This Search Uses The Five
Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers. This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue?
See What Unitedhealthcare Has To Offer
Its your health. Its your choice.
Everyone deserves affordable health care, including you.
Working adults, people with disabilities, pregnant women, and children who qualify for Medicaid should check out UnitedHealthcare Community Plan.
We have the Medicaid benefits and extras that can make a real difference in your life.
- Find a doctor you trust in our network.
- Behavioral health services
- Transportation to and from doctor appointments
- 24/7 NurseLine to answer your health questions.
Sometimes, you might need a little extra help. Get extras not covered by Medicaid.
- Earn rewards for keeping you and your baby healthy
- Talk to a doctor from home using Virtual Visits
- We can help you connect to community services
- The free United Healthcare mobile app allows you to access key information on the go
We also offer resources to help you make the most of your plan. Including:
- Member advocates
Visit www.azahcccs.gov for more information.
Helping you live a healthier life.
We are here for you, Arizona.
Remember to choose
And get the plan that gets you more.
To learn more about UnitedHealthcare Community Plan,
visit UHCCommunityPlan dot com forward slash AZ.
4 CO specific: $3 copays for Preferred generic drugs or something similar.
Looking for the federal governments Medicaid website? Look here at Medicaid.gov.
Important Information For Members
Prior Authorizations
Some medical tests or services require prior authorization before they are scheduled. Your provider requests prior authorization on your behalf. A prior authorization, commonly called a PA, is not a promise Health Choice will cover the cost of the service.
A PA request is a form your provider fills out and sends to Health Choice. Our prior authorization department will review the request and make a decision. A decision for a standard request is made within 14 calendar days and a decision for an expedited request is made within 3 calendar days. You and your provider will be notified if the service is approved or denied.
If you have a question about prior authorizations, Member Services can help you. Call us at 1-800-322-8670 . Our Member Services Department is open 8 a.m. 5 p.m., Monday-Friday . You can also contact us by e-mail at .
Advance Directives
There may be a time when you are so sick that you cannot make a decision about your own health care. You, or a representative chosen by you, have the right to make decisions to withhold resuscitative services, or to forgo or withdraw life-sustaining treatment within the requirements of Federal and State law with respect to advance directives .
An Advance Directive is a paper that protects your right to refuse health care you do not want. It may also tell people about care that you do want.
There are four types of Advance Directives:
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Rsvp For A Stakeholder Forum
Please plan to attend one of the stakeholder forums in April. Space is limited, so you’ll need to RSVP with AHCCCS by phone or email:
- Call , ext. 6024174733
If you have a disability, you may request a reasonable accommodation, such as a sign language interpreter, when you RSVP. Requests should be made as early as possible to allow time to arrange the accommodation.
Scroll down to see some of the features and programs that United Healthcare Community Plan offers for its members.
Sandata Evv State Medicaid Programs
Our solutions service both State Medicaid Agencies as well as MCOs. Sandata has been providing payer EVV solutions for over 12 years and provider EVV solutions for over 25 years. Sandata is the only vendor with Aggregator in production in a statewide Medicaid environment and the only EVV solution with CMS certification.
Sandatas home care and I/DD agency management solutions are unrelated to any state-provided EVV solution and not a requirement of the state.
Sandata
Technology for home and community-based organizations that makes it easier for Medicaid payers and providers to work together from day one. Serving home care and I/DD agencies, managed care organizations, and state payer programs throughout the United States.
Our office has moved to:270 Duffy Avenue, Unit 266 AHicksville, NY 11801
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Unitedhealthcare Healthy First Steps
Build a healthy future for you and your baby, and earn great rewards. Our UnitedHealthcare Healthy First Steps® program helps keep you and your baby healthy during pregnancy and your babys first 15 months of life.
We will help you:
- Choose a pregnancy provider and a pediatrician .
- Schedule visits and exams and arrange rides to your visits.
- Earn rewards for going to visits throughout your pregnancy and babys first 15 months of life.
- Get supplies, including breast pumps for nursing moms.
- Connect with community resources such as Women, Infants and Children services.
HealthTalk Member Newsletter
Our HealthTalk newsletter is now online. The newsletters are a great way to learn about our health plan and important health topics.
You can read it whenever, wherever you want. Check back quarterly for a new edition.
Do I Have Coverage Outside The State Of Arizona
Only for emergency services, if you have moved, please contact Arizona DES and the organization that administers Medicaid in the state you now live in so that you can re-qualify for Medicaid benefits at your new address. Reminder: Any provider offering emergency services MUST be registered with AHCCCS for payment.
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Unitedhealthcare Connected General Benefit Disclaimer
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.
You can get this document for free in other formats, such as large print, braille, or audio. Call Member Services, 8 a.m. – 8 p.m., local time, Monday – Friday . The call is free.
You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.
Language Line is available for all in-network providers.
Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al Servicios para los miembros, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.
Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.
Unitedhealthcare Connected For Mycare Ohio
UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.
Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays, and restrictions may apply. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.
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Healthy Weight Getting Exercise
Losing weight does not have to be hard. Getting more exercise is one of the best ways. Try to get 60 minutes or more of exercise every day. It doesnt have to mean doing hard exercises or going to the gym every day. Just move your body. Here are some ideas:
Move! Dancing to your favorite tunes can help you burn more than 300 calories an hour.
