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 2021, please contact the plan you are interested in as shown below.

2021 D-SNPs Available to AHCCCS Complete Care (ACC) and RBHA Dual Eligible Members

Available D-SNPs Counties Available Health Program Telephone
Arizona Complete Care Medicare Advantage (Allwell Dual Medicare) for Arizona Complete Health Complete Care Plan Cochise, Gila (ACC Only), Graham, Greenlee, La Paz, Maricopa (ACC Only), Pima, Pinal, Santa Cruz, and Yuma ACC RBHA Members:
1-800-977-7522
Non-Members:
1-800-333-3930
Banner – University Care Advantage for Banner – University Family Care Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma ACC Members:
1-877-874-3930
Non-Members:
1-877-874-3938
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 Members:
1-833-444-9089
Non-Members:
1-866-527-0056
Health Choice Pathway for Health Choice Arizona Apache, Coconino, Gila, Maricopa (ACC Only), Mohave, Navajo, Pinal (ACC Only), and Yavapai ACC RBHA 1-800-656-8991
Magellan Complete Care of Arizona for Magellan Complete Care Gila, Maricopa, and Pinal ACC Members:
1-800-424-4509
Non-Members:
1-800-424-4505
Mercy Care Advantage for Mercy Care Gila (ACC Only), Maricopa, and Pinal (ACC Only) ACC RBHA Members:
1-877-436-5288
Non-Members:
1-866-571-5781
UnitedHealthcare Community Plan Dual Complete for UnitedHealthcare Community Plan Maricopa, Gila, Pima, and Pinal ACC Members:
1-877-614-0623
Non-Members:
1-888-834-3721

2021 D-SNPs Available to ALTCS Elderly and Physically Disabled (E/PD) Dual Eligible Members

Available D-SNPs Counties Available Telephone
Banner – University Care Advantage for Banner – University Family Care Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, and Yuma Members:
1-877-874-3930
Non-Members:
1-877-874-3938
Mercy Care Advantage for Mercy Care Gila, Maricopa, Pima and Pinal Members:
1-877-436-5288
Non-Members:
1-866-571-5781
UnitedHealthcare Community Plan Dual Complete ONE for UnitedHealthcare Community Plan Apache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal and Yavapai Members:
1-877-614-0623
Non-Members:
1-888-834-3721

2021 D-SNPs Available to Division of Developmental Disabilities (DDD) Dual Eligible Members

Available D-SNPs Counties
Available		 Telephone
Mercy Care Advantage for Mercy Care All Counties Members:
1-877-436-5288
Non-Members:
1-866-571-5781
UnitedHealthcare Community Plan Dual Complete for UnitedHealthcare Community Plan All Counties Members:
1-877-614-0623
Non-Members:
1-888-834-3721

Contact the following for further information and answers to your questions regarding AHCCCS available 2021 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
AHCCCS Contacts
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