Medicaid Moving Forward
Success Stories


Chantel D. "I had two dreams:
Graduate from college
Keep my eyesight ..."

Chantal D., ASU Graduate December 2013
 
 
 
 

Visit Our Success
Stories Page!

 

If you or someone you know has a story about how the Governor’s Plan has helped to get the health care coverage needed to succeed, we want to hear from you! You can share your story and/or photo by sending an email to success@azahcccs.gov.

Note: Stories and photos submitted may be featured on the AHCCCS website.
Tell Us Your Story

To apply for AHCCCS coverage, visit www.healthearizonaplus.gov


APPLICATION PROCESS UPDATES

Maintenance on Federal Data Sources New

March 10, 2014
Federal data sources used by Health-e-Arizona Plus (HEAplus) will not be available during scheduled maintenance times. When these federal data sources are not available, HEAplus will not be able to accept your application. We apologize for any inconvenience. Federal data sources will not available during the following times:

  • - Monday through Friday, 11:00 pm to 3:00 am, Arizona time.
  • - Saturday and Sunday, 9:00 pm to 5:00 am, Arizona time.

SSA Systems Maintenance May Delay State and Federal Application Processing

April 7, 2014   New
CMS released new information to provide additional assistance on the special enrollment period for consumers who were “in line” on March 31st. For more information please visit the links below.

Assisting Consumers
Outside Open Enrollment
Were you "in line" on March 31st?


February 13, 2014

Social Security Administration (SSA) will conduct annual systems maintenance activities from Saturday February 15, at 3:00PM Eastern Time until Tuesday, February 18th at 5:00AM EST. During this period, HEAplus and the Federal Marketplace will be unable to electronically verify Social Security Numbers and other related data electronically.

This means that if you apply for AHCCCS during this period, your eligibility may be delayed. HEAplus will finish processing these applications after the service is back on line on the 18th. Remember, there is no open enrollment deadline for AHCCCS coverage. If you are made eligible, your coverage begins on the first of the month in which your application was submitted.

If you are applying for coverage through the Federal Marketplace and you want that coverage to start March 1, 2014, you need to sign up by February 15th. Because of the maintenance window, applicants will not be able to find out whether they qualify if they apply after 3pm that day. Those customers should call the Federal Call Center at 1-800-318-2596 starting on February 18th to request March coverage. Open Enrollment Reminder: Customers have until March 31st to sign up for new coverage during this year’s Federal Marketplace open enrollment window.


Apply on HEAPlus if the Federal Marketplace says you might be AHCCCS Eligible

November 21, 2013

IMPORTANT: If healthcare.gov tells you that you are AHCCCS eligible, please apply at www.healthearizonaplus.gov.

Many people that are seeking healthcare coverage are applying through the federally-facilitated Marketplace or insurance exchange – www.healthcare.gov. The Marketplace does not make AHCCCS eligibility determinations, but it does screen applicants for AHCCCS based on your income. The Marketplace system will tell people who screen AHCCCS eligible that the State will complete their eligibility determination soon. Recently, the federal government announced that 11,000 individuals had been assessed as Medicaid eligible through the Marketplace in Arizona.

The reality is AHCCCS does not have any applications that started from healthcare.gov. Since AHCCCS does not have those applications, no one has been made AHCCCS eligible if they applied on the Marketplace. The federal government is not able to transfer applications of individuals that screen eligible for AHCCCS. At this time, the federal government does not have a date by which they expect this capability to be functioning. So if the Marketplace screens you as AHCCCS eligible, you must apply for AHCCCS directly. At some future date yet to be determined, the Marketplace will automatically transfer your application to AHCCCS and you will not need to do anything further. But for now, that functionality is not available.


Background

The Supreme Court ruling on the Affordable Care Act (ACA) provides states multiple and complex opportunities with respect to the future of their Medicaid programs. With these opportunities in mind, Governor Brewer signed into law the AHCCCS Restoration Plan which restores coverage to thousands of Childless Adults and provides coverage for those between 100-133% of the Federal Poverty Level, beginning January 1, 2014. The links below provide detailed information regarding the impact of these provisions to Arizona’s Medicaid program. Additional information will be posted to this page as soon as it becomes available.

The AHCCCS Strategic Plan identifies four goals critical to sustain and build on the success of the AHCCCS program in light of the restoration of coverage -- the most important healthcare policy issue the State has faced since the inception of the AHCCCS program 30 years ago and can be found on the link below:

AHCCCS Strategic Plan 2014-2018


Public Input Process

AHCCCS will be involved in a variety of stakeholder efforts to inform and accept feedback from the public regarding Medicaid Moving Forward. Information will be posted as soon as it becomes available. Questions and comments can be sent to Forward@azahcccs.gov.

  • Public Meetings 

    AHCCCS is hosting community meetings across the state to provide the public with information about some of the upcoming changes for Arizona’s Medicaid program. These sessions will also provide the opportunity for AHCCCS to hear from stakeholders, including members and their families, advocates and providers. Space is limited so RSVP is required. Information about these meetings can be found at the link below.

    Public Meetings
    Speaker Slip
    Presentation

  • Stay Connected

    If you would like to receive periodic updates about AHCCCS, implementation, future public meetings or other information, please email Forward@azahcccs.gov. You can also add your name to continue to show support for Restoration and it will automatically place you on the email list. To sign your name in support, please visit the web page below:

    I Support Medicaid Coverage

AHCCCS Topics of Interest


  • Medicaid Coverage

    On June 17, 2013, Governor Brewer signed into law her Medicaid Restoration Plan. Adult coverage will begin January 1, 2014 and applications accepted and processed beginning October 1, 2013. Applicants are encouraged to use the Health-e-Arizona Plus online application to apply. The link below provides background information about how this plan was developed and how it will be funded.