Applied Behavior Analysis Medical Necessity Guide
The Applied Behavior Analysis Medical Necessity Guide helps determine appropriate levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. The ABA Medical Necessity Guide does not constitute medical advice. Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider.
Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member’s benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply.
The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered for a particular member. The member’s benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary.
Please note also that the ABA Medical Necessity Guide may be updated and are, therefore, subject to change.
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Making Your Advance Directives Legal
For both a Living Will and a Medical Power of Attorney, you must choose someone who will make decisions about your health care if you cannot. This person can be a family member or a close friend and is called your agent.
To make an Advance Directive legal, you must:
If you are too sick to sign your Medical Power of Attorney, you may have another person sign for you.
After you Complete your Advance Directives
- Keep your original signed papers in a safe place.
- Give copies of the signed papers to your doctor, hospital, and anyone else who might become involved in your health care. Talk to these people about your wishes concerning your health care.
- If you want to change your papers after you have signed them, you must complete new papers. You should make sure you give a copy of the new paper to all the people who already had a copy of the old one.
- Be aware that your directives may not be effective in a medical emergency.
The following organization provides health care directive forms and information:
AS A HEALTH CHOICE ARIZONA MEMBER, YOU HAVE THE RIGHT TO:
Unitedhealthcare Senior Care Options Plan
UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.
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Can I Change My Pcp
Yes you can. We recommend no more than five times per year and never more than once in a month. This way everyone that has treated you is able to be paid for their services. We want you to find a doctor or provider that you can develop a relationship with and feel comfortable talking with about your health care needs. Remember: Always call our Customer Care Center first– we can help you find a doctor/provider as well as confirm who you are already assigned to.
Unitedhealthcare Dual Complete Plans
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711, or use your preferred relay service for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
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Announcement: Ahcccs Statewide Stakeholder Forum Notification April 2019
Please review the attached Arizona Health Care Cost Containment System fliers about upcoming statewide stakeholder forums for Home and Community Based Settings . AHCCCS is making important changes to the HCBS program as required by the Centers for Medicare & Medicaid Services , and they’ll be sharing information about the changes at the forums.
Keep Your Information Up To Date
The federal Public Health Emergency will be ending soon. If you have an AHCCCS Medical Assistance/MA case, keep your information up to date so you can receive the latest information. Learn more about how AHCCCS is planning for the end of the Public Health Emergency.
To update your information, you may go online to . If you have any questions, you may call 1-855-432-7587, Monday through Friday 7:00 a.m. – 6:00 p.m.
The Arizona Health Care Cost Containment System is Arizona’s Medicaid agency that offers health care programs to serve Arizona residents. AHCCCS provides medical insurance coverage to thousands of Arizonans each year, for which DES provides eligibility services.
Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need.
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National Flu Campaign: Questions And Answers
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PDF 56.03KB – Last Updated: 11/03/2021
Hepatitis A OutbreakArizona is currently experiencing a statewide outbreak of Hepatitis A affecting 7 counties. Click here to find out what you need to know about Hepatitis A.
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How Can I Authorize A Friend Or Family Member To Access My Account
Contact the Customer Care Center at 582-8686, TTY 711 and you can give permission to authorize a friend or family member to access your account information for up to one year. Our Customer Care Center will need the following information for your authorized contact: name, phone number, date of birth, and address.
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What Do I Do If My Pcp Cannot Schedule Me For An Appointment For Me
All PCP’s have pre-established requirements regarding appointment availability. However, if you are not able to get an appointment within the time frame you need, we can call your provider for your and see if we can get you an appointment. If not, then you can schedule an appointment at a later date or we can have help you find a new PCP that can better serve your health needs.
Find Providers And Coverage For This Plan
Search for doctors, hospitals, and specialists.
Find medications covered by this plan.
Learn more about Behavioral Health Services.
Find a dentist near you.
Find a pharmacy near you.
Behavioral Health Crisis Hotlines by County
NurselineWhen you have questions about your health, you can call a trained nurse 24/7 at .
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New Outpatient Physical Therapy Benefit For Adult Ahcccs Members Beginning March 1 2014
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PDF 84.83KB – Last Updated: 11/12/2020
Changes to Some Co-payments Beginning January 1, 2014
Beginning January 1, 2014, there will be changes to co-payments for some AHCCCS members that are not in the Member Handbook. Read the Co-payment section of the Member Handbook for information about other Co-payments. Here are the changes to co-payments that are not in the Member Handbook and that will start on January 1, 2014.
Notice of Co-pays for Taxi Rides – Effective February 2012
For AHCCCS Care Members in Maricopa and Pima counties.
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PDF 203.73KB – Last Updated: 11/12/2020
Missed Appointment Fee – Effective January 2, 2012
There will be a missed appointment fee for members living outside of Maricopa and Pima counties. Click here for the AHCCCS website.
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PDF 572.28KB – Last Updated: 11/12/2020
Motor Vehicle Division Photos
To help protect your identity and prevent fraud, AHCCCS is adding pictures to its on-line verification tool that providers use to verify your coverage. If you have an Arizona drivers license or state issued ID, AHCCCS will get your picture from the Arizona Department of Transportation Motor Vehicle Division . When providers pull up the AHCCCS eligibility verification screen, they will see your picture with your coverage details.
Nationwide Vision is New Provider – Effective November 1, 2011
UnitedHealthcare Community Plan has a new agreement with Nationwide Vision to provide vision care services for our members, beginning November 1, 2011.
