214-7264
Casa Grande Clinic – (520) 836-2536 or (800) 470-8262
Cottonwood Clinic – (928) 649-1523
Sierra Vista Clinic – (520) 459-1529 or (800) 470-8262
Green Valley Clinic – (520) 399-2291 or (800) 470-8262
Kingman Clinic – (928) 445-4860 x 6830 or (800) 949-1005 x 6830
Lake Havasu City Clinic – (928) 680-0090 or (800) 949-1005 x 7300
Mesa Clinic – (480) 264-3573 (multiple other numbers also)
Payson Clinic – (602) 222-6533 or (888) 214-7264
Safford Clinic – (928) 428-8010 or (800) 470-8262
Show Low Clinic – (928) 532-1069 or (888) 214-7264
Surprise Clinic – (623) 251-2884
Yuma Clinic – (928) 317-9973 or (800) 470-8262
Veterans Centers
132
Phoenix Veterans Center – (602) 640-2981
Prescott Veterans Center – (928) 778-3469
Tucson Veterans Center – (520) 882-0333
cc.
Vision Benefits and Services
The Lions Club provides assistance with eye examinations, eye surgery and eye glasses.
For more information, please call:
·
·
·
Lions Vision Center (Phoenix) at (602) 267-7573 or (877) 275-5778
Westside Office (Peoria) (623) 583-9340
Tucson Office (520) 777-7334
Other organizations that can help you identify low or no cost vision services:
·
·
Medical Services Project – call (602) 989-9353 and ask for the Project Manager – calls
are accepted based on referrals by school or public health nurses.
Vision USA – to be screened in Arizona please call (800) 346-2020
dd. Neighborhood Christian Clinic
The Neighborhood Christian Clinic is a 501(c)(3) non-profit medical and dental clinic located in
central Phoenix. The clinic serves individuals with no private or public health coverage for a fee
of $30 per medical visit or $40 per dental visit. Services include medical and dental visits,
prescribed medications, laboratory testing, ultrasound, comprehensive diabetes care, as well as
on-site clinics in dermatology, gynecology, and chiropractic care.
·
·
·
ee.
http://thechristianclinic.org/services/
(602) 258-6008
1929 West Fillmore Street, Building C
Phoenix, Arizona 85009
Neighborhood Outreach Access to Health (NOAH)
The Scottsdale Healthcare NOAH program operates four school- and community-based clinics in
Scottsdale and east/northeast Phoenix, as well as a mobile clinic. NOAH provides primary
133
medical and dental services to underserved/uninsured children and adults. NOAH accepts
AHCCCS and offers a sliding fee discount program.
Locations:
Palomino Elementary School
15833 N. 29th Street, Phoenix
(602) 449-2811
Cholla Clinic
11130 E. Cholla Street, Scottsdale
(602) 845-4201
Balsz Educare Arizona Center for Health
1350 N. 48th Street, Phoenix
(602) 845-4201
Heuser Family Practice Center
7301 E. Second Street, Suite 210
(480) 882-4545
ff.
Prescription Drug Benefit – CoppeRx®
The Arizona CoppeRx® Card is a prescription drug discount card available to all Arizonans. It
can help if you are:
·
·
·
·
Without health insurance
Waiting for insurance to start
In need of medication not covered by your health plan
Participating in a health savings account plan
To sign up, call: (888) 227-8315
There is no cost to enroll in the Arizona CoppeRx® Card Program
Average Discounts (actual discounts will vary)
· Brand – retail pharmacy – 15%
· Brand – mail order – 20%
· Generic - retail pharmacy – 35%
· Generic – mail order – 55%
gg.
Prescription Drug Benefit – Coast2CoastRx
The City of Phoenix and Financial Marketing Concepts, Inc., are partnering to offer Phoenix
residents the Coast2CoastRx card, which provides discounts at pharmacies nationwide. The
card is free. For more information, visit http://phoenix.gov/news/111710drugcard.html
hh.
