Individuals Covered By Both Medicare and Medicaid (Dual Eligible Members)
AHCCCS continues developing integration initiatives to increase alignment and improve service delivery for individuals covered by both Medicare and Medicaid. These individuals, commonly referred to as “dual eligible members,” navigate multiple health systems to receive care. This health system fragmentation often results in poor communication, uncoordinated health care decisions and a lack of a patient-centered perspective. AHCCCS has moved toward increasing the coordination of health service delivery between these two health programs by contracting with Medicare Advantage Dual Special Needs Plans (D-SNPs) that are each affiliated with its partner AHCCCS Complete Care (ACC) Medicaid health plan. Requiring each ACC Medicaid health plan to offer a partner Medicare D-SNP promotes the enrollment or alignment of dual eligible members in the same health plan for both Medicare and Medicaid services to the greatest possible extent. Enrolling in specialized Medicare plans allows dual eligible members to receive all of their health care services, including prescription drug benefits, from a single, integrated health plan.
For more information regarding enrollment in an aligned Medicare D-SNP for 2019, please contact the plan you are interested in as shown below.
2019 D-SNPs Available to AHCCCS Complete Care (ACC) and RBHA Dual Eligible Members
| Available D-SNPs | Counties Available | Line of Business | Telephone | Website |
|---|---|---|---|---|
| Arizona Complete Care Medicare Advantage (Allwell) for Arizona Complete Care – Complete Care Plan | Cochise, Gila (ACC Only), Graham, Greenlee, La Paz, Maricopa (ACC Only), Pima, Pinal, Santa Cruz, and Yuma | ACC RBHA | 1-800-333-3930 | https://allwell.azcompletehealth.com/ |
| Banner – University Care Advantage for Banner – University Family Care | Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma | ACC | 1-877-874-3938 | http://www.banneruca.com |
| ONECare by Care1st Health Plan of Arizona (WellCare Liberty) for Care1st Health Plan of Arizona | Apache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai | ACC | 1-866-527-0056 | https://www.wellcare.com/en/Arizona |
| Mercy Care Advantage for Mercy Care | Gila (ACC Only), Maricopa, and Pinal (ACC Only) | ACC RBHA | 1-866-571-5781 | http://www.mercycareadvantage.com/become-a-member/mca |
| Steward Health Choice Generations for Steward Health Choice of Arizona | Apache, Coconino, Gila, Maricopa (ACC Only), Mohave, Navajo, Pinal (ACC Only), and Yavapai | ACC RBHA | 1-800-656-8991 | https://www.stewardhcgenerations.org/az/ |
| UnitedHealthcare Community Plan Dual Complete for UnitedHealthcare Community Plan | Maricopa, Pima, and Pinal | ACC | 1-888-834-3721 | https://www.uhccommunityplan.com/az.html |
| UnitedHealthcare Insurance Company for UnitedHealthcare Community Plan | Gila | ACC | 1-888-834-3721 | https://www.uhccommunityplan.com/az.html |
2019 D-SNPs Available to ALTCS Elderly and Physically Disabled (E/PD) Dual Eligible Members
| ALTCS E-PD Available D-SNPs | Counties Available | Telephone | Website |
|---|---|---|---|
| Banner – University Care Advantage for Banner – University Family Care | Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma | 1-877-874-3938 | http://www.banneruca.com |
| Mercy Care Advantage for Mercy Care | Gila, Maricopa, Pima and Pinal | 1-866-571-5781 | http://www.mercycareadvantage.com/become-a-member/mca |
| UnitedHealthcare Community Plan Dual Complete for UnitedHealthcare Community Plan | Apache, Coconino, Maricopa, Mohave, Navajo, Pinal and Yavapai | 1-888-834-3721 | https://www.uhccommunityplan.com/az.html |
| UnitedHealthcare Insurance Company for UnitedHealthcare Community Plan | Gila | 1-888-834-3721 | https://www.uhccommunityplan.com/az.html |
Contact the following for further information and answers to your questions regarding AHCCCS available 2019 Medicare D-SNPs in your area:
| AHCCCS | 602-417-7100 (Maricopa County only) 1-800-962-6690 (outside of Maricopa County) TTY: 1-800-367-8939 OR https://www.azahcccs.gov/shared/AHCCCScontacts.html |
|---|---|
| SHIP (the Arizona State Health Insurance Assistance Program) |
1-800-432-4040 |
| Medicare | 1-800-MEDICARE (1-800-633-4227) TTY: 1-877-486-2048 |