Individuals must meet certain income and other requirements to obtain services. The application below is to apply for ahcccs health insurance and/or medicare costs sharing programs To open the form so you can print it, click on the link below. If you cannot access health care services, or need help with your ahcccs services, call your health plan Visit health plan’s contact for questions, information to change health plans, or for additional information. If you are waiting for your application to be processed or you are not eligible for ahcccs medical assistance, you may qualify to receive drug and alcohol and mental health treatment services through other funding sources administered by the regional behavioral health authority (rbha).
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 You will choose a health plan that covers your zip code area. If you are american indian, you can enroll in an ahcccs health plan or the american indian health program (aihp) The american indian health program is available in arizona counties.
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