What is Mercy Care Plan AHCCCS?
What is Mercy Care Plan AHCCCS?
Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. Our broad network of providers offers services and supports for members with: Physical, general mental health and substance use concerns (Complete Care) Serious mental illness (RBHA)
How does AHCCCS work with Medicare?
AHCCCS is Arizona’s State Medicaid Program. AHCCCS Members who also have Medicare are called Dual Eligible Members. Being enrolled in the same health plan for Medicare and Medicaid is called “alignment.” Alignment provides: • One plan that coordinates all care.
What is the difference between mercy care and AHCCCS?
Mercy Care’s network is closed to most medical and behavioral health care providers. AHCCCS (Arizona Health Care Cost Containment System) is Arizona’s Medicaid Managed Care Program. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Care members.
Can I have AHCCCS and Medicare?
A person receiving Medicare may qualify to have their Medicare premiums, co-payments, and deductibles paid….Income Limits.
| Family Size | Gross Monthly Income Limit Effective 02/01/2021 |
|---|---|
| Applicant and Spouse | $1,452 |
What is Mercy Care DDD?
DDD is a part of the Arizona Department of Economic Security (DES). It helps people with developmental disabilities achieve independence. It also provides support to family members and other caregivers. Mercy Care provides services to DDD/ ALTCS members in all counties. You have your own health needs.
What are the income limits for AHCCCS?
AHCCCS offers health insurance for adult relatives who are living with and caring for a child under 19 years old and who meet income and eligibility requirements….Income Limits.
| Household Size | Gross Monthly Income Limit Effective 02/01/2021 |
|---|---|
| 1 | $1,138 |
| 2 | $1,539 |
| 3 | $1,940 |
| 4 | $2,341 |
What is the income limit for AHCCCS?
Income. If your family’s income is at or below 138% of the Federal Poverty Level (FPL) ($17,774 per year for an individual in 2021, $36,570 for a family of four), you may qualify for AHCCCS.
What is income limit for AHCCCS?
Does Social Security count as income for AHCCCS?
Social security benefits are counted for all MA programs as unearned income. Ongoing benefits are paid monthly.
How do you get contracted with Mercy Care?
To be eligible to join the Mercy Care and Mercy Care Advantage networks as a contracted provider, you must do the following:
- Submit a potential provider Letter of Interest following the process outlined;
- Be directly contacted by a Network Management Representative with an approved Letter of Interest to join our network;
What is Mercy Care Advantage?
Complete health and drug coverage to fit your life Mercy Care Advantage is a health plan for people with special needs who qualify for AHCCCS and Medicare.
How many cards do I need for Mercy Care Advantage?
If you are enrolled in Mercy Care Advantage (MCA) and Mercy Care, you will only need to show ONE card to receive your Medicare and Medicaid plan benefits when you visit your health care providers. Here’s how it works: Show the provider your MCA card.
Do I need to show my AHCCCS or MCA card?
You do NOT need to show your AHCCCS card as well. If you have Mercy Care Advantage for your Medicare coverage but receive your Medicaid coverage from a plan other than Mercy Care, you will need to show both your MCA ID card and your Medicaid plan ID card to your health care providers so they can submit claims to both your health plans.
What does AHCCCS stand for?
While this manual contains basic information about the Arizona Health Care Cost Containment System (AHCCCS) and Centers for Medicare and Medicaid Services (CMS), providers are required to fully understand and apply AHCCCS and CMS requirements when administering covered services. According to