Pre-existing Condition Insurance Plan (PCIP)
Enrollment suspended until further notice, effective March 2, 2013 and will be closing on
December 31, 2013. Current enrollees are encouraged to visit the Health Insurance Marketplace
to obtain health insurance for 2014 forward. The Pre-existing Condition Insurance Plan (PCIP)
134
provides comprehensive health insurance to those who have been denied insurance due to a preexisting condition, or quoted an extremely high price to keep them from obtaining health
insurance. There are no income eligibility requirements, and premiums are not higher based on
your medical condition. Several plans are available. To qualify, you must have been without
health insurance for at least 6 months. For more information, visit www.pcip.gov.
ii.
Mission of Mercy
Mission of Mercy is a non-profit mobile medical clinic serving uninsured, working poor
individuals and families throughout Maricopa County. We provide free primary health care
services and no-cost prescription medications at five clinic sites.
Avondale
Maryvale
Phoenix
Phoenix
Mesa
·
·
·
·
jj.
First Southern Baptist Church of Avondale (1st- 4th Monday of each month)
Maryvale Church of the Nazarene (1st & 3rd Tuesday of each month)
Holy Family Catholic Church (2nd & 4th Tuesday of each month)
Shepherd of the Valley Lutheran Church (every Wednesday)
Christ the King Community Center (every Thursday)
www.amissionofmercy.org/arizona/locateaclinic.asp
602-486-7798 – Appointment line, all clinics (open Tues from 1:00-6:00 pm & Thur
from 9:00 am – 2:00 pm)
623-932-2723 – Appointment line, Avondale clinic only (open Tues & Thur from 9:00
am – 2:00 pm)
602-861-2233 – Administrative Office & Information
HIV/AIDS
Arizona Department of Health Services (HIV Care and Services) - Services in Arizona are
administered through HIV CARE Consortia and direct service contracts. Arizona has four Part B
CARE regions; the Northern HIV/AIDS Forum may be contacted at the Arizona Department of
Health Services at (602) 364-3610, the Pima County HIV/AIDS CARE Consortium and the
Southeastern HIV/AIDS CARE Consortia both facilitated by the Community Foundation for
Southern Arizona, (520) 770-0800, and the Western Direct Services region administered by the
Yuma County Health Department (928) 317-4580. Although services may vary from region to
region because they are based upon local need, some of the services provided include, outpatient
medical care, diagnostic testing, dental care, home health care, mental health services, substance
abuse services, nutritional counseling and case management.
AIDS Drug Assistance Program (ADAP) - The Arizona Department of Health Services
(ADHS) is responsible for the administration of ADAP for the state of Arizona. ADAP provides
access to medications used to treat HIV and prevent the onset of related opportunistic infections
to low-income individuals with HIV disease who have limited or no coverage from private
insurance or Medicaid.
· (800) 334-1540
135
·
www.azdhs.gov/phs/hvstdhpc/adap.htm
Care Directions - As one of the recipients of the initial federal Ryan White grant funds in the
Phoenix area, Care Directions® has served over 9,000 HIV positive people living throughout
Maricopa and Pinal Counties. In addition to serving the general population, specialized case
management is provided to women, children, youth, teens and the homeless.
The case managers at HIV Care Directions® link clients to medical and pharmaceutical care,
transportation, and other services to help them live well with HIV. Case Managers also assess
clients’ support systems, finances, and housing and make appropriate referrals to service
providers for supportive services, housing programs and benefits assistance. Hours of operation
are Monday through Friday 8:00am - 5:00pm.
· (602) 264-2273
· http://caredirections.org/
Concilio Latino de Salud – “Concilio Latino de Salud has served the Hipanic/latino
communities by promoting education and disease prevention.
We are a nonprofit organization which partners with national and local institutions,
neighborhoods and individuals. We actively pursue goals set by the national projects "Healthy
People 2000" and Healthy people 2010" by providing cross-cultural and bilingual assistance,
advocacy, public policy analysis, resources, applied research, client referrals and media links.”
· 546 East Osborn Road Suite 22 Phoenix, Arizona 85012
· (602) 285-0970
· http://concilio.org/
Ebony House, Inc. - The Outreach Services Office focuses on a holistic approach to sexual
health and wellness through our flagship programs customized to meet the needs of our target
demographic. Our advanced outreach specialists focus their efforts on African Americans and
those at high risk residing in metropolitan Phoenix through the provision of one-on-one
interventions, group counseling, and HIV testing. We offer highly supportive services to persons
living with HIV/AIDS through our Ryan White Part A/MAI Outreach and Non-Medical Case
Management program. The newest addition to our service roster, SISTA, is an HIV prevention
intervention targeting Black women ages 18-54. The hallmark of our services is a focus on the
whole person, developing self-esteem and self-efficacy in all of our clients through loving,
supportive intervention.
