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Medicaid / Arizona

Medicaid for Home Care in Arizona

Medicaid Certified Home Care Agency in Arizona

The Arizona Medicaid reimbursement for any caregiver agency depends on the agency’s certification as HHA. States have issued their checklist along with the regulations with more emphasis on certifications and licenses than other states are currently following.

There could be an exemption for some non-medical private-duty home care agencies with regards to certification. The detailed information is available at the state’s Human Service Department and Bureau of Licensing and Certification.

Governing Body: Arizona Health Care Cost Containment System (AHCCCS)


Arizona Health Care Cost Containment System (AHCCCS), the other name for Medicaid in Arizona, is a state and federal health care program for low-income individuals who don’t qualify for its other programs but make less than 133% of FPL. There are separate Medicaid programs to provide health coverage to seniors, blind people, pregnant women, parents, children, disabled people, and caregivers.

Medicaid Programs:

  • Arizona LTC Services (ALTCS)
  • Arizona Agency with Choice (AWC)
  • Arizona Self Directed Attendant Care (SDAC)
  • Breast and Cervical Cancer Treatment Program

Other Requirements:

  • Individuals making more than 106% of FPL have to contribute premiums toward a health savings account that can be 2% of the entire household income or $25 (whichever is lower)
  • For certain services, it is required to pay a coinsurance of $4 to $75
  • The flexibility allows deferring on premium payments for two months. However, in a quarter, the total amount of copays cannot exceed 5% of the income of the family

Application Process:

The application process for accessing Medicaid in Arizona is simple. One can apply online for the available Medicaid programs by visiting the Health-e-Arizona Plus website.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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