Health Care Resources for Arizona’s Low Income and Uninsured Families

Health Care Resources for Arizona’s
Low Income and Uninsured Families
March 2013 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
2033 E Speedway Blvd, Suite 102
Tucson, AZ 85719
Phone: (520) 795-4199
Fax: (520) 319-2979
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. AHCCCS Programs .................................................................................................. 6
a.
b.
c.
d.
Characteristics of Arizonans Who May Be Eligible for Medicaid or KidsCare ....... 7
AHCCCS/KidsCare Acute Services ......................................................................... 8
Arizona Long Term Care System (ALTCS) Services............................................... 8
Who Decides AHCCCS/KidsCare Eligibility? ......................................................... 9
Social Security Administration ............................................................................. 9
Arizona Department of Economic Security (DES) ............................................. 9
AHCCCS Administration ..................................................................................... 9
e. Eligibility Requirements ............................................................................................ 10
f. What Does AHCCCS/KidsCare Health Insurance Cost? ........................................... 10
g. How Does an AHCCCS/KidsCare Health Plan Work? ............................................. 11
h. Choosing an AHCCCS/KidsCare Health Plan .......................................................... 12
i. Choosing a Primary Doctor ........................................................................................ 14
j. Grievance and Appeal Process ................................................................................... 14
k. Programs by Covered Group ..................................................................................... 17
l. AHCCCS Programs .................................................................................................... 18
m. How to Order AHCCCS /KidsCare Applications .................................................... 36
n. AHCCCS Contact Information .................................................................................. 37
o. AHCCCS Enrollment Assistance .............................................................................. 38
II. The Arizona Department of Economic Security (DES) ....................................... 41
a. General Information ................................................................................................ 41
b. DES Family Assistance Offices .............................................................................. 42
III. Behavioral Health Resources ................................................................................. 44
a.
b.
c.
d.
e.
f.
What are Behavioral Health Services? .................................................................... 44
Maricopa County Emergency Services ................................................................... 44
Regional Behavioral Health Authorities (RBHAs) ................................................. 45
Tribal RBHAs ......................................................................................................... 46
Community Based Agencies/Community Crisis Numbers ..................................... 46
Support Groups ....................................................................................................... 47
IV. Community Health Centers ................................................................................... 51
a. What is Primary Care? ............................................................................................ 51
b. General Information About CHCs .......................................................................... 51
c. Community Health Center Locations...................................................................... 53
V. Dental Health ........................................................................................................... 58
a.
b.
c.
d.
e.
f.
Arizona Dental Association .................................................................................... 58
Arizona Dental Sealant Program ............................................................................. 58
Arizona School-Based Fluoride Mouthrinse Program ............................................ 59
Arizona Fluoride Varnish Program ......................................................................... 59
Other Organizations ................................................................................................ 60
Dental Treatment Referral List ............................................................................... 61
VI. Native American Health Resources ....................................................................... 66
a. General Information ................................................................................................ 66
b. American Indian Health Program (formerly “Indian Health Service”) .................. 66
c. Questions and Answers ........................................................................................... 66
VII. Older Adults ........................................................................................................ 68
a.
b.
c.
d.
National Council on the Aging ............................................................................... 68
Area Agency on the Aging...................................................................................... 68
The Division of Aging and Adult Services ............................................................. 69
Medicare.................................................................................................................. 70
Premium Amount .......................................................................................................... 72
Co-Payments .................................................................................................................. 72
Deductibles ..................................................................................................................... 72
Coverage Gap ................................................................................................................. 72
Medicare AND Medicaid ............................................................................................... 72
Income < 100% FPL ............................................................................................. 72
None
72
QMB-only 72
Medicare & ........................................................................................................... 72
Low Income Subsidy ............................................................................................ 72
Medicare/Part D Only .................................................................................................... 73
e. AHCCCS Programs ................................................................................................ 73
f. Supplemental Security Income (SSI) ...................................................................... 74
g. Other Resources for Seniors.................................................................................... 75
VIII. Services For Children With Special Needs ....................................................... 77
a.
b.
c.
d.
What are Special Needs? ......................................................................................... 77
Arizona Department of Education (ADE) Services ................................................ 77
Children's Rehabilitative Services .......................................................................... 78
Arizona Early Intervention Program, Division of Developmental Disabilities,
and Arizona Long Term Care System ................................................................... 79
e. Other Department of Health Services Programs ..................................................... 86
f. Social Security Benefits .......................................................................................... 86
g. Children in Foster Care/Comprehensive Medical and Dental Program.................. 87
h. Other Resources ...................................................................................................... 87
IX. Small Business/Employer Health Resources ........................................................ 90
a. Healthcare Group of Arizona (HCG) ...................................................................... 90
b. Arizona Small Business Association ...................................................................... 91
X. Youth And Young Adults ....................................................................................... 93
a. Young Adult Transitional Insurance ....................................................................... 93
b. AHCCCS Care ........................................................................................................ 93
c. Continuing Education and Training ........................................................................ 93
Jobs Corps.. .......................................................................................................... 93
Maricopa Community Colleges .......................................................................... 94
Other Community Colleges in Arizona: ............................................................ 95
d. Other Services for Youth ........................................................................................ 95
XI. Other Community Health Resources .................................................................... 98
a. Arizona Department of Health Services and County Health Departments ............. 98
Health Start ........................................................................................................ 100
Women, Infants, and Children (WIC) ............................................................. 100
b. A to Z Child Health Links..................................................................................... 101
c. Prenatal Care ......................................................................................................... 101
Baby Arizona...................................................................................................... 101
South Phoenix Healthy Start ............................................................................ 102
d. Birth to Five Helpline ........................................................................................... 103
e. Centers for Independent Living (Arizona Statewide Independent Living
Council) ............................................................................................................... 103
f. Child Care Resource and Referral ........................................................................ 104
g. Child Protective Services ...................................................................................... 104
h. Maternal, Infant and Early Childhood Home Visiting Program ........................... 105
i. Community Information and Referral ................................................................... 105
j. Domestic Violence ................................................................................................ 106
k. Family Planning .................................................................................................... 106
l. Nutrition Assistance (formerly the Food Stamp Program) and Food Banks ........ 108
m. Head Start .............................................................................................................. 109
n. Homeless Services ................................................................................................ 110
o. Immunizations ....................................................................................................... 122
p. Flu Clinics ............................................................................................................. 122
q. Legal Aid............................................................................................................... 123
r. Gay, Lesbian, Bisexual, Transgender Resources .................................................. 125
s. Medical Services Project ....................................................................................... 126
t. Medical Networks - Discounted Health Services ................................................. 127
Pima Community Access Program (PCAP) .................................................... 127
Community Access Programs of Arizona- Mexico (CAPAZ-MEX) ............. 127
Santa Cruz Health Connection ......................................................................... 128
u. Prescription Drug Discount Programs .................................................................. 128
v. School-Based Health Centers ................................................................................ 129
w. Sexually Transmitted Diseases ............................................................................. 130
x. Social Security Administration ............................................................................. 133
y. Spanish-English Hotline ....................................................................................... 133
z. Substance Abuse ................................................................................................... 134
aa. Unemployment ...................................................................................................... 134
bb. Veterans’ Services ................................................................................................. 135
cc. Vision Benefits and Services ................................................................................ 137
dd. Neighborhood Christian Clinic ............................................................................. 137
ee. Neighborhood Outreach Access to Health (NOAH)............................................. 138
ff. Prescription Drug Benefit – CoppeRx® .............................................................. 138
gg. Prescription Drug Benefit – Coast2CoastRx......................................................... 138
hh. Pre-existing Condition Insurance Plan (PCIP)...................................................... 139
ii. Mission of Mercy .................................................................................................. 139
jj. HIV/AIDS ............................................................................................................. 139
kk. Crews’n Healthmobile .......................................................................................... 143
XII. Tools ................................................................................................................... 145
a. AHCCCS Income Eligibility Limits ..................................................................... 145
b. AHCCCS Program Eligibility............................................................................... 146
c. How to Apply for AHCCCS Programs ................................................................. 150
Federally Qualified Health Centers Facilitating ............................................. 151
Health-e-Arizona Applications ......................................................................... 151
d. Tips for Completing Your AHCCCS Application ................................................ 152
e. How to Renew your AHCCCS Coverage ............................................................. 154
f. How AHCCCS Health Plans Work ...................................................................... 154
g. Citizenship Requirements ..................................................................................... 155
I. AHCCCS
Programs
(KidsCare and
Medicaid)
for Adults and
Children
http://www.azahcccs.gov
I.
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 slightly above the poverty level. However, enrollment in KidsCare was frozen on
January 1, 2010, and remains frozen as of March 2013. Some children may qualify for a
new children’s coverage program called KidsCare II that started May 1, 2012 and will be
available through December 31, 2013.
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 or KidsCare, two of AHCCCS’s biggest programs.
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 and KidsCare programs are statewide, managed care systems
that deliver acute care services through prepaid, capitated (i.e., an amount paid per
eligible person) health plans, 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 KidsCare, 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.
Income guidelines for most AHCCCS/KidsCare programs are based on the Federal
Poverty Level (FPL) set by the federal government.