· 6222 S. 13th Street Phoenix, AZ 85042
· (602) 276-4288
· http://ebonyhouseinc.org
Jewish Family and Children’s Service – “Our staff provides initial assessments, psychiatric
assessments if necessary, psychiatric medications management, individual and couples/family
counseling and assistance in locating other necessary medical and social services.
These services are available at the JFCS behavioral health sites in Phoenix, Glendale and Mesa.”
· (602) 256-0528
· http://www.jfcsaz.org/site/c.ajIQK6NMLfJ0E/b.6493393/k.C456/HIVAIDS.htm
136
L.U.C.E.S. (Latinos Unidos Contra El Sida/ Latinos United Against AIDS) – A program of
Chicanos por la Causa, the “L.U.C.E.S program has provided HIV supportive services to
hundreds of people living with HIV/AIDS. It also provides HIV education/resources to
thousands of at-risk Latinos in Maricopa and Pinal Counties. “
· 4602 West Indian School Road, #C3 Phoenix, AZ 85031
· (623) 247-0464
· http://www.cplc.org/social-services/hiv-education-prevention.aspx
McDowell Healthcare Center – “Services provided at the center include primary medical care,
dental care, HIV testing and counseling, behavioral health care, and clinical trial research for
new drug therapies, and support services.
All medical and dental services, including urgent care, are provided by appointment only. The
clinic is open from 8am to 5pm, Monday through Friday, except holidays.”
· 1144 E. McDowell Rd., Suite 300 Phoenix, AZ 85006
· (602) 344-6550
· http://www.mihs.org/facilities/mcdowell-healthcare-center
Phoenix Children's Hospital Bill Holt Clinic – “The Bill Holt Clinic at Phoenix Children's
Hospital is the only comprehensive pediatric HIV clinic in the state of Arizona, providing
comprehensive care for children and adolescents exposed to or infected with HIV.”
· 1919 E. Thomas Road Phoenix, AZ 85016
· (602) 933-1000
· http://www.phoenixchildrens.com/medical-specialties/bill-holt.html
Phoenix Indian Medical Center HIV Center of Excellence – “The primary goal of the HIV
Center of Excellence is to provide the highest quality of culturally competent HIV services for
American Indians and Alaskan Natives including clinically based prevention, intervention, and
medically appropriate HIV care and treatment.”
· Phoenix Indian Medical Center 4212 North 16th Street Phoenix, AZ 85016
· 1-866-243-3182
· http://www.ihs.gov/MedicalPrograms/aids/index.asp
Phoenix Shanti Group – “The mission of the Phoenix Shanti Group is to provide housing,
education and direct client services to individuals, families and loved ones infected with and
affected by HIV / AIDS.”
· 2345 W. Glendale Ave. Phoenix, Arizona 85021
· (602) 279-0008
· TDD (800) 367-8939
· http://www.shantiaz.org/
Southwest Center for HIV/AIDS – “The Southwest Center for HIV/AIDS provides these
services in a nurturing environment:
· Leading-edge medical research through the largest privately funded, nonprofit, HIV
clinical trials site in the Southwestern United States.
137
·
·
·
·
·
·
·
·
·
Education programs, including group and individual instruction for men, women and
youth infected or affected by HIV/AIDS.
HIV prevention programs for men, women, youth, and transgender individuals.
Wellness services, including nutritional consultants, naturopathic medicine and an on-site
vitamin shop.
Emotional support for HIV-positive individuals, their friends and families.
Family support services, including child watch, family camp and social activities for
families living with HIV/AIDS.
Community outreach, reaching out to underserved populations and providing connection
to HIV services.”
1144 East McDowell Road Suite 200 Phoenix, AZ 85006
(602) 307-5330
http://www.swhiv.org/
Terros (HIV/STI Prevention) – “The Together Program’s HIV/STI Prevention Services
provide testing, education and outreach for people at risk or currently infected with HIV or
syphilis. Our goal is to help individuals protect themselves, prevent the spread of disease, and
reduce substance abuse which often contributes to risky behaviors.”
