D Newborn Enrollment

Policy

The newborn’s enrollment is determined by both the:

·         Mother’s enrollment; and

·         Newborn’s date of birth.

1)    Health Plan Assignment for Newborns

When the newborn’s mother is eligible and enrolled with an AHCCCS Complete Care (ACC) plan or AIHP, the newborn is enrolled in the same plan as the mother.

The newborn is auto-assigned to a health plan when the mother:

·         Is not enrolled with a health plan or American Indian Health Program (AIHP);

·         Has a Children’s Rehabilitative Services (CRS) designation;

·         Is enrolled with Mercy Care Department of Child Safety Comprehensive Health Plan (DCS CHP); or

·         Is enrolled with a program contractor or tribal ALTCS contractor.

Health plans and hospitals notify AHCCCS of the birth of a newborn so that the newborn can be enrolled with a health plan.

2)    ID Card

The newborn’s AHCCCS ID card is not sent until the first name is received from the eligibility source.

3)    Enrollment Choice

A Freedom of Choice letter is sent to the mother notifying her of the right to choose a different health plan for the child within 90 days from the date of the enrollment notice.

When customers need help selecting a health plan they may:

·         Visit www.azahcccs.gov/choice; or

Speak to a Beneficiary Support Specialist by calling (602) 417-7100 from area codes (480), (602), and (623) or 1-(800)-334-5283 from area codes (520) and (928).

Definitions

Legal Authority