6
A 2013 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. Other programs such
as KidsCare use twice the amount of the FPL or 200% 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.
KidsCare II is a new temporary children’s coverage program available May 1, 2012
through December 31, 2013. KidsCare II has the same benefits and premium
requirements as KidsCare, but ends December 31, 2013. For additional background
information on the KidsCare II program, please visit
www.azahcccs.gov/applicants/KidsCareII.aspx.
a. Characteristics of Arizonans Who May Be Eligible for
Medicaid or KidsCare
·
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
7
b. AHCCCS/KidsCare 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
·
·
Hospice
Behavioral health services
8
For more information about ALTCS, please see the related section under Children with
Special Health Care Needs.
d. Who Decides AHCCCS/KidsCare 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) – enrollment freeze began on
July 1, 2011
· 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)
AHCCCS Administration
·
KidsCare (Children's Health Insurance Program [CHIP]) Enrollment
Suspended
·
KidsCare II (Temporary program through December 31, 2013)
·
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)
·
Federal Emergency Services (FES [disabled, blind or 65 & older])
·
Breast & Cervical Cancer Treatment Program
·
Freedom to Work
·
SSDI Temporary Medical Coverage – Program Suspended
9
e. Eligibility Requirements
General Requirements
·
·
·
·
Arizona resident
Citizen or qualified immigrant 1 (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
Uninsured for 90 days (i.e. waiting or “go bare” period) – KidsCare and
Healthcare Group only
Not covered by Medicare, Medicaid, VA Medical or other health insurance
f. What Does AHCCCS/KidsCare 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:
·
·
·
·
·
·
·
Children under age 19 (including KidsCare and KidsCare II)
Pregnant women
Individuals up through age 20 eligible for services from Children’s Rehabilitative
Services (CRS) Program
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
1
For more information on citizenship and qualified immigrant status, see the tools section at the end of this
manual.
10
·
·
·
·
·
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 and KidsCare II households are charged a monthly premium based on their
income and the number of children on KidsCare/KidsCare II. The exception is when a
child is moving from AHCCCS Insurance to KidsCare because their income increased.
In that situation, families have a one-month grace period for premium payment.
KidsCare premiums are as follows:
KidsCare
Income Levels
100% to 150% FPL
Monthly Premium
$10 for one child
$15 for two or more children
151% to 175% FPL
$40 for one child
$60 for two or more children
176% to 200% FPL
$50 for one child
$70 for two or more children
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 to:
·
KidsCare – AHCCCS Health Insurance, PO Box 29144, Phoenix, AZ 85038 –
9144
Premium payments can also be dropped off in person at:
·
AHCCCS Administration, 701 E. Jefferson, Phoenix, Arizona 85034
Premiums can also be paid online through Bank of America using debit or credit cards.
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
KidsCare/AHCCCS Health Insurance for Parents.
g. How Does an AHCCCS/KidsCare 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.
11
The health plan works with health care providers (i.e., doctors, hospitals, pharmacies) to
provide all AHCCCS covered services.
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/KidsCare 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
Arizona
Physicians/IPA(www.myapipa.com)
3141 N. 3rd Avenue
Phoenix, AZ 85013
Phone
County
(800) 348-4058
La Paz, Maricopa, Pima, Yuma
12
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.
13
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 nonemergency 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.
·
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
14
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) 654-8713.
·
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
701 E. Jefferson, MD 6200
Phoenix, AZ 85034
(602) 417-4232 or (800) 654-8713 ext. 74232
15
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.
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?
16
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, KidsCare, KidsCare II, 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,
KidsCare II, SOBRA for Children and Arizona Long Term Care are programs that aid
children. Young Adult Transitional Insurance (YATI) aids young adults leaving foster
care that are under the age of 21.
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 Coverage). AHCCCS Care 2, Arizona Long Term Care, and SSI Medical
Assistance Only are programs that aid adults without children. Some of these programs
are at risk of having enrollment frozen or being eliminated all together so verify with
AHCCCS to confirm your eligibility. Individuals eligible for many AHCCCS programs
in this coverage group may also be eligible for Cash Assistance and/or TANF (formerly
2
An enrollment freeze for AHCCCS Care for adults without dependent children began on July 1, 2011.
17
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
KidsCare II-Temporary program ending December 31, 2013
Medicare Cost Savings Program
SOBRA
SSI CASH/SSI Medical Assistance Only (MAO)
Young Adult Transitional Insurance (YATI)
18
AHCCCS Care for Adults without Children - FROZEN
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 100% 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. An
enrollment freeze began on July 8, 2011. However, those already
enrolled may continue to renew coverage. Children turning age 18
have a one-time opportunity to enroll in AHCCCS Care for Adults
without Children, notwithstanding the freeze.
·
Ages 19-64.
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
None
Apply at
Phone
DES, Community Health Center, or
www.healthearizona.org
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).
19
·
The annual income limit for this program is 100% of the Federal Poverty
Level (FPL).
·
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 the hotline at (800) 2359678 for assistance with applying.
·
Call (800) 352-8401 or (602) 542-9935 for additional information.
Income
100% 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).
DES, or Community Health Centers,
PCAP in Pima County, or Kids Health
Link (www.kidshealthlink.org) in
Maricopa County
Apply to
Also, www.healthearizona.org
Statewide:
Phoenix:
Phone
(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.
20
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 $2,094 in 2012. 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.
Beginning January 1, 2013 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
21
Arizona Long Term Care System (ALTCS)
Income
300% of the SSI maximum ($2,094 in 2012)
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.
22
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.
23
(928) 453-5100
(800) 654-2076
(602) 417-6600
ALTCS Program Contractors
County
ALTCS Program
Apache
Evercare Select
(800) 293-3740
Cochise
Bridgeway Health Solutions
(866) 475-3129
Coconino
Evercare Select
(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
Evercare Select
(800) 293-3740
Maricopa
Phone
ALTCS members in Maricopa
County may choose among three
different program contractors.
1. Mercy Care Plan
2. Bridgeway Health Solutions
3. Evercare Select
Toll Free
(602) 263-3000
(800) 624-3879
(866) 475-3129
(800) 293-3740
Mohave
Evercare Select
(800) 293-3740
Navajo
Evercare Select
(800) 293-3740
Pima
ALTCS members in Pima County
may choose among two different
program contractors.
1. Mercy Care Plan
2. Evercare Select
(602) 263-3000
(800) 624-3879
(800) 293-3740
Pinal
Bridgeway Health Solutions
(866) 475-3129
Santa Cruz
Evercare Select
(800) 293-3740
Yavapai
Evercare Select
(800) 293-3740
Yuma
Evercare Select
(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.
24
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.
25
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) 2578502 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
· Under age 65
· Diagnosed as needing treatment for breast or
cervical cancer or pre-cancerous cervical lesions.
· No other health insurance coverage or Medicare.
Apply to
AHCCCS
Phone
AHCCCS/Statewide
Phoenix
ADHS Well Woman HealthCheck
26
(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
Pregnancy
Screening
Acute Care, ALTCS, and
Fee-for-Service Members
Covered service
SOBRA Family Planning
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.
Screening and
Both screening and
treatment for
treatment for STDs are
sexually
covered services.
transmitted
diseases (STDs)
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.
27
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).
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
28
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 noncitizens 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
29
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
30
KidsCare
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 on time so they are not
dropped and unable to re-enroll. Many children who would otherwise be
eligible for KidsCare may be temporarily eligible for KidsCare II (see next
section).
·
The monthly income limit is up to 200% of the Federal Poverty Level.
·
There is no limit on the resources or property that may be owned.
·
The application process occurs through the mail or online at Health-eArizona (http://azahcccs.gov/applicants/application/AcuteCare.aspx).
No office visit or interview is required.
·
Relatives who are not the parents (i.e. grandparents, aunts, uncles, etc.)
may apply for KidsCare on the child’s behalf.
·
Only the citizenship/qualified immigrant status of the child is taken into
consideration (not the parents’, unless the parents are also applying for
AHCCCS Health Insurance for Parents – see related section above).
·
Call (602) 417-5437 in the Phoenix area or (877) 764-5437 from the rest
of Arizona for additional information or to request an application.
·
You may apply for KidsCare at Community Health Centers, the Pima
Community Access Program (PCAP), Santa Cruz Health Connection, or
through Kids Health Link.
Income
200% Federal Poverty Level (FPL)*
Resources
No Limit
Citizenship & Immigrant
Status
U.S. Citizen or Qualified Immigrant (Child
Only)**
Arizona Residency
Required
Social Security Number
Required for Child Only
Special Requirement
·
·
·
·
Under age 19
Not Medicaid or Medicare eligible
Currently without health insurance and no
health insurance within the last 3 months.
Not eligible for coverage under a parent’s
State Employee Health Plan.
31
AHCCCS/KidsCare
Apply to
KidsCare
In Maricopa County, contact Kids Health Link
at 800-235-9678.
Statewide:
(877) 764-KIDS (5437)
Phoenix Area:
(602) 417-KIDS (5437)
*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.