· 1029 North First Street Phoenix, AZ 85004
· (602) 685-6086
· http://www.terros.org
kk.
Crews’n Healthmobile
“In the fall of 2000, an innovative partnership was formed between Phoenix Children's,
Children's Health Fund and HomeBase Youth Services. The result was named the Crews'n
Healthmobile, a 35-foot Mobile Medical Unit (MMU) that brought free, comprehensive medical
help directly to this special population. In October 2007, the Crews'n Healthmobile II hit the
streets. This 38-foot MMU is outfitted with three exam rooms and the latest technology.
While visiting the Crews’n Healthmobile, new patients received mental health (depression,
anxiety, and mood disorder), health risk and physical health screening. Healthcare providers
(physicians and nurse practitioners) treated patients and dispensed medications for a variety of
conditions ranging from minor surgical procedures, basic blood work, upper respiratory illnesses,
skin infections, fractured bones, strained and sprained extremities, sexually transmitted illnesses,
asthma, influenza, dehydration, chest pain with ECG changes, diabetes, obesity, hypertension,
depression and pregnancy.”
Criteria for Admission
·
·
·
Pediatric children, adolescents and young adults up to 24 years of age who state they
are homeless or at risk of being homeless
Patients are eligible for services, regardless of insurance status and/or ability to pay
There is no charge for services, they are free.
138
Crews'n Healthmobile
Phoenix Children's Hospital
3333 E. Van Buren St.
Phoenix, AZ 85008
(602) 651-1862
http://www.phoenixchildrens.com/
139
XIII.
Tools
140
XIII. Tools
a. AHCCCS Income Eligibility Limits
For the most recent list of income eligibility limits for AHCCCS programs, see:
http://azahcccs.gov/community/Downloads/resources/EligibilityRequirements.pdf
These limits are adjusted annually when the federal government changes the federal poverty
limit guidelines. The limits are different for each AHCCCS program.
2014 Poverty Guidelines for the 48 Contiguous States and the District of Columbia
(http://aspe.hhs.gov/poverty/12poverty.shtml)
Persons in
Poverty Guideline
family/household
1
$11,670
2
15,730
3
19,790
4
23,850
5
27,910
6
31,970
7
36,030
8
40,090
For families/housholds with more than 8 persons,
add $4,060 for each additional person.
-The poverty guidelines usually are updated in the spring of each year.
141
b. AHCCCS Program Eligibility
Coverage for Children
Program
Income
Qualifications
Special Requirements
Benefits
SOBRA
Up to 147% of
AHCCCS Medical
For Children
Federal Poverty
N/A
Services
<1 yr
Level (FPL)
SOBRA
Up to 141% of
AHCCCS Medical
N/A
For Children from
FPL
Services
ages 1-5
SOBRA
Up to 133% of
AHCCCS Medical
N/A
For Children ages
FPL
Services
6-18
Note: To be eligible the child must be US Citizen or Eligible Qualified Non-Citizen (see Citizenship
section of this binder for more information).
Coverage for Families or Individuals
Program
AHCCCS for
Families and
Children*
Income
Qualifications
Up to 133% of
Federal Poverty
Level (FPL)
Special Requirements
·
Family includes a child
Benefits
AHCCCS Medical
Services
AHCCCS Care
· Ineligible for any other
Up to 133% of
AHCCCS Medical
For Individuals or
categorical Medicaid
FPL
Services
Married Couples**
Coverage
Young Adult
Transitional
· Under age 26
AHCCCS Medical
Insurance
N/A
· Child was in DES Foster Services
For Young Adults
Care when became 18
leaving Foster Care
Note: To be eligible, patient must be US Citizen or Eligible Qualified Non-Citizen (see Citizenship
section of this binder for more information).
* Governor Brewer has proposed a freeze on enrollment for parents between 75-100% FPL effective
October 1, 2011. However, this requires federal approval and is pending litigation. Anyone who feels
they may be eligible should still apply.
**AHCCCS has scheduled a freeze in enrollment for adults without dependent children effective July 1,
2011. This will lift effective January 1, 2014. Those enrolled before that date would still be allowed to
renew their coverage if they comply with all renewal requirements.
