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Placing the member's health in serious jeopardy; Serious impairment to bodily functions; Serious dysfunction of any bodily organ or part; or. Serious physical harm to self or another person (for behavioral health conditions).
AHCCCS covers medically necessary non-emergency ground and air transportation to and from a required medical service for most recipients.
The AHCCCS Administration will determine whether or not an applicant meets Prior Quarter Coverage criteria. If the applicant meets the Prior Quarter Coverage criteria, providers will be required to bill the AHCCCS Administration for services provided during the prior quarter eligibility period.
Placing the member's health in serious jeopardy; Serious impairment to bodily functions; Serious dysfunction of any bodily organ or part; or. Serious physical harm to self or another person (for behavioral health conditions).
A non-IHS/638 provider or facility rendering AHCCCS covered services that require prior authorization must obtain PA from DFSM. Long Term Care services for Tribal ALTCS members are authorized by the member's ALTCS tribal case manager. PA requests must be submitted prior to providing services.
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The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency, and Medicaid within the state is often referred to as \u201cAHCCCS.\u201d Although the agency provides the medical insurance coverage, DES determines the eligibility for Medicaid.
You and your family can usually get AHCCCS if your family's income is at or below 138% of the Federal Poverty Guidelines (FPG) ($18,754 for an individual in 2022, $38,295 for a family of four).
AHCCCS health plans provide the following medical services: Immunizations (shots) Prescriptions (Not covered if you have Medicare) Lab and X-rays. Early and Periodic Screening Diagnosis and Treatment (EPSDT) Services for Medicaid eligible children under age 21.
AHCCCS covers medically necessary non-emergency ground ambulance and air transportation to and from a required, covered medical service for most recipients. Non-emergency transportation is not covered for Emergency Services Program recipients.
The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency, and Medicaid within the state is often referred to as \u201cAHCCCS.\u201d Although the agency provides the medical insurance coverage, DES determines the eligibility for Medicaid.

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