Arizona Health Care Cost Containment System (AHCCCS)

Your Rights to Medical Services under the AHCCCS Managed Care Program


AHCCCS is Arizona’s Medicaid program. AHCCCS contracts with health plans and other program contractors to provide health care coverage to enrolled members. Individuals must meet certain income and other requirements to obtain services.

AHCCCS offers several insurance programs that cover people in the following groups:

  • Families with children
  • Children
  • Individuals and couples without children
  • People who are elderly or disabled and receive SSI
  • People who have a disability and need long-term care
  • Pregnant women
  • People who need help to pay for Medicare costs
  • Working people who have a disablity

Eligibility for AHCCCS is determined by various agencies. For example, pregnant women and adults with children generally apply for AHCCCS through the state’s Department of Economic Security or online at www.healthearizonaplus.gov. Eligibility for programs like KidsCare, KidsCare II, Arizona Long Term Care Services (ALTCS), SSI, MAO, and Medicare Cost Sharing is handled by AHCCCS itself. Each eligibility group has its own income and resource criteria.

After July 2011, adults without minor children were not being accepted for AHCCCS medical insurance coverage. A provision of the Affordable Care Act expanded eligibility for AHCCCS to all individuals who earn less than 138% of the federal poverty guidelines regardless of family status. This lifted the enrollment freeze on adults without minor children. Individuals can apply online at www.healthearizonaplus.gov, or in person at a local DES office.

When you are found eligible for AHCCCS, you are enrolled in the AHCCCS health plan of your choice. Most "medically necessary" services are covered by the AHCCCS health plans, including:

  • Doctor visits
  • Preventive care
  • Hospital services
  • Prescriptions/medical supplies
  • Labs and x-rays
  • Emergency care
  • Mental health services

Children under 21 also receive:

  • Immunizations
  • Dental exams and treatment
  • Eye exams and glasses
  • Hearing tests and hearing aids
  • Nutritional information