Coverage for Women
Program
SOBRA
For Pregnant Women
Income
Qualifications
Up to 150% of
Federal Poverty
Level (FPL)
Special Requirements
·
Proof of pregnancy
142
Benefits
AHCCCS Medical
Services
Program
Income
Qualifications
Special Requirements
·
·
·
Breast and Cervical
Cancer Treatment
Program For Women
Up to 250% of
FPL
·
Under age 65
Uninsured
Screened and diagnosed
with breast cancer,
cervical cancer, or a precancerous cervical lesion
by the Well Women
Health Check Program
Ineligible for any other
Medicaid coverage
Benefits
AHCCCS Medical
Services
Note: To be eligible patient must be US Citizen or Eligible Qualified Non-Citizen (see Citizenship section
of this binder for more information.)
Coverage for Medicare Beneficiaries (Medicare Cost Savings Programs)
Program
Qualified Medicare
Beneficiary
Income
Qualifications
Up to 100% of
Federal Poverty
Level (FPL)
Special Requirements
·
Entitled to Medicare
Part A
Benefits
Payment of Part A
and B premiums,
coinsurance, and
deductibles
·
Entitled to Medicare
Part A
Payment of Part B
· Not receiving Medicaid premium
benefits
· Entitled to Medicare
Part A
Payment of Part B
120% - 135% of
Qualified Individual
FPL
· Not receiving Medicaid premium
Benefits
Note: To be eligible patient must be US Citizen or Eligible Qualified Non-Citizen (see Citizenship section
of this binder for more information).
Specified Low-Income
Medicare Beneficiary
100% - 120% of
FPL
***AHCCCS Medical Benefits include, but are not limited to, doctor’s office visits, immunizations,
hospital care, lab, x-rays, and prescriptions.
143
Coverage for the Elderly or People with a Disability
Income
Program
Special Requirements
Qualifications
· Requires nursing
home level of care or
equivalent
Arizona Long Term
Up to 300% of
Care System
· May be required to
the Supplement
(ALTCS)
pay a share of the cost
Security Income
For Adults or
· Estate recovery
Rate
Children
program for the cost
of services received
after age 55
Up to 100% of
· Age 65 or older,
SSI Medical
Federal Poverty
blind, or with a
Assistance Only
Level (FPL)
disability
Up to 250% of
· Must be working and
FPL countable
either have a
AHCCCS
income (only
disability or blindness
Freedom to Work
earned income is · Must be age 16
counted)
through 64
· Must be receiving
Social Security
Disability
No income limit,
· Must have received
but must be
AHCCCS health
SSDI Temporary
willing to pay
insurance within the
Medical Coverage – monthly
past 24 months, but
premiums based
ELIMINATED
no longer qualify
on household
·
Cannot reside in a
income and size
penal institution or
institution for mental
disease
Benefits
AHCCCS Medical
Services, Nursing
Facility, Home and
Community Based
Services, and
Hospice
AHCCCS Medical
Services
AHCCCS Medical
Services
AHCCCS Services
Note: To be eligible patient must be US Citizen or Eligible Qualified Non-Citizen (see Citizenship section
of this binder for more information.)
144
AHCCCS System Enrollment Process
Obtain an
Application
from AHCCCS,
DES, or
community
application sites
Mail-in your
application or
bring it in to a
Federally
Qualified Health
Center, AHCCCS
or your local DES
office where it will
be screened
Applicant
Receives
Health
Insurance!
Not
Eligible
Applicant
or parent
notified
Some
programs
require a
face-to-face
interview
Eligibility is
determined
through
verification of
documents
Enrolled
If you are eligible you will
be assigned to the health
plan you indicated on the
AHCCCS application
145
c. How to Apply for AHCCCS Programs
There are several ways you can apply for AHCCCS Programs:
· Through your local Federally Qualified Health Center (FQHC) (“Community Health
Centers”);
· Through AHCCCS;
· Through enrollment assistance partners
· The Your Health Hotline in Pima and Santa Cruz Counties and 211 hotline
· The Kids Health Link group and the 211 hotline
· Through the Department of Economic Security (DES);
· Through medical discount programs such as HealthCare Connect, the Pima Community
Health Access Program;
· For AHCCCS Freedom to Work, apply directly to the AHCCCS Freedom to work unit at
(602) 417-6677 or (800) 654-8713.