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 premiums are as follows:
Income Levels
100% to 150% FPL
KidsCare
Monthly Premium
$10 for one child
$15 for two or more children
151% to 175% FPL
$40 for one child
$60 for two or more children
176% to 200% FPL
$50 for one child
$70 for two or more children
Premium notices are mailed out on the 1st of the month and due by the 15th of the
month. It is important to pay KidsCare premiums on time, as failure to do so will
result in children dropped from KidsCare and being unable to return due to the
enrollment freeze. AHCCCS/KidsCare will notify of any changes in premium
amounts. Premium payments can be mailed to:
·
KidsCare – AHCCCS Health Insurance, PO Box 29144, Phoenix, AZ
85038 – 9144
Premium payments can also be dropped off in person at:
· AHCCCS Administration, 701 E. Jefferson, Phoenix, Arizona 85034
Premiums can also be paid online through Bank of America using debit or credit
cards. Go to www.myahcccs.com to pay premiums online.
KidsCare coverage ends if premiums are more than 60 days past due.
32
KidsCare II
KidsCare II is a new children’s coverage program available May 1, 2012 through
December 31, 2013, with funding for up to 60,000 children. KidsCare II has the
same benefits and premium requirements as KidsCare, but is temporary and ends
on December 31, 2013. Starting May 1, 2013, the income eligibility for KidsCare
II is the same as KidsCare. For additional background information on the
KidsCare II program, please visit www.azahcccs.gov/applicants/KidsCareII.aspx.
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.
33
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 140% of FPL
·
For children ages one through five, the monthly income limit is 133% of
the FPL
·
For children age six and older, the monthly income limit is 100% of the
FPL
·
For pregnant women, the monthly income limit is 150% 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)
Income
Resources
Citizenship & Immigrant
Status
Arizona Residency
Social Security Number
Apply to
Phone
Under age 1
Ages 1- 5
6 and older
No Limit
140% Federal Poverty Level*
133% Federal Poverty Level*
100% 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
SOBRA for Pregnant Women
Income
Cannot exceed 150% Federal Poverty Level
(FPL)* after allowed deductions (limits are
higher when more than one baby is expected)
Resources
Citizenship & Immigrant
Status
Arizona Residency
No Limit
Social Security Number
Special Requirement
Required
Must be pregnant
Apply to
DES, Community Health Centers, PCAP in Pima
County, or Kids Health Link in Maricopa County.
U.S. Citizen or Qualified Immigrant **
Required
34
Statewide: (800) 352-8401
Phoenix: (602) 542-9935
Phone
* 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
SSI Medical Assistance Only (MAO)
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.
·
·
·
·
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.
35
Young Adult Transitional Insurance (YATI)
The Young Adult Transitional Insurance program covers young adults between
the ages of 18 to 21 who were in Department of Economic Security (DES) foster
care when they turned 18. They receive medical services through AHCCCS.
Under the Affordable Care Act, YATI will be extended to age 26 starting in 2014.
Income
No limit
Resources
Citizenship & Immigrant
Status
Arizona Residency
No limit
Social Security Number
Required
Special Requirement
·
·
Apply to
DES
Phone
Statewide:
Phoenix:
U.S. Citizen or Qualified Immigrant*
Required
Under age 21
Child was in DES Foster Care when child
became 18
(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 /KidsCare 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 www.healthearizona.org. 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).
36
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]
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
Office of Client Advocate (OCA)
(602) 417-4230
(800) 794-6862
(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)
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
(602) 417-4000
AHCCCS Administration
Mail Drop 7500
(800) 654-8713
Phoenix, AZ 85034
701 E. Jefferson
(602) 417-5437
KidsCare Office
Mail Drop 3800
(877) 764-5437
Phoenix, AZ 85034
801 E. Jefferson
(602) 417-5010
SSI/MAO Office
Phoenix, AZ 85034
(800) 528-0142
When calling from within Maricopa County, callers will be restricted from calling 800
numbers and must dial the local 602 numbers instead.
37
o. AHCCCS Enrollment Assistance
For KidsCare Enrollment Assistance, visit the AHCCCS Additional Resources Page.
Additionally, federally qualified Community Health Centers (see page 49) 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
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
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
12428 W. Thunderbird Road
El Mirage, AZ 85335
(623) 344-6500
McDowell Healthcare Center
1144 E. McDowell Road
Phoenix, AZ 85006
(602) 344-6550
7th Avenue FHC
1205 S. 7th Avenue
Phoenix, AZ 85007
(602) 344-6600
38
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
Tucson Indian Health Services
7900 South J. Stock Road
Tucson, AZ 85746-7012
(520) 295-2405
St. Elizabeth Health Center
(Catholic Charities)
140 W. Speedway Boulevard, Suite 100
Tucson, AZ 85705
(520) 628-7871
Facilities:
Sells Hospital
Santa Rosa Clinic
San Xavier Health Clinic
39
II.
Department of
Economic
Security
www.azdes.gov
40
II.
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
41
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.HealthEArizona.org.
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
42
III.
Behavioral
Health Resources
www.azdhs.gov/bhs/index.htm
43
III.
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?optio
n=com_wrapper&view=wrapper&Itemid=94)
44
(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)
(480) 736-4949 (Sexual Assault
Hotline-Maricopa County)
St. Luke’s Medical Center
(www.stlukesbehavioralhealth.com/services/in
patient/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+
Health/_Behavioral+Health.htm)
(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).
Magellan of Arizona – Serves Maricopa County. Call (800) 564-5465
Community Partnership of Southern Arizona (CPSA) – Serves Pima County. Call (800)
771-9889 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.
45
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 non-Medicaid 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
Black Family and Children’s Services
(602) 243-1773
46
(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 Arizonahas Peer Support Groups that are free and do not
require registration for adults 18 years and older.
Please call to verify time and place before attending: (480) 994-4407 ext 10 or
http://mhaarizona.org/SupportGroups.html
47
Support Groups
TIME
Monday
6:00–8:00
pm
Caregiver’s
For Individuals
Wednesday
Support Group who have a loved
6:30one with a mental
8:00pm
illness
Taking
Bipolar,
Tuesday
Control
Depression
6:00-8:00 pm
NAME
Calm Waters
DISORDER
Bipolar and
Depression
New Dawn
General Mental
Health Issues
Tuesday
7:00-9:00 pm
Bipolar Bears
Bipolar,
Depression
Wednesday
7:00-9:00 pm
Minds Over
Matter
Anxiety &
Depression
1st and 3rd
Wednesday
4:00-5:30 pm
Being Heard
Anxiety,
Wednesday
Depression,
7:00-9:00 pm
Schizophrenia,
Bipolar, All mental
illnesses
Eating Disorders
2nd & 4th
Thursday
3:15-4:45pm
Obsessive
2nd & 4th
Compulsive
Thursday
Disorders
7:00-9:00 pm
Eating
Disorders
Group
Obsessive
Compulsive
Disorders
Group
Guiding Light
Bipolar Depression Friday 3:004:45 pm
48
LOCATION
Boswell Hospital
13180 N. 103rd
Drive, Sun City
Gilbert
Community
Center, 130 N.
Oak St., Gilbert
Deer Valley
Church, 15220 N.
39th Avenue,
Phoenix, AZ
85053, Room 8
Phoenix
PSA Behavioral
Health Agency,
2255 W. Northern
Ave., Phoenix
Suite B100
St. Luke’s
Behavioral Health
Services
1800 E. Van
Buren Street,
Phoenix
Granite Reef
Senior Center
1700 N. Granite
Reef Road,
Scottsdale
Banner Desert
Medical Center
1400 S. Dobson
Road, Mesa,
Mesquite Room
Active Forever,
10799 N. 90th St.,
Scottsdale
Banner Behavioral
Health Center,
7575 E. Earll Dr.,
Scottsdale
Via Linda Senior
Center,
10440 E. Via
Linda, Conf Rm 8,
Scottsdale
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
TIME
LOCATION
Friday
Arrowhead
4:00-6:00 pm Physicians Bldg
18699 N 67th Ave,,
Sierra Room,
Glendale
Bipolar and
Tuesday
Presbyterian
Depression
7:00-9:00 pm Service 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
Depression
5:30-7:30 pm Lutheran Church
13724 W Meeker
Blvd, Sun City
West
Biplar &
Sunday
Menke’s Sun City
Depression
4:00-6:00pm Room
10307 W Coggins
Dr, Sun City
Depression
Thursday
West Valley
5:30-7:30pm Center 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
DISORDER
Bipolar,
Depression
49
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
IV.
Community
Health Centers
www.aachc.org
50
IV.
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-feeschedule clinics: www.azdhs.gov/hsd/sliding-fees/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.
51
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
Physical Exams
Early Detection of Illness and
Disease
Prenatal Care Services
Diagnostic Laboratory,
Radiology and Imaging Services
Pharmacy Services
Preventive Health Services
Dental and Restorative Services
Outreach Services
Health Education and Referral
·
·
·
·
·
·
·
·
Tracking and Follow-up
Services
Emergency Stabilization
Non-emergency Transportation
Services
Urgent Care Services
Nutrition Counseling
WIC
Case Management
Patient Transportation for
Appointments
Integrated Behavioral Health
Care
*Not all clinics on the next page provide the full list of services above.
