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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 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.
An EPD Program contractor is determined based on the customer’s county of fiscal responsibility and their Dual Eligible Special Needs Plan (DSNP) with Medicare, if the customer has one.
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:
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ALTCS-EPD Program Contractor |
Counties Served |
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Banner – University Family Care 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
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Mercy Care Plan 4350 E. Cotton Center Blvd., Bldg. D Phoenix, AZ 85040 (602) 263-3000 Toll free 1-800-624-3879 |
Gila, Maricopa, Pinal, and Pima |
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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.
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Term |
Definition |
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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. |
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Dual Eligible Special Needs Plan (DSNP) |
A type of Medicare Advantage (Part C) plan designed for persons who are eligible for both Medicare and Medicaid. |
This requirement applies to the following program:
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Program |
Legal Authorities |
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ALTCS |
42 CFR 438.71 42 CFR 422.107 ARS 36-2933 AAC R9-28-413 |