· Through the Navigators and Assisters
1) Through your local Community Health Center (CHC)
If you go to your local FQHC there will be a person there to help you fill out the online
application for AHCCCS Health Care Programs called the “Health-e-Arizona”
Application.
They will assist you in filling out the application and submitting it online.
See the Community Health Center Section in this document for more information.
You may get better service if you call your local Health Center first and make an
appointment to fill out your AHCCCS application.
2) Through AHCCCS
There is one application to submit for all AHCCCS health insurance programs.
You can get the application:
· On the AHCCCS website at www.ahcccs.state.az.us
· Picking up the application from community organizations, school nurses,
community clinics, or local hospitals or calling 211 to get assistance with filling
one out
· Print a copy from AHCCCS Website or complete the application online at
www.healthearizonaplus.gov.
Follow the instructions on the second page of the application, and, to speed up processing
of your application, send the information requested with your application.
146
You can get help filling out your application between 8 am and 5 pm, Monday through Friday by
calling (602) 417-5010 or (800) 528-0142 then pressing 11.
If you are applying for children or children and adults, mail your application and other
required information to:
701 East Jefferson
MD 7500
Phoenix AZ, 85034
If you have questions or need an interpreter you can call (602) 417-5437 or toll free at
(877) 764-5437
If you are applying for aged, blind or adults with a disability only, mail your application
and other required information to:
801 East Jefferson
MD 3800
Phoenix, AZ 85034
If you have questions or need an interpreter, you can call (602) 417-5010 or toll free at
(800) 528-0142
3) Through the Department of Economic Security (DES)
At DES you can complete an “Application for Cash Assistance, Food Stamps, and
AHCCCS Health Insurance.”
You can get the application:
· On the DES website at www.azdes.gov
· At your local DES office (for a list of DES Offices see the DES section of this
document)
· Apply for benefits on-line at http://www.healthearizonaplus.gov
Federally Qualified Health Centers Facilitating
Health-e-Arizona Applications
Note: This list is not inclusive of all “satellite sites” which may also complete Health-eArizona Applications; please call the Federally Qualified Health Center in your area to find
out which site or “satellite site” is closest to you.
147
FQHC
Address
Canyonlands Community Health Center
(Coconino, Mohave, Navajo, Apache Counties)
Chiricahua Community Health Centers, Inc.
(Cochise County)
Clinica Adelante, Inc.
(Maricopa County)
Desert Senita
(Pima County)
El Pueblo Health Center, Inc.
(Pima County)
El Rio Health Center
(Pima County)
Marana Health Center
(Pima County)
Mariposa Community Health Center
(Santa Cruz County)
Mountain Park Community Health Center
(Maricopa County)
Native American Community Health Centers,
Inc. (Maricopa County)
North Country Community Health Center
(Coconino County)
St. Elizabeth Health Center
(Pima County)
427 Vista Avenue
Page, AZ 86040
10566 North Highway 191
Elfrida, AZ 85610
16551 N. Dysart Road, #104A
Surprise, AZ 85374
410 Malacate Street
Ajo, AZ 85321
101 West Irvington Road, #A1
Tucson, AZ 85714
839 West Congress St.
Tucson, AZ 85745
11981 W. Grier Road
Marana, AZ 85653
1852 N. Mastick Way
Nogales, AZ 85621
635 E. Baseline Road
Phoenix, AZ 85042
4520 N. Central Avenue, 3rd Floor
Phoenix, AZ 85012
2920 N 4th Street
Flagstaff, AZ 86004
140 W. Speedway Boulevard
Suite100
Tucson, AZ 85705
865 N. Arizola Road
Casa Grande, AZ 85222
115 N. Somerton Avenue
Somerton, AZ 85350
1260 S. Campbell Road
Green Valley, AZ 85614
Sun Life Family Health Center
(Pinal County)
Sunset Community Health Center
(Yuma County)
United Community Health Center
(Pima County)
Phone
(928) 645-8123
(520) 642-2222
(623) 546-2294
(520) 387-5651
(520) 670-3909
(520) 670-3909
(520) 682-4560
(520) 281-1550
(602) 243-7277
(602) 279-5262
(928) 213-6100
(520) 628-7871
(520) 836-3446
(928) 627-2051
(520) 407-5400
d. Tips for Completing Your AHCCCS Application
If you are applying for you, your spouse, or your children (younger than age 19), include
information about yourself and everyone who lives with you and is:
· Your spouse
· Your child (includes stepchild)
· Your child’s children
· Your child’s spouse
· Your child’s other parent
· Your parent(s) if you are under age 19
· A child related to you who you are caring for
· A child age 19 to 21 who is a student
148
Include a person who normally lives with you but is temporarily not living with you because the
person is working or is a child attending school.
