Arizona’s Medicaid agency, known as Arizona Health Care Cost Containment System, or AHCCCS, is a government-funded insurance program offering health care to Arizona residents who meet income, age, or disability requirements. AHCCCS offers both fee-for-service and managed care plans to help ensure that Arizona residents can access much-needed mental and physical healthcare.
AHCCCS Insurance Plans
AHCCCS offers plans that cover a variety of services, including doctor’s visits, prescriptions, immunizations, lab work, hospital services, family planning, emergency care, and pregnancy services. They also offer vision and dental services for children. Behavioral and mental healthcare is also available under all AHCCS insurance plans.
AHCCCS works similar to a Health Maintenance Organization (HMO). Enrollees choose a primary care doctor who is in their insurance network and that doctor will refer you to specialists that you might need for further evaluation and treatment.
The plan you can enroll in depends on what service area you live in.
How do I Qualify for AHCCCS?
In most cases, individuals qualify for AHCCCS due to having a low income. While the specific criteria vary based on the number of people in the family, the age of those in the family, and any type of disability present, in general, children, pregnant women, caretakers, those with disabilities, or those over 65 can qualify if they are at or below the federal poverty line. Individual circumstances, such as ability to obtain other insurance coverage, a history of cancer, ability to work, and requiring nursing home care can impact eligibility. Emergency-only coverage is also available for those who do not meet citizen or immigration status requirements.
It is important to note that if your application is still being processed or you are denied AHCCCS coverage, Arizona residents may qualify for mental health and drug and alcohol addiction treatment through the Regional Behavioral Health Authority.
AHCCCS Mental Health Coverage
Individuals who need behavioral or mental health treatment will have a variety of options with AHCCCS mental health insurance, available on all plans. Coverage includes access to supervised day programs, medical day programs, therapeutic day problems, crises services, rehabilitation services, residential behavioral health services, peer and family support, respite and housing services, and therapeutic foster care. AHCCCS rehab coverage also covers a variety of options for substance abuse treatment, including counseling, assessment, and rehab.
Our insurance verification team works quickly to verify your insurance benefits to place you into one of our centers as soon as possible. Because of our industry expertise we will be able to verify this information in a timely manner and can advocate for more coverage or more time in treatment. We strive to do this as quick as possible while also maximizing your coverage. Our insurance verification process is of no cost to you and there are absolutely no obligations.
Does AHCCCS Pay for Drug Rehab?
Most people with AHCCCS rehab insurance coverage can use that policy to pay for drug and alcohol rehab. AHCCCS covers medical detox for drug and alcohol addiction, in addition to inpatient residential treatment, counseling, skills training, psychoeducational services and employment support, case management, peer support, and medication management. This can provide you with access to a variety of tools necessary to help you recover from your addiction and transition back to employment and community life.
Trying to figure out how to pay for substance abuse treatment can be overwhelming. However, for those living in Arizona, AHCCCS addiction treatment coverage can make treatment accessible and affordable. Those with AHCCCS plans may qualify for low-cost or free substance abuse treatment, helping you to recover without worrying about the burden of affording it. Call us today and we can help you determine if we are in your AHCCCS rehab network.
Sunshine Behavioral Health strives to help people who are facing substance abuse, addiction, mental health disorders, or a combination of these conditions. It does this by providing compassionate care and evidence-based content that addresses health, treatment, and recovery.
Licensed medical professionals review material we publish on our site. The material is not a substitute for qualified medical diagnoses, treatment, or advice. It should not be used to replace the suggestions of your personal physician or other health care professionals.
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