Medicaid Arizona (AHCCCS) - Managed Care Plans

  • Policy ID for Medicaid AZ is 9 characters in length, it includes both letters and numbers. 1st character is always a letter "A" followed by 8 numerical characters. Example - A12345678
  • Below is the list of managed care plans of Medicaid AZ,
      • United Healthcare Community Plan
      • Mercy Care Plan
      • Maricopa Health Plan
      • Mercy Maricopa Health Plan
      • Care 1st Health Plan
      • Health Choice AZ (Steward Health Choice)
      • Phoenix Health Plan
      • University Family Care
      • Health Net
      • Department of Child Safety (DCS/CMDP)
  • All the above managed care plans have the same policy ID format as Medicaid AZ.
  • In some scenarios, you will only have one insurance out of the above list in the system. So, if eligibility-related denial ( i.e. patient not found, coverage terminated) is received for that insurance then you can check the eligibility of Medicaid AZ to find out the correct managed care insurance information.
  • In some scenarios, the patient does not have any managed care plan and patient eligible for Medicaid AZ directly.
  • Patient residential state as "AZ" and a unique policy ID format will help to identify whether the patient belongs to Medicaid AZ or not.

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