Baby Arizona
Providers
If you are a physician interested in becoming a
participating Baby Arizona provider:
The provider will send office staff members to a
training session held by Department of Economic
Security. The physician's name, practice address and phone number
may be given to a potential patient by the Arizona
Department of Health Services Pregnancy Information
Hotline and other participating referral systems.
When contacted by a referred patient or the hotline,
the office will schedule an appointment and assist in
the eligibility process. The office will perform the
same clinical services for a referred patient on the
initial visit that the office provides for patients
referred from other sources. If a patient is
subsequently determined not to be eligible, the office
will continue to render care upon a reasonable payment
schedule developed between the office and the patient.
If a patient who is determined eligible opts to
receive care from another provider, the office will
transfer her records to that provider within ten working
days of receiving release from the patient. The provider
may withdraw from participating in this program at any
time upon written notice. A signed form should be sent
to the Maternal Child Health Coordinator at the following address: 701 East
Jefferson, MD 6700, Phoenix, AZ, 85034; or faxed to
(602) 417-4162.
OB/GYN providers play an important role in making
Baby Arizona a success. Physicians' offices participate
in Baby Arizona by offering a streamlined application
process for AHCCCCS coverage. This means provider
offices assist pregnant women to apply for medical
coverage through AHCCCS during the first prenatal visit.
These women are able to receive care early in their
pregnancies and are more likely to qualify.
The Arizona
Medical Association (ArMA) supports the Baby Arizona
Program and developed the
Participating Provider
Agreement form. Before participating in Baby Arizona,
the medical provider must sign this form.
Click here
to download it.
Staff training will be initiated when AHCCCS receives
a signed Baby Arizona Participating Provider Agreement. Providers must send office staff
members to the Baby Arizona training session before
implementing the program in their offices.
The participating providers may request training for
new staff members at any time by contacting the Maternal
Child Health Coordinator at the following address: 701
E. Jefferson, MD 6700, Phoenix, AZ, 85034; or by fax at (602) 417-4162.
View a list of
participating providers, by county.
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