52
c. Community Health Center Locations
City
1
Organization
Address
Zip
Phone
410 N. Malacate Street
853212219
520-387-5651
520-407-5510
AJO
Desert Senita Community Health Center
AMADO
United Community Health Center Amado
Clinic
28720 S Nogales Hwy
856459997
3
ARIVACA
United Community Health Center Arivaca
Clinic
17388 W. 3rd Street
856010233
520-407-5500
4
ASH FORK
North Country HealthCare - Ash Fork Clinic
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
2
5
AVONDALE
6
AVONDALE
7
BISBEE
BLACK
CANYON CITY
8
9
11
BUCKEYE
BULLHEAD
CITY
BULLHEAD
CITY
12
CASA GRANDE
13
CASA GRANDE
10
14
15
16
CHANDLER
COOLIDGE
COTTONWOOD
Adelante Healthcare Avondale-OB/GYN
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
Sun Life Family Health Center, Inc.-Coolidge 1284 N. Arizona Blvd
85128
520-723-9131
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
623-344-6500
Chandler Family Health Center
17
DOUGLAS
18
DOUGLAS
Chiricahua Community Health Centers, Inc.Jennifer “Ginger” Ryan Clinic
Chiricahua Community Health Centers, Inc.15th Street Pediatric Center of Excellence
19
DUNCAN
Duncan Community Health Center
108 Arizona Street
51 Brian Mickelsen Parkway
EL MIRAGE
El Mirage Family Health Center
12428 W. Thunderbird Road
853353113
21
ELFRIDA
Chiricahua Community Health Centers, Inc.Cliff Whetten Clinic
10566 N. US Highway 191
856109021
520-642-2222
22
ELOY
Sun Life Family Health Center, Inc.-Eloy
205 N Stuart Blvd
85131
520-466-7883
2920 N 4 Street
86004
928-213-6100
1500 E Cedar Ave, Suite 26
86004
928-773-1245
3480 E Route 66
86004
928-863-7333
500 S. Central Avenue
852322945
520-866-7319
100 E. Wood Hill Road
86022
928-643-6215
928-755-4500
20
23
24
25
26
27
FLAGSTAFF
FLAGSTAFF
FLAGSTAFF
FLORENCE
FREDONIA
North Country HealthCare Flagstaff Clinic
NACA Family Health Center
Sacred Peaks Health Center
Pinal County Division of Public Health
Fredonia Community Health Center
th
28
GANADO
Sage Memorial Hospital
Route 264 & Jct. 191
86505
29
GILA BEND
Adelante Healthcare Gila Bend
100 N. Gila Bend
85337
877-809-5092
5141 W. LaMar
85301
623-344-6700
5860 South Hospital Dr, Ste 102
85501
928-402-0491
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
30
GLENDALE
31
GLOBE
32
33
34
Glendale Family Health Center
Canyonlands Healthcare-Globe
Mountain Park Community Health CenterGOODYEAR
Goodyear
GRAND
North Country HealthCare-Grand Canyon
CANYON
Clinic
United Community Health Center at Presidio
GREEN VALLEY Point
53
City
34
35
36
Organization
Address
United Community Health Center Continental
GREEN VALLEY Family Medical Center
1260 S Campbell Road
United Community Health Center Continental
GREEN VALLEY Pediatrics
1260 S Campbell Road
GUADALUPE
Guadalupe Family Health Center
5825 E. Calie Guadalupe
Zip
Phone
85614
520-407-5900
85614
520-407-5800
85283
480-344-6000
852832529
480-768-2025
37
GUADALUPE
Guadalupe Health
9405 S. Avenida del Yaqui
38
HOLBROOK
North Country HealthCare-Holbrook Clinic
2109 Navajo Blvd
86025
928-524-2851
Chilchinbeto Chapter House Complex
86033
928-697-8154
928-753-1177
39
KAYENTA
Canyonlands Healthcare-Chilchinbeto Clinic
41
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
86403
928-854-1800
42
LITTLEFIELD
Canyonlands Healthcare-Beaver Dam
3272 E Rio Virgin Rd
86432
928-347-5971
13395 N Marana Main Street
85653
520-682-4111
13395 N Marana Main St. #B
85653
520-682-1091
13395 N Marana Main Street
85653
520-797-0011
12000 W Emigh Rd
85653
520-616-6400
40
43
MARANA
MHC Healthcare-Main
44
MARANA
45
MARANA
46
MARANA
MHC Healthcare-Behavioral Health Services
MHC Healthcare-Obstetrics & Women’s
Health
MHC Healthcare.-Teen Wellness High
School
47
MARICOPA
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
48
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
1852 N Mastick Way
856211061
520-281-1550
520-896-2092
*39*
50 NOGALES
Mariposa Community Health Center, Inc.Nogales
51
ORACLE
Sun Life Family Health Center, Inc.-Oracle
1870 W American Way
85623
52
PAGE
Lake Powell Medical Center
467 Vista Avenue
86040
928-645-8123
440 North Navajo Drive
85040
928-645-1700
101 Taylor Street
85624
520-281-1550
850073904
602-344-6600
85007
602-344-6655
7725 N 43 Ave, Suite 510
85051
877-809-5092
602-344-5051
53
54
55
56
57
PAGE
PATAGONIA
PHOENIX
PHOENIX
PHOENIX
Canyonlands Urgent Care (Sat hours only)
Patagonia Family Health Center
7th Avenue Family Health Center
th
7 Avenue Walk In Clinic
Adelante Healthcare Phoenix
1205 S 7th Avenue
th
1201 S 7 Avenue
rd
58
PHOENIX
Arizona Children’s Center
2601 East Roosevelt Street
85008
59
PHOENIX
Desert Mission Community Health Center
9201 N 5th St
85020
602-331-5779
2525 E Roosevelt Street
85008
602-344-1015
220 S. 12th Ave
85007
602-372-2105
602-344-6550
60
PHOENIX
61
PHOENIX
Comprehensive HealthCare Center
Maricopa County Health Care for the
Homeless
62
PHOENIX
McDowell HealthCare Center
1144 E. McDowell Road #300
85006
63
PHOENIX
Mountain Park Health Center-Baseline
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
602-243-7277
64
PHOENIX
65
PHOENIX
Mountain Park Health Center-East Phoenix
Maryvale Family Health Center (Gyn & Peds
Only)
66
PHOENIX
Mountain Park Health Center-Maryvale
6601 W Thomas
85033
67
PHOENIX
Native Health: Central
4520 N. Central Avenue, Ste 620
85012
602-279-5262
2423 W. Dunlap Avenue, Suite 140
85021
602-279-5351
602-523-9275
68
PHOENIX
NHW: Community Health Center West
69
PHOENIX
NP Healthcare-Grace
1124 North Third Street, Suite 1
85004
70
PHOENIX
Palomino Health Center
15833 North 29th Street
85032
480-882-4545
33 W. Tamarisk Avenue
850412422
602-344-6400
71
PHOENIX
South Central Family Health Center
54
City
72
PHOENIX
73
PHOENIX
74
75
PHOENIX
PHOENIX
Organization
Sunnyslope Family Health Center
St. Vincent de Paul Free Medical/Dental
Clinic
Valle Del Sol Pediatric Care
Valle Del Sol Family & Adult Care
Address
Zip
Phone
934 W Hatcher
85021
602-344-6300
420 W. Watkins Road
85002
602-261-6868
th
85014
602-258-6797
st
85003
602-523-9312
602-257-4323
3807 North 7 Street
1209 South 1 Ave
76
PHOENIX
Wesley Community & Health Center
1300 S 10 St
85034
77
Community Health Center of Yavapai
1090 Commerce Drive
86305
928-583-1000
78
PRESCOTT
PRESCOTT
VALLEY
3212 N. Windsong Drive 2nd Floor
86314
928-583-1000
79
RIO RICO
Community Health Center of Yavapai
Mariposa Community Health Center at Rio
Rico
1103 Circulo Mercado
85648
520-281-1550
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)
85546
928-428-1500
85629
520-576-5770
928-627-3822
85349
928-726-5950
928-722-6112
80
SAFFORD
81
SAHUARITA
82
SAN LUIS
th
th
83
SAN LUIS
San Luis Walk In-Clinic, Inc.
1896 E Babbit Lane
85349
84
SANDERS
Rio Vista Estates Lot 24
86512
85
SAN MANUEL
Sanders Clinic
Sun Life Family Health Center, Inc.-San
Manuel
23 McNab Pkwy
85631
520-385-2234
7301 E Second St, Ste 210
85251
480-882-4545
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
928-337-3705
86
87
SCOTTSDALE
SELIGMAN
Heuser Family Medicine Center
North Country HealthCare – Seligman Clinic
88
SHOW LOW
89
SIERRA VISTA
North Country HealthCare-Show Low Clinic
Chiricahua Community Health Centers, Inc.Sierra Vista Mobile Medical Clinic
90
SOMERTON
Sunset Community Health Center-Somerton
91
92
SOMERTON
Regional Center for Border Health, Inc.
