B EPD Program and Contractor Enrollment Process

 

 

 

Revised 04/26/2022

Policy

Only customers who are age 65 or older (elderly) or have a physical disability (EPD) whose county of fiscal responsibility (MA1104E) is Maricopa County, Gila County, Pinal County or Pima County may choose their program contractor.  Other fiscal counties do not have multiple program contractors.

Enrollment in a program contractor is determined according to the following policy:

·        All ALTCS customers who have a developmental disability are enrolled with the Division of Developmental Disabilities (MA1104C).

·        EPD American Indians that are within the bounds of a tribal nation status are enrolled with the tribe or Native American Community Health (NACH) if the tribe is not a program contractor (MA1104D).

·        EPD customers whose county of fiscal responsibility is Maricopa County, Gila County, Pinal County or Pima County may choose their program contractor (MA1104E). 

·        All other EPD customers are enrolled with the program contractor that serves their county of fiscal responsibility.

 

Program Contractors for EPD Customers Not Enrolled with a Tribal Contractor

When a customer does not choose a program contractor before the application is approved, AHCCCS automatically assigns a program contractor and enrolls the customer.  A Freedom of Choice letter is mailed to customers informing them of the program contractor they were enrolled in and giving them a 90-day period to choose a different program contractor if they wish to change.  If the customer does not contact AHCCCS to choose a different program contractor, the customer will remain enrolled with the auto-assigned program contractor.

AHCCCS currently contracts with the following program contractors to provide ALTCS services to EPD customers who are not enrolled with a tribal contractor:

ALTCS-EPD Program Contractor

Counties Served

Banner – University Family Care

http://www.ufcaz.com

2701 E. Elvira Road

Tucson, AZ 85756

Toll free (800) 582-8686

Maricopa, Gila, Pinal, Cochise, Graham, Greenlee, La Paz, Pima, Santa Cruz, and Yuma

 

Mercy Care Plan

http://www.mercycareplan.com/

4350 E. Cotton Center Blvd., Bldg. D

Phoenix, AZ 85040

(602) 263-3000

Toll free 1-800-624-3879

Maricopa, Pinal, and Pima

 

UnitedHealthcare

http://www.uhccommunityplan.com/

1 E. Washington Street

Phoenix, AZ 85004

Toll free 1-800-293-3740

Apache, Coconino, Gila, Maricopa, Mohave, Navajo, Pinal, and Yavapai

 

When customers need assistance selecting a program contractor, they may

·        visit www.azahcccs.gov/altcschoice; or

·        contact the AHCCCS Benefits and Eligibility Specialist for choice counseling.

 

Definitions

Term

Definition

Choice Counseling

Providing information and services to help customers make enrollment decisions. It includes answering questions and identifying factors to consider when choosing a program contractor. Choice counseling does not include making recommendations for or against enrollment into a specific program contractor.

 

Legal Authority

This requirement applies to the following program:

Program

Legal Authorities

Elderly or Physically Disabled (EPD)

42 CFR 438.71

ARS 36-2933

AAC R9-28-413