AHCCCS News & Updates
Looking for a previous story? Information previously located on this page has been
placed in either the State Legislative
Budget Activities pages or the Federal
Note: Information provided in PDF files, unless otherwise noted.
April 1, 2014
Effective May 1, 2014, AHCCCS will no longer accept new applications for Independent
Providers (Type 24) because AHCCCS will phase out the Independent Provider Program by
the end of 2014. AHCCCS encourages persons wanting to provide Direct Care Services to
members of the Arizona Long Term Care System (ALTCS) to seek employment with a Direct
Care Service Agency.
As of May 1, 2014, prospective Independent Providers should contact local Direct Care
Service Agencies or the ALTCS member’s Tribal Case Manager for a listing of available
Direct Care Service Agencies.
Marketplace Special Enrollment Period for Certain Individuals
March 25, 2014
As a result of the delays in processing applications on healthcare.gov and concerns regarding account
transfers, CMS released information about the availability of special enrollment periods for certain
individuals who are applying for coverage at the health insurance Marketplace. Applicants that may
qualify for the special enrollment period are: (1) consumers who are “in line” by the March 31st deadline
to complete enrollment; and (2) consumers who have complex cases. These special cases are for specific
situations where a consumer was not able to successfully complete enrollment during the open enrollment
period despite their efforts to do so and through no fault of their own. There is also an exception for
individuals who are victims of domestic abuse. More CMS guidance is available on the links below:
Maintenance on Federal Data Sources
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.
Challenges continue with transfers of applications between state and federal systems
February 12, 2014
There are 60,000 consumers who applied for healthcare coverage through the federal Marketplace at
www.healthcare.gov and were told their income qualified
them for AHCCCS coverage instead. AHCCCS has been working with the federal government to transfer these 60,000
applicants from the federal Marketplace into the AHCCCS system. This step is necessary in order to complete the
individual’s AHCCCS eligibility.
The federal government has indicated that Arizona and a number of other states are “in production” with
regards to the transfer of these applications. However, there are a number of technical problems with
the accounts that are being transferred from the federal Marketplace making eligibility determinations
impossible to complete in some cases. AHCCCS is attempting to develop a way to work around these challenges
manually. While we are working diligently with the federal government to address their system’s
shortcomings, this account transfer process will be slow and cumbersome for the foreseeable future.
In the meantime, we continue to urge individuals who are assessed Medicaid/AHCCCS eligible by
healthcare.gov to go to www.healthearizonaplus.gov
directly to apply.
We recognize that many Arizonans are stuck in this difficult consumer experience. Please rest assured that
AHCCCS is doing everything possible to accurately resolve these applications. AHCCCS will keep its website
updated as this process moves forward. We apologize for the current inconvenience in the lack of seamless
communication between the state and federal systems.
December 17, 2013
IMPORTANT: If you are denied AHCCCS coverage for being over income, please apply for health care coverage at
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.
April 7, 2014
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.
Outside Open Enrollment
Were you "in line" on March 31st?
Updates regarding AHCCCS enrollment and restoration can be found on the link below. These updates
reflect enrollment as of the first of the month and are typically updated published by the
10th of each month.
AHCCCS Population Report
January 17, 2014
AHCCCS has updated its page containing Reports to the Arizona Legislature. Reports are now filtered by
topic and year delivered. For more information, please visit
September 24, 2013
Laws 2011, Ch. 96, § 1 required ADHS to adopt rules regarding health care institutions that
facilitate licensing of "integrated health programs that provide both behavioral and physical
health services." In response, ADHS revised the rules in Arizona Administrative
Code (A.A.C.), Title 9, Chapter 10 and Chapter 20.
For additional information describing rule changes, visit the ADHS website at:
October 29, 2013
As of October 1, 2013, AHCCCS is no longer processing Baby Arizona applications. The Affordable Care Act (ACA)
requires states to utilize a single streamlined application approved by the Secretary of Health and Human Services.
In Arizona, this is completed through the Health-e-Arizona Plus (HEAplus) online application. HEAplus offers a quick
and user-friendly process when applying for health insurance and can be accessed directly at
Providers are encouraged to become Community Partners. Today there are over 75 Contracted Community Partner
Organizations in more than 300 locations throughout the State who help Arizonans apply online for AHCCCS Health
Insurance, Nutrition Assistance (formerly Food Stamps) and TANF Cash Assistance. Improved access to electronic
data sources provides real-time eligibility determinations. For more information about HEAplus, including how
become a contracted community partner organization, please visit the
AHCCCS Health-e-Arizona Plus web page.
July 10, 2013
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
July 8, 2013
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 Childless Adults and provides coverage
for those between 100-133% of the Federal Poverty Level, beginning January 1, 2014.
Medicaid Moving Forward