    Medicaid Coverage

    Hospital Assessment

    Projected Enrollment 10/1/13-9/31/14

    AHCCCS Population by Category

    2014 FPL Guidelines

    Computer Access, Education and Enrollment Assistance

  • KidsCare Coverage

    December 5, 2013 Updated

    On November 27, 2013, Arizona received federal approval to continue coverage for children above 133% FPL who are enrolled in KidsCare II through January 31, 2014 in order to provide additional time to transition to the Federally Facilitated Marketplace. Households will receive a notice informing them about their continued coverage. However, enrollment for KidsCare will remain frozen in 2014. More information regarding this authority can be found on the link below:

    Waiver Authorities

    KidsCare Coverage

  • Health-e-Arizona Plus

    AHCCCS and DES are leveraging the current Health-e-Arizona system to comply with new requirements for Medicaid and CHIP eligibility. Health-e-Arizona Plus will be available on or around 10/14/13. In the meantime, Health-e-Arizona will screen eligibility for childless adults and expansion populations. Click on the links below for more information.

    Modernizing Medicaid IT Systems

    VIDEO: Modernizing Public Assistance Programs

    VIDEO: New Technology for Public Assistance Programs

    If your organization is interested in becoming a registered community partner to assist individuals with the online application process for AHCCCS Health Insurance, KidsCare, SNAP and/or TANF please visit the website below for more information or contact HEAAHCCCS@azahcccs.gov.

    For further information, please visit the HEAplus webpage.

    AHCCCS has received a few inquiries related to incorrect information in the community. To clarify: HEA IS accepting childless adult (and expansion group) applications. These applications WILL transfer to HEAplus after the system goes live. You will NOT have to reapply for childless adults or expansion groups. Childless adults are NOT getting denied today for coverage in January. They may receive a notice letting them know they are not eligible for coverage from October through December, but the notice also lets them know we will process their application under the new rules for coverage that would start in January.

    HEAplus Update

    December 17, 2013 New
    IMPORTANT: If you are denied AHCCCS coverage for being over income, please apply for health care coverage at www.healthcare.gov.

    If you apply on HEAplus and your AHCCCS application is denied for being over income, you must go to the Federal Marketplace to apply for health care coverage. You can do this by going online to www.healthcare.gov, open an account and complete your application.

    October 29, 2013
    Notice: Federal online application systems, including Data Service Hubs used by HEAPlus to confirm identity and other information, continue to experience technical difficulties. The Federal Government continues to work on improving its systems. If you are unable to complete the online application, please submit your application online at a later time. AHCCCS will do its best to update you timely once the federal data hub is available but the agency is dependent on receiving that notice from the federal government

    "Go Live" is Saturday, 10/19/13

    A decision was made to "go live" with Health-e-Arizona Plus (HEAplus) on Saturday, October 19, 2013. This date was selected because there is lighter system use on weekends, making it easier to manage the new system before the heavy work week use starts on Monday.

    Before 10/19/13, HEAplus must be updated with application information entered in the current Health-e-Arizona (HEA) system during the prior 2 week period. This will require that access to HEA be stopped at 7:00 PM on Thursday, October 17, 2013. HEA will not be available on Friday, October, 18, 2013. We apologize for this inconvenience.

  • Federally Facilitated Marketplace

    On November 18, 2012, Governor Brewer announced that Arizona will participate in a Federally Facilitated Marketplace (FFM). More information on the Governor’s decision can be found below. A link to the Marketplace Subsidy Calculator is also included, which helps estimate premiums and subsidies for people purchasing insurance through the Marketplace. More information on the FFM can be found at www.healthcare.gov.

    Marketplace Decision Letter- 11/28/12

    Marketplace Subsidy Calculator

    Cover AZ

    Marketplace and Medicaid Outreach

    Find Local Help

    For assistance please call 1-800-318-2596

  • Essential Health Benefits

    Governor Brewer selected the State Employee Benefit- United Healthcare EPO with pediatric, dental and vision coverage supplemented by the FED-VIP as the baseline Essential Health Benefits package for Arizona. The Essential Health Benefits package mandates the minimum services for all commercial policies in Arizona. More information can be found on the links below:

    Essential Health Benefits

    Governor Brewer Letter 9/28/12

    Although Arizona is no longer accepting public comments regarding the Essential Health Benefits Benchmark Plan, a link to the Essential Health Benefits Report can be found below. Comments were originally submitted electronically to: HIX@az.gov.

    Benchmark Plan Report

  • Federal Interface

    CMS has released information regarding the ACA’s provisions and can be found on the links below. Further discussion with CMS will continue and the information posted as soon as it becomes available. More information can be found at www.CMS.gov.

    Comments on Proposed Rules

    Final Rules

    State Plan Amendments

    Arizona Transition Plan

  • Medicaid & Medicare Fraud

    Although there are a number of changes associated with the Affordable Care Act, changes to Medicare is NOT one of them. Medicare beneficiaries do NOT need to buy insurance in the new Health Insurance Marketplace. Unfortunately, there have been a number of reports on fraud-related activity. Arizonans who have Medicare should use caution and should not share their personal identifying information with anyone. You can report suspect activity to the Arizona Attorney General’s Fraud Unit below:

    1275 W. Washington St.
    Phoenix, Arizona 85007
    602.542.3881
    602.364.0411 (fax)

    AZ Attorney General Fraud Warning