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