A Overview

Policy

AHCCCS health plans provide physical and behavioral health services to customers.  The health plan contracts with primary care physicians, specialists, dentists, hospitals, and other providers to form a network of service providers.  Most health plans serve specific Geographic Service Areas (GSAs), which are made up of specific Arizona counties. 

This section covers:

·        The Arizona counties assigned to each GSA, and

·        Health plans that serve specific customer groups

1)    Health plans available by county

The following table lists the counties assigned to each GSA:

When a Zip code crosses two different counties, the Zip code is assigned to a specific GSA. .  The health plan is responsible for providing services to members residing in the entire ZIP code that is assigned to the GSA. 

The split ZIP codes GSA assignments are as follows:

To review a list of the health plans available by county see AHCCCS Health Plan Links.

2)    Health plans that serve specific customer groups

·        Mercy Care Department of Child Safety Comprehensive Health Plan (DCS CHP) provides services to children in Arizona foster care statewide.

·        American Indian Health Program (AIHP) is available to American Indians statewide who choose not to enroll in one of the health plans available by county.  

·        Mercy Care provides services to customers who have a serious mental illness (SMI) living in the counties of Maricopa, Gila, and Pinal (excluding ZIP codes 85542, 85192, and 85550).

·        Care 1st Health Plan provides services to customers who have a SMI living in Northern Arizona.  This includes the counties of Apache, Coconino, Mohave, Navajo, and Yavapai.

·        Arizona Complete Health provides services to customers who have a SMI living in Southern Arizona.  This includes the counties of Cochise, Graham, Greenlee, La Paz, Pima, Santa Cruz, and Yuma (including ZIP codes 85542, 85192, and 85550).

Definitions

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