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what ahcccs plan covers rehab

by Jammie Bahringer Published 2 years ago Updated 1 year ago
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About AHCCCS Health Insurance

AHCCCS is the name of Arizona’s Medicaid program. AHCCCS was founded in 1982 and provides coverage to more than two million Arizona residents. It covers several behavioral health services, including opioid treatment programs.

Which Addiction Treatment Services Are Covered By AHCCCS?

AHCCCS provides coverage for addiction treatment services, including inpatient and residential rehab, intensive outpatient programs (IOPs), partial hospitalization programs (PHPs), and more. Fees and coverage for these services will vary from one AHCCCS member to the next based on their health plan and eligibility.

How Can I Check My AHCCCS Coverage and Benefits?

Addiction treatment is considered a type of behavioral health treatment and is covered by AHCCCS. However, the level of coverage is different for everyone based on their income level and other criteria.

What is an AHCCCS plan?

Individuals with an AHCCCS plan can use it to receive many essential health benefits, including addiction and mental health care. Finding a rehab center that accepts an Arizona Medicaid plan helps ensure all treatment costs will be covered, allowing the individual in treatment to focus on healing in recovery.

What are the two types of copays in Arizona?

Arizona Medicaid plans carry two types of copays: optional and nominal. For specific services with nominal copays, healthcare providers can deny services if an individual cannot pay the copay amount. For optional copays, healthcare providers cannot deny services based on inability to pay.

What is Arizona Medicaid?

Arizona Medicaid plans (Arizona Health Care Cost Containment System or AHCCCS) provide healthcare coverage for more than 1.8 million state residents. Due to the Affordable Care Act, Arizona expanded its Medicaid plan in 2014, making coverage available to a larger percentage of residents with income levels above 100 percent ...

Does addiction recovery take Medicaid?

Addiction Recovery Services accepts many private insurance plans, Arizona Medicaid , and private pay.

Does Arizona Medicaid cover substance use?

Arizona Health Care Cost Containment System (Arizona Medicaid) plans provide coverage for a range of substance use disorder treatment services. A number of rehab centers in Arizona accept Medicaid plans.

Do you have to pay for medicaid in Arizona?

Those who receive Arizona Medicaid and are considered low-income (below 138 percent of the federal poverty level) will not have to pay premiums.

How does AHCCCS work?

AHCCCS contracts with several health plans to provide covered services. An AHCCCS health plan works like a Health Maintenance Organization (HMO). The health plan works with doctors, hospitals, pharmacies, specialists, etc. to provide care. You will choose a health plan that covers your zip code area. If you are approved, you will choose a primary care doctor that works with that health plan. Your primary doctor will: 1 Be the first person you go to for care 2 Authorize your non-emergency medical services 3 Send you to a specialist when needed

What is an AltCS contractor?

An ALTCS program contractor works like a Health Maintenance Organization (HMO). The program contractor works with doctors, nursing homes, assisted living facilities, hospitals, pharmacies, specialists, etc. to provide care. You will also be assigned a case manager who will coordinate your care.

What do you do if you are approved for a health plan?

You will choose a health plan that covers your zip code area. If you are approved, you will choose a primary care doctor that works with that health plan. Your primary doctor will: Be the first person you go to for care. Authorize your non-emergency medical services. Send you to a specialist when needed.

What is an AltCS contractor?

An ALTCS program contractor works like a Health Maintenance Organization (HMO). The program contractor works with doctors, nursing homes, assisted living facilities, hospitals, pharmacies, specialists, etc. to provide care. You will also be assigned a case manager who will coordinate your care.

What is an AHCCCS?

AHCCCS contracts with several health plans to provide covered services. An AHCCCS health plan works like a Health Maintenance Organization (HMO). The health plan works with doctors, hospitals, pharmacies, specialists, etc. to provide care. You will choose a health plan that covers your zip code area. If you are approved, you will choose ...

Drug And Alcohol Rehab Programs Often Covered By Arizona Medicaid

AHCCCS covers a range of evidence-based approaches to substance abuse treatment.

Opioid Abuse Treatment Medications Covered By Medicaid

Arizona Medicaid covers medications for opioid use disorders under both fee-for-service (FFS) and managed care plans (MCP).

Top 5 Rehab Centers In Arizona That Accept Medicaid

There are dozens of alcohol and drug rehab centers in the state of Arizona that accept Medicaid, and five have been selected for this list.

Factors That Affect Arizona Medicaid Coverage For Addiction Treatment

There are several payments for Arizona Medicaid to factor into your final cost. Consider copays, premiums, and prior authorization when determining what Medicaid will cover in terms of cost.

How To Use Your Arizona Medicaid Plan For Drug Rehab

Like most Medicaid programs in the U.S., AHCCCS provides low-cost health care coverage through the use of health plans.

Arizona Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs

To choose the best rehab program, you need to find one that accepts your insurance provider.

Finding Addiction Treatment Covered By Arizona Medicaid

There are many options in addiction treatment covered by Arizona Medicaid. If you or someone you love wants to begin treatment, we’re here to help.

How does addiction affect income?

People suffering from this disease are more likely to skip work, jump between jobs, and make poor decisions related to their financial and personal well-being.

What is certification in Medicaid?

Certification requires maintaining professional staff and a supportive atmosphere. This Medicaid program pays a significant portion of rehabilitation. In any instance, finding recognized facilities and experts significantly improves success rates.

What is the most important consideration when choosing a treatment facility?

Location is another primary consideration when choosing a treatment facility. Some may have strong social and work lives that they are attempting to secure through programs. Others want to move as far from temptation as possible. These factors often outweigh costs.

What is the poverty level for a child?

Adults generally qualify if making an income under 133 percent of the poverty line.

Is rehab a light choice?

Rehabilitation is not a light choice. An AHCCCS facility is a perfect choice when considering treatment. Qualified professionals staff these facilities. Additionally, the Joint Commission on Accreditation of Healthcare Organizations certifies drug rehab centers.

Who is eligible for Medicaid in Arizona?

Only Arizona residents qualify for this plan. People of all ages may apply to take part. Adults, children, seniors, and pregnant women may be eligible for this form of Medicaid. Coverage depends on monthly income. Eligibility requires making under a certain amount over the Federal Poverty Level.

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