North Country HealthCare-Round Valley
SPRINGERVILLE Clinic
928-688-3903
93
ST. JOHNS
North Country HealthCare-St. Johns Clinic
625 North 13 West
85936
94
ST. MICHAELS
259A West Highway 264
86511
928-810-3800
95
SURPRISE
St. Michaels Clinic
Adelante Healthcare- Surprise
Comprehensive
15351 West Bell rd
85374
877-809-5092
1492 S Mill Avenue, Suite 312
85281
602-243-7277
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
El Rio Community Health Center-Broadway
Clinic (Homeless & BH)
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
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
96
TEMPE
97
TUBA CITY
98
TUCSON
99
TUCSON
100 TUCSON
101 TUCSON
102 TUCSON
103 TUCSON
104 TUCSON
105 TUCSON
106 TUCSON
107 TUCSON
108 TUCSON
Mountain Park Health Center-Tempe
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
th
85730
520-670-3909
857466015
520-670-3909
7474 S. Camino de Oeste
85746
520-670-3909
1701 W St. Mary’s Road
85745
520-670-3909
6950 E Golf Links
1510 W. Commerce Court (Internal)
1500 W Commerce Court (Peds)
55
City
109 TUCSON
110 TUCSON
111 TUCSON
Organization
El Rio Community Health Center-Summit
View Clinic
El Rio Community Health Center-Sunnyside
Teen Clinic
St. Elizabeth Health Center
Address
1900 E Summit St
1725 E Bilby Rd
140 W. Speedway Blvd, Suite 100
Zip
Phone
85706
520-670-3909
85706
520-670-3909
857057698
520-628-7871
520-616-6760
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
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
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
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
85712
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
13299 E Colossal Cave Road
85641
520-762-5200
126 WELLTON
Sunset Community Health Center-Wellton
10425 Williams Street
85356
928-785-3256
811 N. Tegner St., # 113
85390
877-809-5092
928-635-4441
112 TUCSON
113 TUCSON
114 TUCSON
115 TUCSON
116 TUCSON
117 TUCSON
118 TUCSON
119 TUCSON
120 TUCSON
121 TUCSON
122 TUCSON
123 TUCSON
124 TUCSON
127 WICKENBURG
Adelante Healthcare Wickenburg
128 WILLIAMS
North Country HealthCare-Williams Clinic
301 S 7 Street
86046
129 WINSLOW
North Country HealthCare-– Winslow Clinic
620 W. Lee Street
86047
928-289-2000
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
th
56
V.
Dental Health
http://www.azdhs.gov/phs/owch/oralhealth/index.htm
57
V.
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. 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/communitydental-clinics.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.
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.
58
·
·
·
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 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.
59
·
·
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.
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
60
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
Address and Phone
Maricopa County:
· Comprehensive Healthcare
Center
Maricopa Integrated Health
2525 E. Roosevelt Street,
System (MIHS)
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
· 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
61
Other
Service benefits
depend on
AHCCCS Plan
Some emergency
services may be
available
Agency
Address and Phone
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
· 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
Other
·
Statewide:
Arizona State AHCCCS
Statewide:
Children’s Rehabilitative
Services
Children’s Clinics for
Rehabilitative Services
Statewide:
KidsCare
Phoenix:
Lincoln Children’s Dental
Clinic
Mountain Park Health Center
Native Health Central
(866) 275-5776
TTY# (800) 367-8939 or 711
Variety of dental
services available
Serving children
with cleft lip/palate,
birth defects and
related problems
Metro Phoenix Region:
(602) 914-1520
(855) 598-1871
Southern Region:
(520) 324-5437
(800) 231-8261
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
62
For children under
age 19
Sliding-fee scale
Agency
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
Address and Phone
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
650 E. Indian School Road, Phoenix
(602) 222-6550
(888) 214-7264
220 S. 12th Avenue
(602) 372-2100
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
Chiricahua Community Health 10566 Highway 191, Elfrida
Centers, Inc. (Mobil Dental)
(520) 642-2222
Community Health Center of
3212 North Windsong Drive
Yavapai/YCCHS
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
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
63
Other
Prevention Services
Native Americans
Prevention Services
Priority for working
people and their
families
Eligible Veterans
Homeless
Sliding-fee scale
Sliding-fee scale
Clinics in Douglas
and Elfrida
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
Agency
El Rio Community Health
Center
St. Elizabeth Health Center
Pima Community College
Dental Hygiene Clinic
MHC Healthcare
NOAH Dental Clinic
Address and Phone
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
Health Services District Dental
Clinic
NAU Homebound
304 S Humphreys
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
64
Other
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
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
VI.
Native American
Health Resources
www.ihs.gov
65
VI.
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
66
VII.
Older Adults
www.azdes.gov/daaas/
67
VII.
Older Adults
a. National Council on the Aging
For more information please call: (202) 479-1200, (800) 677-1116 or visit www.ncoa.org
The Senior Community Service Employment Program
· Provides training and employment opportunities to low-income Americans over the
age of 55.
· Program participants are placed at community and government agencies for training
and are paid the Federal or State minimum wage. They may also receive specialized
training and can use their participation as a bridge to other employment positions.
· To be eligible you must be at least 55 years of age and have a family income of no
more than 25% of the Federal Poverty Level. Enrollment priority is given to persons
over age 60, veterans and qualified spouses of veterans.
· For more information contact the US Department of Labor at (877) US-2JOBS or
(202) 693-3938 or visit their website,
www.doleta.gov/seniors/html_docs/AboutSCSEP.cfm
Benefits Checkup
· Benefits Checkup is an online service that helps people age 55 and older find
services that may help them pay for some of their costs of prescription drugs, health
care, utilities, and other essential items and services.
· www.benefitscheckup.org
· Benefits Checkup screens for federal, state, and some local private and public
benefits. It contains over 2,000 different programs.
· In addition to identifying the programs that a person may be eligible to receive,
Benefits Checkup provides detailed descriptions of the programs, local contacts for
additional information and materials to help you successfully apply for each
program.
b. Area Agency on the Aging
The Area Agency on the Aging provides information and assistance regarding services for
seniors. It also serves as a central intake for home care, home delivered meals, caregiver
respite, dental services, eyeglasses, hearing aids, adult day health care, Senior Adult
Independent Living services and advocacy.
Programs include
· Senior Adult Independent Living
Program
· Grandparents Raising Children
· Care Directions
· Caregiver Respite
· Support Services
· Senior Centers
·
·
·
68
Private Pay Meals
Ancillary Response Services
Program
Vision, Hearing and Dental
Services
Contact Information
1366 E. Thomas Road, Suite 108
Phoenix, AZ 85014
Telephone: (888) 783-7500 or (602) 264-2255
FAX: (602) 230-9132
Web: www.aaaphx.org
Senior Help Line – 24 hours a day at (602) 264-HELP (4357) or TTY/TDD 602-2416110
Region 1: Maricopa County –www.aaaphx.org (602) 264-2255 or (888) 783-7500
Region 2: Pima Council On Aging–www.pcoa.org/ (520) 790-7262
Region 3: Apache, Coconino, Navajo, Yavapai Counties –
www.nacog.org/index.cfm?fuseaction=dep_intro&dept_id=7(928) 213-5226 or (877) 5213500
Region 4: La Paz, Mohave, and Yuma Counties –www.wacog.com/regional_council.html
(928) 782-1886 or (800) 782-1886
Region 5: Gila and Pinal Counties – www.pgcsc.org/(520) 836-2758 or (800) 293-9393
Region 6: Cochise, Graham, Greenlee, and Santa Cruz Counties – http://www.seago.org/aaa/
(520) 432-5301
Region 7: Navajo Nation – www.naaa.navajo-nsn.gov/ (928) 871-6868
Region 8: InterTribal Council of Arizona, Inc.- itcaonline.com/?page_id=158(602) 258-4822
c. The Division of Aging and Adult Services
The Division of Aging and Adult Services is part of the Arizona Department of Economic
Security (DES). The Division provides information and services to seniors within Arizona.
For more information call (602) 542-4446.
Adult Protective Services
· Receives and investigates incidents of abuse, neglect, or exploitation of incapacitated
or vulnerable adults.
· Website: Adult Protective Services: www.azdes.gov/landing.aspx?id=7327
· 24 hour toll-free hotline at (877) SOS-ADULT or (877) 767-2385
Home-and Community-Based Services
To be eligible you must be at least 60 years of age or 18 years of age with a disability.
Services include:
o Congregate meals
o Home delivered meals
o Home health aide
o Home nursing
o Housekeeper/chore
o Personal care
o Respite
o Transportation
o Adult day care
o Home repair and adaptation
o Ombudsman for the elderly
o Legal assistance
For more information, call your
regional Area Agency on Aging (See list
above)
69
Long Term Care Ombudsman
· Identifies, investigates and resolves complaints made by, or on behalf of, residents
of long term care facilities.
· The Ombudsman Program will accept complaints or concerns from any source.
· Call (602) 542-4446 or visit the Long Term Care Ombudsman Program Website
www.azdes.gov/daas/ltco/
d. Medicare
Medicare is the federal health insurance program for people 65 years of age or older, certain
younger people with disabilities, and people with End-Stage Renal Disease. There are three
types of Medicare, known as Part A, Part B, and Part D.
You are generally eligible for Medicare if:
· You or your spouse worked for at least 10 years in Medicare-covered employment.
· You are 65-years-old.
· You are a citizen or permanent resident of the US.
