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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
The following table lists the counties assigned to each GSA:
Geographic Service Areas |
Counties |
Central |
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North |
|
South |
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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:
ZIP CODE |
SPLIT BETWEEN THESE COUNTIES |
ASSIGNED GSA |
85342 |
Yavapai and Maricopa |
Central |
85390 |
Yavapai and Maricopa |
Central |
85358 |
Yavapai and Maricopa |
Central |
85542 |
Gila and Graham |
South |
85550 |
Gila and Graham |
South |
85645 |
Pima and Santa Cruz |
South |
85192 |
Gila and Pinal |
South |
To review a list of the health plans available by county see AHCCCS Health Plan Links.
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).
Arizona Complete Health provides services to customers who have an SMI, living in Northern or Southern Arizona. This includes the Southern counties of Cochise, Graham, Greenlee, La Paz, Pima, Santa Cruz, and Yuma (including ZIP codes 85542, 85192, and 85550) and the Northern counties of Apache, Coconino, Mohave, Navajo, and Yavapai.
Term |
Definition |
Mercy Care Department of Child Safety Comprehensive Health Plan (DCS/CHP) |
A health plan administered by the Arizona Department of Child Safety (DCS) that provide services to children in the custody of the State of Arizona’s foster care system. |
Integrated Health Plan |
A plan that joins physical and behavioral health services to treat all aspects of healthcare needs for members under a chosen health plan. |
Managed Care Organization |
Contracts with primary care physicians (PCP), specialists, dentists, hospitals and other ancillary providers to form a network of service providers. |
Primary Care Physician (PCP) |
The health care provider chosen by or assigned to a patient to provide medical care, maintain the patient’s medical records and make referrals for medically necessary specialty care. |
Program |
Legal Authorities |
All programs except ALTCS and Medicare Savings Program (MSP) |
42 CFR 438.71 AAC R9-22-1702 |