If someone included on your application is pregnant, be sure to indicate this. For some programs,
children who are not yet born are counted as household members.
If you are applying for someone not listed above, include the persons who are related to the
person for whom you are applying. The person for whom you are applying needs to either sign
the application on page 7 or complete section F on page 1.
Send the information listed below with your application to speed up processing:
·
·
·
·
·
·
·
·
Wages: Copies of check stubs or a statement from the employer showing the gross
earnings last month and this month of everyone listed on the application. If someone
listed on the application lost a job within the last two months, send proof of the last day
worked and the gross amount of the last check received.
Self-Employment: Copies of current Federal Tax Forms and applicable schedules or
proof of business income and expenses for the last calendar month.
Child Support: Copies of the court order or child support payment history.
Other Income: Proof of any other income or money received this month and last month
from any source or for any reasons.
Health Insurance: Copies of insurance ID cards for persons who are applying, but who
are currently covered by other health insurance.
Daycare: Proof of amount billed for care of a child or incapacitated adult so an adult in
the household can work.
Pregnancy: A signed letter from your doctor or nurse giving the expected date of
delivery.
Health Plan: Choose a health plan from the choices on the application.
If you are applying for the first time, the items listed below MAY be needed to determine
your eligibility. If you need help in obtaining any verification, please ask your Eligibility
Interviewer, who will assist you:
·
·
·
·
·
·
·
·
·
·
Proof of identity
Social Security numbers or proof that a Social Security number has been applied for
Birth Certificates or other proof of citizenship
Alien Registration Cards, if there are non-U.S. Citizens in your household
Name, address and daytime phone number of landlord or neighbor
Proof of any money your household received from any source in the last 30 days
Registration/titles for all vehicles
Bank or credit union (savings or checking) statement for the more recent month
Proof of pregnancy
Proof of childcare expenses for the most recent month (if you want to receive a
deduction)
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·
Proof of medical expenses, if you are age 60 or older, or receive Social Security
Disability, SSI, Railroad Retirement, or disability pension from a government agency (if
you want to receive a deduction)
e. How to Renew your AHCCCS Coverage
KidsCare
· Renewal of benefits is required every 12 months.
· Fill out a KidsCare Renewal Application – this application is shorter than the initial
application.
· For more information about renewing your KidsCare Coverage call (602) 417-5437 or
(877) 764-5437, visit a community assister or Federally Qualified Health Center (listed in
this document), call 211 or visit www.healthearizonaplus.gov.
Medicaid
· Renewal of benefits is required every 12 months, with some exceptions requiring a
review at 6 months.
· Fill out a DES “Application for Cash Assistance, Food Stamps, and AHCCCS Benefits”
or an AHCCCS renewal form.
· For more information on renewing your coverage call (602) 417-5010 then press 11 or
(800) 528-0142 then press 11. You may also visit a community assistor or Federally
Qualified Health Center (listed in this document), or visit www.healthearizonaplus.gov.
f. How AHCCCS Health Plans Work
Picking an AHCCCS Health Plan
·
·
·
When you fill out your AHCCCS Application you need to choose a health plan that
serves your county from the list on Page C of the Application.
If you do not choose a health plan one will be assigned to you.
Before choosing, check with your doctor, hospital or pharmacy to see if they work with
the plan that you want.
How do the Plans Work?
·
·
·
·
·
An AHCCCS Health Plan is like a Health Maintenance Organization (HMO).
Your health plan will send you a member handbook once you are enrolled.
You must choose your primary doctor or one will be assigned to you; you will get a list
of primary doctors from your health plan.
You have the right to change your primary doctor at any time.
Your primary doctor will:
o Take care of your health care
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·
o Be the first person you go to for non-emergency medical care
o Be responsible for coordinating your non-emergency medical services
o Send you to a specialist when needed
If you need behavioral health services you can be referred through your primary doctor or
call the behavioral health telephone number on your AHCCCS Card.