· You might also qualify if you are a younger person and have End-Stage Renal
Disease or have received Social Security Disability Insurance (SSDI) payments for
24 months.
Medicare’s Toll-Free Helpline:
(800) 633-4227
What does Medicare Cover?
Part A
Medicare Part A is hospital insurance that helps pay for:
· Inpatient Hospital Care
· Skilled Nursing Facilities
· Home Health Care
· Hospice Care
Part B
Medicare Part B is medical insurance that helps pay for:
· Physician Services
· Home Health Care
· Medical Equipment (like wheelchairs)
· Kidney Dialysis
· Ambulance Service
· Some Prescription Drugs, such as immunization shots
· Other (blood work, outpatient mental health, etc)
Part D
Medicare Part D is medical insurance that helps pay for most prescription medications
for persons entitled to Medicare Part A and/or Part B. This is a voluntary Medicare
Program but a financial penalty will be assessed for late enrollment.
70
How Much Does Medicare Cost?
Part A
· Most people do not have to pay a premium for Part A because they or a spouse
paid Medicare taxes while they were working.
· If you or your spouse did not pay Medicare taxes while you worked, you may
still be able to buy Part A.
· For more information, you can call the Social Security Administration
(SSA) at 1-800-772-1213 (TTY 1-800-325-0778) or your local Social
Security Office (see list under Other Resources in this binder).
Part B
· Most people pay a monthly premium for Part B.
· Enrolling in Part B is your choice.
· Call SSA or local Social Security Office to sign up.
Part D
· People must pay a monthly premium for Part D.
· Premiums vary depending on the prescription drug plan that a person chooses
to enroll with.
· Persons participating in the program may also be required to pay a deductible
and co-payments.
· There is also a coverage gap (sometimes referred to as a “donut hole”) during
which the Part D program does not provide any benefits.
· Under The Patient Protection and Affordable Care Act of 2010, the "Donut
Hole" coverage gap will be gradually eliminated through a combination of
measures by 2020.
The Extra Help (Low Income Subsidy) Program for Medicare Part D
The Social Security Administration (SSA) administers the Extra Help program (low income
subsidy) that is for people with income that is less than 150% of the FPL. Depending on
income and resources, a person who is eligible for the program can have their premiums, copays and deductible amounts waived, in some cases even eliminated.
Note: Persons who are eligible for Medicaid or a Medicare Savings program are
automatically eligible for the Extra Help program and do not need to apply for it at SSA.
See the chart on the next page for a summary of costs related to Medicare programs.
71
2013 Part D Voluntary Prescription Drug Benefit Program
Type of Medicare
Coverage
Premium Amount
Co-Payments
Deductibles
Coverage
Gap
None
None
None
None
Income < 100% FPL
· $1.15 for generic
· $3.50 for brand name
· No co-pay for costs
above $4,750
Medicare AND
Medicaid
(“Dual Eligible”)
$0.00
Exception: If the person
chooses a plan with a
premium that exceeds the
standard premium.
Income > 100%FPL
· $2.65 for generic
· $6.60 for brand name.
· No co-pay for costs
above $4,750
Exception: $0.00 co-pays for a
person in a nursing facility or
ICF-MR for the entire month.
QMB-only, SLMB,
or QI
(“Deemed Eligible”)
Medicare &
Low Income
Subsidy
(No Medicaid, QMB,
SLMB or QI; Income
<150% FPL for the
family size)
$0.00
Exception: If the person
chooses a plan with a
premium that exceeds the
standard premium.
0% - 100% of the
standard premium
based on income (i.e.
sliding scale for
incomes 0-150% FPL)
QMB-only
· $1.15 for generic
· $3.50 for brand name
· No co-pay for costs
above $4,750
SLMB or QI
· $2.65 for generic
· $6.60 for brand name
· No co-pay for costs
above $4,750
Income < 135%
· $2.65 for generic
· $6.60 for brand name
· No co-pay for costs
above $4,750
Above 135% FPL
· 15% of drug costs for
first $4,750 in
prescription costs.
· After $4,750 the copays are reduced to
$2.65 for generic and
$6.60 for brand name.
72
<135%
FPL: None
Above
135%:
$66.00
None
Type of Medicare
Coverage
Premium Amount
Co-Payments
·
·
Medicare/Part D
Only
Varies per month based
on plan selected,
deductible selected
(Standard Part D
costs for Excess
Income > 150% FPL
and/or Excess
Resources
Exception: If the person
chooses a plan with a
premium that exceeds the
standard premium.
·
·
Deductibles
Deductible is $325
From $325.00 to
$2,970, patient pays
25% of the drug costs
Then, patient must
pay full cost from
$2,970 to $4,750. In
2013, get 52.5%
discount on covered
brand-name Rx
After $4,750 pay no
more than 5% of drug
cost (some difference
between generic and
brand)
Coverage
Gap
All
prescription
costs from
$2,970
through
$4,750 are the
customer’s
responsibility.
e. AHCCCS Programs
Medicare Savings Programs
This program helps with Medicare expenses for people who are age 65 or older, blind, or
who have a disability.
Applicants must be a resident of Arizona, a US citizen or qualified immigrant and be
eligible for Medicare Part A hospital insurance to apply.
·
Qualified Medicare Beneficiary
Eligibility - up to 100% of FPL
Benefits - pays Medicare Part A and Part B monthly premiums, deductibles,
co-insurance and co-pays
·
Specified Low-Income Medicare Beneficiary
Eligibility – between 100 and 120% of FPL
Benefits - pays Medicare Part B premiums
·
Qualified Individual
Eligibility – between 120% and 135% of FPL
Benefits - pays Medicare Part B premium
To apply, call (602) 417-5010 in the Phoenix Area or (800) 528-0142 from the rest of
Arizona and request an application or download an application at www.ahcccs.state.az.us.
73
Supplemental Security Income Medical Assistance Only (SSI MAO) Program
Provides medical coverage for individuals who are age 65 and over, blind or who have a
disability, but do not receive monthly cash benefits under the Supplemental Security Income
program.
Eligibility - up to 100% of FPL
Call (602) 417-5010 or (800) 528-0142 to request application
Arizona Long Term Care System (ALTCS)
For individuals who are aged (65 and over), blind or disabled who need ongoing services at
a nursing facility level of care.
Program participants do not have to reside in a nursing home. Many participants live in their
own homes or an assisted living facility 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 is up to 300% of the Federal Benefits Rate.
Call (800) 654-8713 or (602) 417-7000 for more information.
SSDI – Temporary Medical Coverage – ELIMINATED AS OF 7/12/08
For Arizonans who receive Social Security Disability Insurance, who are no longer eligible
for AHCCCS (Medicaid) programs, but are not yet able to qualify for Medicare.
f. Supplemental Security Income (SSI)
SSI is a Federal income supplement program. It is designed to help people who are aged,
blind, and have a disability, and who have little or no income. It provides cash to meet basic
needs for food, clothing and shelter. To apply, visit your local social security office (see
section under Other Resources in this binder) or call:
(800) 772-1213 TTY (800) 325-0778
7:00 am-7:00 pm, Monday to Friday
www.ssa.gov
74
g. Other Resources for Seniors
Pima Council on Aging
8467 E. Broadway, Tucson, AZ 85710
(520) 790-7262
Healthy Living Program for Managing Chronic Health Conditions
Workshops for people with chronic conditions and caregivers are held at various locations
throughout Yavapai County and free to attend. Call for more information.
Prescott Area – (928) 442-5480
Verde Valley Area – (928) 639-8132
American Hospice Foundation
(202) 223-0204 or (800) 347-1413
Arizona Hospice and Palliative Care Organization
(480) 491-0540
Alzheimer’s Association
(800) 272-3900 – 24 hour support line
Phoenix – Desert Southwest Regional Chapter – (602) 528-0545
Prescott – Northern Arizona Regional Office – (928) 771-9257
Tucson – Southern Arizona Regional Office – (520) 322-6601
Discount Medication, Prescription Assistance Programs and Part D Resources
www.needymed.com - This website lists several website locations that offer discount or low
cost medication options or prescription assistance programs.
ArizonaCoppeRX Card- A free and simple prescription drug discount card available to ANY
Arizonan. Call (888) 227-8315 or visit http://azgovernor.gov/coppercard/
Plan Prescriber-Compare Medicare Plans – A website to compare Medicare Plans for Part D
services.
Eldercare Locator
Helps older adults and their families find trustworthy local support services
www.eldercare.gov
(800) 677-1116 from 9 am – 8 pm (ET)
National Adult Day Services Association
Guide and information about selecting an Adult Day Center
(800) 558-5301or
(877)745-1440
Arizona Healthwise Handbook - www.myazhealthandwellness.com
National Center on Elder Abuse If someone you care about is in imminent danger, call
911, police or hospital emergency NOW. Otherwise, call (877) 767-2385 or TDD (877)
815-8390.
75
VIII.
Services for
Children with
Special Needs
www.hs.state.az.us/phs/ocshcn
76
VIII.
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
77
Early Childhood Special Education
·
·
Works to ensure quality education services for children with disabilities, ages 3-5
years.
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) is run by the Arizona Health Care Cost
Containment System (AHCCCS) effective January 1, 2011.
