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Thu Dec 15, 2011 Beginning January 1, 2012, adults eligible for AHCCCS for Families with Children and individuals eligible for AHCCCS Care who reside outside of Maricopa and Pima counties may be charged a $3 fee by their provider (doctor, nurse practitioner, and physician assistant) if they miss their appointment without cancelling it at least 24 hours before the appointment or are more than 20 minutes late to the appointment.
For more information, see the Member Information Sheet below:
Member Information
Tue, December 2, 2011 Beginning December 15, 2011, we will be adding photos to our online verification tool that providers use to verify a member’s eligibility. This new feature is one of many efforts by AHCCCS to help protect members and prevent fraud. For all AHCCCS members who have an Arizona driver’s license or a State issued Identification (ID) card, AHCCCS will get their picture from the Arizona Department of Transportation Motor Vehicle Division (MVD). When providers use the online member verification tool and enter a member’s social security number, the member’s picture, if available from MVD, will be shown on the verification screen along with other AHCCCS coverage information. The picture will help providers to quickly confirm the member’s identity.
Mon Aug 22, 2011 Acute Care Members Effective October 1, 2011, Pima Health Plan will no longer be available to AHCCCS Acute care members. Members currently enrolled with Pima Health Plan were sent a letter about this change on August 8, 2011. The letter informs members that AHCCCS has assigned them to other health plans available in Pima County. Reassignment will be effective October 1, 2011. Members can stay in their reassigned health plan or choose another available health plan and inform AHCCCS of this change no later than September 7, 2011. To change health plans, call AHCCCS customer service, Monday through Friday, 8:00 am to 5:00 pm, at: 602-417-7100 from area codes 602,623, and 480 or, 1-800-334-5283 from area codes 520 and 928.
ALTCS Members Effective October 1, 2011, Pima Health Plan will no longer be available to AHCCCS Long Term Care System members. Members currently enrolled with Pima Health Plan were sent a letter about this change on August 19, 2011. The letter informs members that AHCCCS has reassigned them to Evercare Select or Mercy Care Plan. Reassignment will be effective October 1, 2011. Members can stay in their reassigned health plan or choose another available health plan and inform AHCCCS of this change no later than October 31, 2011. Changes to reassigned health plans will be effective on January 1, 2012. To change health plans, call AHCCCS customer service, Monday through Friday, 8:00 am to 5:00 pm, at: 602-417-7100 from area codes 602, 623, and 480 or, 1-800-334-5283 from area codes 520 and 928.
Thur Apr 28, 2011 Effective with ALTCS applications filed on and after May 1, 2011, uncompensated transfer penalty periods will be reduced and ended only when ALL transferred assets are returned. Penalty periods will no longer be shortened when only a partial return is made. For more information, click on the link below:
ALTCS Transfer Change [8KB]
Tue Mar 1, 2011 The new Federal Poverty Level limits effective April 1, 2011 are now available:
2011 Federal Poverty Guidelines
Thurs Feb 17, 2011 AHCCCS covers 1.35 million Arizonans through contracted Health Plans. AHCCCS Health Plans receive thousands of requests for services requiring prior authorization on a daily basis. Federal law requires that all denials of services requiring prior authorization be sent in writing since the member has the right to appeal the notification. There is no similar requirement for written notice of approvals of a service since there is no need for an appeal in that instance.
Accordingly, to increase efficiencies and maintain costs, approvals for procedures requiring prior authorization are communicated to members by phone. These phone notifications are documented in internal records.
Fri Nov 5, 2010 During the time period from September 28, 2010 to November 1, 2010, some AHCCCS ID cards were issued missing the last digit of the behavioral health provider telephone number. The problem has been corrected for cards produced in November. The full telephone numbers of the providers are:
Tue Nov 2, 2010Seasonal flu and pneumococcal vaccines are available for all AHCCCS members.
Tue Nov 2, 2010Seasonal flu and pneumococcal vaccines are available for many AHCCCS FFS members.
Mon Mar 7, 2010 The final rules for the ALTCS PAS tool for children under 6 have been approved. The implementation date for the new PAS tool is March 21, 2011.
Final Rules
Tue Oct 12, 2010 AHCCCS is proposing to update the ALTCS PAS tool used for children under age 6. The new tool has been developed and piloted and is now being finalized. More information is provided below:
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