Eligible for
AHCCCS
Program
Choose or be
assigned to
AHCCCS
Health Plan
Primary doctor will
refer you to specialists
as needed (pharmacy,
laboratory, x-ray,
specialty care, home
health, family planning,
etc)
For
behavioral
health
services
call
number on
AHCCCS
Card
See primary
doctor for nonemergency
medical care
Receive member
handbook from
health plan
g. Citizenship Requirements
To be eligible for AHCCCS Medical Services, the customer must be a citizen of the United
States or an eligible Qualified Non-citizen.
Who is eligible for AHCCCS Medical Services?
1. A Citizen
·
Citizen by Birth – a person born in the United States or a U.S. territory
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·
·
·
Citizenship Through U.S. Parent – a person born outside the U.S. to a parent who
is a U.S. citizen if certain conditions are met
Citizenship Through Marriage – a woman who married a U.S. citizen before
September 22, 1922 (does not apply to a man who married a U.S. citizen)
Citizenship by Naturalization – a person who has applied for and gone through
the naturalization process to become a U.S. citizen
Dual Citizenship – a person may be a U.S. citizen and a citizen of another
country, dual citizenship status does not affect U.S. citizenship
Most AHCCCS customers will need to provide proof to establish their identity and
citizenship. Proof of citizenship includes naturalization certificates, passports and
original birth certificates.
2. An Eligible Qualified Non-citizen
·
Qualified Alien – A person admitted to the U.S. legally in a specific
classification; some, but not all qualified aliens meet the requirement for full
AHCCCS coverage.
3. Who is NOT eligible for AHCCCS Medical Services?
·
Non-Qualified Alien – a person admitted to the U.S. legally, but not in one of the
qualified alien classifications; does not meet requirement for full AHCCCS
coverage, but may be determined eligible to receive emergency medical services.
·
Undocumented Alien – a person who is in the U.S. without the permission of the
U.S. government; does not meet requirement for full AHCCCS coverage, but may
be determined eligible to receive emergency medical services.
4. Benefits Available for Non-Qualified Aliens
·
·
·
Federal Emergency Services
State Emergency Services
Children of non-citizen parents ARE eligible for KidsCare and AHCCCS if the
children are citizens and meet other eligibility criteria. The U.S. Citizenship and
Immigration Service (formerly INS) has stated clearly that the use of non-cash
benefits like KidsCare will not hurt a family’s immigration status.
Document your U.S. citizenship & identity with:
List #1
United States (U.S.) Passport
Most Reliable
U.S. Naturalization Certificate issued by U.S. Citizenship &
Immigration Services (USCIS)
Certificate of Citizenship issued by USCIS
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Document your U.S. citizenship with:
U.S. Birth Certificate
Certification or Report of Birth Abroad issued by USCIS or the State
Department
U.S. Citizen ID card issued by USCIS
American Indian card issued by USCIS for the Kickapoo tribe
List #2
Final Adoption Decree
Evidence of Civil Service employment by U.S. Government before
6/1/1976
Official Military Record of Service showing U.S. place of birth (i.e. a
DD-214)
Northern Mariana ID card issued by USCIS to a naturalized citizen
born before 11/4/1986
Extract of U.S. hospital birth record established at the time of birth
List #3
Life, health, or other insurance record showing U.S. place of birth
(Either of these must have been created at least 5 years before the initial
AHCCCS application date.)
List #4
Least Reliable
Census records showing U.S. place of birth
Nursing home records, medical records, or other documents showing
U.S. place of birth created at least 5 years before initial AHCCCS
application date
Bureau of Indian Affairs tribal census records (Navajo & Seneca tribes
only)
Written affidavit (see eligibility specialist for details)
Document your identity with:
Driver's License
Certain government issued ID cards with photo (if no photo, must include identifying
information)
Tribal government issued ID and documents, including Certificate of Indian Blood
Day care or nursery record (minors only)
School record or report card (under 16 only)
School ID with picture
U.S. Military ID, U.S. Military Dependent ID or U.S. Military Draft Record (over 16 years only)
U.S. Coast Guard Merchant Mariner Card
Affidavit (under 16 only)
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