CRS provides medical treatment, rehabilitation, and related support services to medically
and financially qualified individuals who have certain medical, disabling or potentially
disabling conditions and the potential for functional improvement.
Eligibility
·
·
·
·
·
Child must be under age 21.
Proof of Arizona residency and citizenship or qualified immigrant status is required.
Child must have a physical disability, chronic illness, or a condition that is
potentially disabling.
Families with incomes below 200% of the FPL may be eligible at no cost or on a
sliding fee scale.
May have health insurance (insurance provider will be billed for covered services).
Medical Eligibility
Conditions accepted for care include, but are not limited to:
· Cerebral palsy where mental and physical status is such that they are amenable to
treatment.
· Deformities present at birth or acquired, such as club feet, dislocated hip, cleft
palate, mal-united fractures, scoliosis, spina bifida, and congenital GU and GI
anomalies.
· Many muscle and nerve disorders.
· Some conditions of epilepsy.
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·
·
·
·
·
·
·
·
·
Heart conditions due to congenital deformities and those resulting from rheumatic
fever.
Certain eye and ear conditions may be eligible.
Cystic fibrosis.
Burn scars that are causing functional limitations.
PKU and other related metabolic disorders.
Sickle cell anemia.
Neurofibromatosis.
Hydrocephalus.
Rheumatoid arthritis.
Currently, adults who have sickle cell anemia or cystic fibrosis are also eligible. A pilot
program is in progress to serve adults with spina bifida who are enrolled in AHCCCS, or
agree to be financially responsible for all costs of medical care. When the individual has
private insurance, it will be billed.
The medical staff will evaluate other disabling conditions to determine if the individual is
eligible for services. For children enrolled into AHCCCS, all initial diagnostic testing will
be done by AHCCCS. If the condition falls within the scope of the program, the child will
be scheduled for an initial pediatric or specialty care appointment.
Services are provided statewide by Arizona Physicians IPA (as of 10/1/08). For more
information about CRS in your area, please contact the following or visit their website at
www.hs.state.az.us/phs/ocshcn/crs/crs_az.htm
If you have any questions contact Member Services. Member Services is available 24 hours
a day 7 days a week. Call 1-866-275-5776 or TDD 1-800-367-8939.
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) 5329960 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
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·
·
·
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:
· 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
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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
Coconino County, including the entire Hopi
reservation and the Colorado Strip, but not
including Colorado City or the Navajo
Nation
Gila County, including the entire San Carlos
Reservation, but not including the White
Mountain Reservation
Easter Seals Blake Foundation
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
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
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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; Eng: x 4925; Span x
4953
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
United Cerebral Palsy (UCP)
1802 W. Parkside Lane
Phoenix, AZ 85027
Phone: (602) 682-1838
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North Central, 1g: will include the following
zip codes:
Mohave and Coconino County, only
including:
85021, 85023, 85024, 85027, 85029, 85051,
85053, 85083, 85085, 85086, 85087, 85295,
85301, 85302, 85304, 85306, 85308, 85310
Beaver Dam, Littlefield, Scenic, Uzona, and
Desert Springs
The Learning Center for Families
United Cerebral Palsy (UCP)
1802 W. Parkside Lane
Phoenix, AZ 85027
Ph: (602) 682-1828
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
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
1192 W. Sunset Blvd. # 2
St. George, UT 84770
Phone: (928) 875-8711
Office of Special Education and Rehabilitation
Services
P.O. Box 1420
Window Rock, AZ 86515
Phone: (928)- 871-7682
TF: (866) 341-9918
Pima and Santa Cruz Counties
Easter Seals Blake Foundation
717 S. Alvernon
Tucson, AZ 85711
Phone: (520) 792-2636 x 5218
TF: (866)543-7023
Pinal County, including the entire Gila River
Reservation, but not including Tohono
O’Odham Reservation
Easter Seals Blake Foundation
1115 E. Florence Blvd, Suite C
Casa Grande, AZ 85222
Phone: (520) 723-4429
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Yavapai County
High Country Early Intervention Program
3105 Clearwater Drive, Suite B
Prescott, AZ 86305
Phone: (928) 776-9285
Yuma County
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.
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
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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.
· Social/emotional.
· Cognitive.
· Adaptive self-help.
· Language/communication.
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
· Home Health Aide
· Home Nursing
· Respiratory Therapy
·
·
·
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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
Sickle Cell Program
· This program works to identify, diagnose and treat newborns with sickle cell disease
and to prevent physical impairments and deaths due to strokes, sepsis and bacterial
infections.
· Confidential counseling services are provided to educate families with positive
screening results to assist them in making informed decisions regarding child
bearing.
· (602) 542-1860 for general questions
· (602) 364-1409 for newborn testing and screening
Traumatic Brain Injury Project
· The intent of this program is to identify families where the child has received a mild
or moderate Traumatic Brain Injury (TBI) and offer services available in the
community to assist with a variety of issues that might be facing the family.
· (602) 542-1860
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)
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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.
For more information contact Member Services at: (602) 351-2245 extension 11275 or (800)
201-1795
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
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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
point-of-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
· Advice and assistance on payment issues
Call (602) 468-3430 for additional information.
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IX.
Small Business
Employer
Resources
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IX. Small Business/Employer Health Resources
a. Healthcare Group of Arizona (HCG)
This program is designed for small business employers who have been without health
insurance for at least 90 days and want to purchase health insurance. Enrollment is capped
at 5% growth over the previous year, so periodically, the program may implement a waiting
list. As of March 2013, legislation is pending in the Arizona legislature that would
eliminate Healthcare Group Arizona coverage effective December 31, 2013, at which
time small employers could enter the new federally-run health insurance marketplace.
Healthcare Group is designed for:
· Uninsured small businesses with between 2 and 50 employees
· Uninsured employees of government subdivisions
Healthcare Group provides a variety of health care coverage options for uninsured small
businesses. You can pick the plan that’s right for you.
· Affordable premiums
· Each plan offers a comprehensive network of providers
· Choose from a variety of flexible benefits and co-pays
· Can be funded by employers, employees, or a combination
Does your business qualify?
Answer the following questions to determine whether your business qualifies:
· Has your business been conducting business within the State of Arizona for at least
60 consecutive days?
· Does your business have between 2-50 employees working 20 hours or more per
week?
· What is the minimum percentage of employees that must be enrolled for coverage?
o If your business has 2-5 employees, 100% of the eligible employees must be
enrolled for HCG coverage
o If your business has 6 or more employees, at least 80% of the eligible
employees of your business must be enrolled for HCG coverage.
Employees must
· Reside or work in Arizona
· Be employed with the eligible employer for at least 60 days before enrollment
· Work at least 20 hours a week and
· Anticipate employment for five months after enrollment
For more information please call:
Enrollment and Billing: Phoenix Area – (602) 417-6755, Statewide – (800) 247-2289
www.healthcaregroupaz.com
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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
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
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X.
Youth and Young
Adults
http://www.azahcccs.gov/
92
X.
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 21st 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) 7735627
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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 case management and monthly workshops, Independent Living
focuses on teaching participants how to support themselves and live without
assistance.
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·
·
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-tosevere 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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XI.
Other Community
Health Resources
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XI.
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
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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
Baby Arizona
Baby Arizona is a public/private partnership with the goal of increasing the number
of women in Arizona who receive early and continuous prenatal care.
Women qualify if they:
· Live in Arizona
· Don’t have health
insurance
·
·
Have little or no income
Are United States citizens or
qualified non-citizens.
Pregnant women and Prenatal Care providers in Arizona may call the Baby
Arizona Hotline at (800) 833-4642 or visit http://www.babyarizona.gov/.
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The program provides pregnant women with:
·
·
·
A statewide hotline for information, prescreening and referral.
Prenatal care through delivery.
A streamlined application process for women who may qualify for
AHCCCS services as follows:
o A pregnant woman makes an appointment with a Baby Arizona doctor
by calling the hotline (see below), and completes a Baby Arizona
application for AHCCCS health insurance during her first office visit.
Health care providers may assist with the application process at the
initial prenatal visit.
o Providers submit applications directly to DES to determine whether the
woman is eligible for Medicaid (AHCCCS). This allows the pregnant
woman to start prenatal care early without having to wait for an
eligibility determination.
o If the AHCCCS is approved, the woman continues to see the doctor for
regular prenatal care and AHCCCS covers the cost of care.
o For women that do NOT qualify for AHCCCS/Medicaid health
insurance, the doctor’s office will set-up a reasonable payment plan for
prenatal services and should continue to care for the pregnant woman
and baby.
o The application process should be 20 working days from the time the
complete application is received at DES.
How does the Baby Arizona application process work?
1. Call the Pregnancy and Breast Feeding Hotline at (800) 833-4642.
o Callers will be given names of doctors who participate in the Baby
Arizona Program.
2. Women must choose a Baby Arizona doctor near you and call to make an
appointment for a prenatal (pregnancy) visit. Ask the doctor’s office what
you should bring with you for the Baby Arizona application process.
3. At your first visit, the office staff will help you with your Baby Arizona
application for AHCCCS health insurance.
4. Make your next appointment for a prenatal (pregnancy) visit.
South Phoenix Healthy Start
Their purpose 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 &
- Health Education &
Referrals
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
(928) 772-1266
(800) 406-2377
Voice/TTY
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www.Newhorizonsilc.org
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
http://www.cybercil.com
CyberCil
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
Program
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. Arizona's allocation for federal fiscal year 2011 was $2,631,887.00 million. In
addition, Arizona was one of three states awarded a $9,430,000.00 million competitive grant
to support Home Visiting Programming. A website called Strong Families Arizona,
http://strongfamiliesaz.com/, was created to list home visiting programs by community and
allow communities to search by zip code to locate a program nearby.
i. Community 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.
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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 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).
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You can also view the Directory of Family Planning Services for Arizona at:
http://www.arizonafamilyhealth.org/locations/ - .URD7M-h0O80
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
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
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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
ADHS Provider by County
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
(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
· (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.HealthEArizona.org.
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Eligibility
· To be eligible for the Nutrition Assistance Program you must meet certain lowincome 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
m. Head Start
·
Head Start is a federally funded child and family development program for lowincome 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.)
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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
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/
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·
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.”
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/
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·
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 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 selfsufficiency and seek to obtain permanent housing.”
o 6935 E Williams Field Rd., Mesa, AZ 85212
o (480) 988-9242
o http://houseofrefuge.org/
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·
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 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.nova-arizona.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
113
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
·
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/
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·
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
·
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/
115
·
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/
·
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/
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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
·
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.
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·
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.
·
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
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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
(928) 474-1759
Coconino Community Services
Flagstaff
(928) 522-7979
Motel and gas vouchers
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
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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
Mohave County Community Development
Kingman
(928) 753-0723
Love Kitchen Charities
Lakeside
(928) 537-1252
Motel vouchers/rent and utility
assistance/food/referrals
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
120
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
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.
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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:
·
·
·
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/
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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
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:
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
Pima 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
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Friendly House (Immigration) –
(602) 257-1870
Navajo County:
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
Pinal County:
Southern Arizona Legal Aid –
(520) 316-8076 or (800) 718-8086
Four Rivers Indian Legal Services
(520) 562-3369 or (866) 312-2290
Yavapai County:
Community Legal Services –
(928) 445-9240 or (800) 233-5114
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
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r. Gay, Lesbian, Bisexual, Transgender Resources
Community Centers
· 1n10
(602) 475-7456
www.1n10.org
E-mail: [email protected]
· 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
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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.
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.
126
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.
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,
employer-based, 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 (CAPAZMEX)
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.
127
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.
· 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,
employer-based, 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.
128
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.
· 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.
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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):
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
LaPaz County
1112 Joshua Ave., Parker
(928) 669-1100
Greenlee County
253 5th Street, Clifton
(928) 865-2601
PO Box 153, North of Fairgrounds, Duncan
(928) 865-2601
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
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Roosevelt Primary Care Center
1825 E. Roosevelt, Phoenix
(602) 258-6381
Seventh Avenue Primary Care
1407 S. 9th Avenue, Phoenix
(602) 344-6600
Sunnyslope Primary Care Center
934 W. Hatcher, Phoenix
(602) 344-6300
Mohave County
700 W Beale St, Kingman
(928) 753-0714
Navajo County
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
County Department of Health
Theresa E. Lee Health Center
322 South Freeway, Tucson
(520) 624-8272
Pinal County
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
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36711 W Papago Dr, Stanfield
(520) 866-7995
60 E Main St, Superior
(520) 689-5953 or (520) 866-6952
Santa Cruz County
1852 N Mastick Way, Nogales
(520) 281-1550
Yavapai County
1090 Commerce Dr, Prescott
(928) 583-1000
Yuma County
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.
133
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:
134
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.
135
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) 9491005
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
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Veterans Centers
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.
·
·
·
http://thechristianclinic.org/services/
(602) 258-6008
1929 West Fillmore Street, Building C
Phoenix, Arizona 85009
137
ee.
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 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
Paiute Neighborhood Center
6535 E. Osborn Road, Bldg. 8, Scottsdale
(480) 312-0007
Balsz Educare Arizona Center for Health
1350 N. 48th Street, Phoenix
(480) 734-7041
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
138
hh.
Pre-existing Condition Insurance Plan (PCIP)
Enrollment suspended until further notice, effective March 2, 2013. The Pre-existing
Condition Insurance Plan (PCIP) provides comprehensive health insurance to those who
have been denied insurance due to a pre-existing 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
139
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
· 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 selfesteem and self-efficacy in all of our clients through loving, supportive intervention.
140
·
·
·
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
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
141
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.
· 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
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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.
Crews'n Healthmobile
Phoenix Children's Hospital
3333 E. Van Buren St.
Phoenix, AZ 85008
(602) 651-1862
http://www.phoenixchildrens.com/
143
XII.
Tools
144
XII.
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.
2013 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
$11,490
2
15,510
3
19,530
4
23,550
5
27,570
6
31,590
7
35,610
8
39,630
For families/housholds with more than 8 persons,
add $3,960 for each additional person.
-The poverty guidelines usually are updated in the spring of each year.
145
b. AHCCCS Program Eligibility
Coverage for Children
Program
SOBRA
For Children
<1 yr
SOBRA
For Children from
ages 1-5
SOBRA
For Children ages
6-18
Income
Qualifications
Special Requirements
Benefits
Up to 140% of
Federal Poverty
Level (FPL)
N/A
AHCCCS Medical
Services
Up to 133% of
FPL
N/A
AHCCCS Medical
Services
Up to 100% of
FPL
N/A
AHCCCS Medical
Services
·
·
Not eligible for Medicaid
No health insurance
KidsCare
Up to 200% of
AHCCCS Medical
coverage within last 3
For Children under
FPL
Services
months
age 19*
· Not available to children
of state employees
*KidsCare is not currently accepting new enrollment
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 100% of
Federal Poverty
Level (FPL)
Special Requirements
·
Family includes a child
Benefits
AHCCCS Medical
Services
AHCCCS Care
· Ineligible for any other
Up to 100% of
AHCCCS Medical
For Individuals or
categorical Medicaid
FPL
Services
Married Couples**
Coverage
Young Adult
· Under age 21
Transitional
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, pending litigation. Those enrolled before that date would still be allowed to renew
their coverage if they comply with all renewal requirements.
146
Coverage for Women
Program
SOBRA
For Pregnant Women
Breast and Cervical
Cancer Treatment
Program For Women
Income
Qualifications
Up to 150% of
Federal Poverty
Level (FPL)
Special Requirements
·
Proof of pregnancy
·
·
·
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
Up to 250% of
FPL
·
Benefits
AHCCCS Medical
Services
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
premium
· Not receiving
Medicaid benefits
· Entitled to Medicare
Part A
Payment of Part B
120% - 135% of
Qualified Individual
premium
FPL
· Not receiving
Medicaid 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 LowIncome 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.
147
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
· May be required to
Care System
the Supplement
pay a share of the
(ALTCS)
Security Income
cost
For Adults or
Rate
· Estate recovery
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
· Must be working and
Up to 250% of
either have a
FPL countable
AHCCCS
disability or
income (only
Freedom to Work
blindness
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.)
148
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
149
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: 1-800-311-0627
· The Kids Health Link Hotline in Maricopa County: 1-800-235-9678
· 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.
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-eArizona” 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
· By calling AHCCCS and asking them to send you an application
o Call between 8:00 am and 5:00 pm Monday through Friday
o (602) 417-5010 or (800) 528-0142
· Picking up the application from community organizations, school
nurses, community clinics, or local hospitals
· Print a copy from AHCCCS Website or complete the application online
at www.healthearizona.org.
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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.
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
https://www.healthearizona.org/app/login.aspx
Federally Qualified Health Centers Facilitating
Health-e-Arizona Applications
Note: This list is not inclusive of all “satellite sites” which may also complete
Health-e-Arizona Applications; please call the Federally Qualified Health Center in
your area to find out which site or “satellite site” is closest to you.
151
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
152
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
153
·
·
Proof of childcare expenses for the most recent month (if you want to receive a
deduction)
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) 4175437 or (877) 764-5437, visit a community assistor or Federally Qualified Health
Center (listed in this document), or visit www.healthearizona.org.
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.healthearizona.org.
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.
154
·
·
·
You have the right to change your primary doctor at any time.
Your primary doctor will:
o Take care of your health care
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
For
behavioral
health
services
call
number on
AHCCCS
Card
Primary doctor will
refer you to specialists
as needed (pharmacy,
laboratory, x-ray,
specialty care, home
health, family planning,
etc)
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
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
155
·
·
·
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
·
·
·
List #1
Most Reliable
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:
United States (U.S.) Passport
U.S. Naturalization Certificate issued by U.S.
Citizenship & Immigration Services (USCIS)
Certificate of Citizenship issued by USCIS
156
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
Life, health, or other insurance record showing
U.S. place of birth
List #3
(Either of these must have been created at least 5
years before the initial AHCCCS application
date.)
Census records showing U.S. place of birth
List #4
Nursing home records, medical records, or other
documents showing U.S. place of birth created at
least 5 years before initial AHCCCS application
date
Least Reliable
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)
157