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AHCCCS Complete Care
Our Arizona Medicaid Plan offers a range of benefits along with extra programs offered only by UnitedHealthcare Community Plan. Children, families, pregnant women and single adults may qualify for temporary assistance to needy families (TANF) based on income. View the benefits below to see all that it offers.
More information on eligibility and enrollment can be found on the Health-e Arizona PLUS website.
Announcements from the Arizona Department of Health Services (ADHS) about the Coronavirus (COVID-19) can be found below:
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.
Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties:
Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties:
Gila River and Ak-Chin Indian Communities:
When you have questions about your health, you can call a trained nurse 24/7 at 1-877-440-0255.
Benefits & Features
Individual care to help you or your child control asthma or COPD symptoms.
Do you or your child have trouble managing COPD or asthma symptoms? A nurse who specializes in breathing issues can really help. Benefits include a customized treatment plan and medicine to:
- Manage flare-ups.
- Reduce symptoms.
- Help you stay active.
Do you or a loved one have a serious health problem, a behavioral health issue, a substance abuse issue or a high-risk pregnancy? If so, our care managers are in your corner. They will:
- Explain medical terms in plain language.
- Coordinate your doctor appointments.
- Provide your care team with your medical records.
Your care manager will stay with you on your medical journey. He or she will:
- Think beyond your medical and behavioral health needs.
- Make sure you have support at home.
So you can focus on getting better.
Choice of Doctor
Every member gets to choose a primary care physician (PCP) who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.
If you don’t have a doctor or if your doctor is not in our network, we can help you find a new one close to you.
Your PCP is your main doctor for:
- Preventive care.
- Treatment if you are sick or injured.
- Referrals to specialists for certain conditions.
Choice of Birth Center
Where you have your baby is an important choice. That’s why you can pick from nearly 100 in-network hospitals across Arizona.
We encourage you to tour the hospital’s birthing center. This way you will be familiar with it. And you’ll be more relaxed when you have your baby.
Checkups and dental care are covered for members up to age 21.
Exams and cleanings every six months help teeth and gums stay strong and healthy. If there is a dental problem that needs to be fixed, that’s covered as well.
Equipment and Supplies
Your health and safety at home are important.
Our plan covers medical equipment ordered by your doctor. This can include supplies like:
- Hospital beds.
- Oxygen tanks.
- Walkers or wheelchairs.
Trouble hearing can affect everyday life in many ways. Our plan includes services and support to help protect the hearing of members up to age 21.
- Exams, therapy and tests.
- Hearing aids.
Healthy First Steps®
Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up.
We will help you:
- Choose a pregnancy provider and a pediatrician (child’s doctor).
- Schedule visits and exams and arrange rides to your visits.
- Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
- Get supplies, including breast pumps for nursing moms.
- Connect with community resources such as Women, Infants and Children (WIC) services.
This plan pays for all hospital expenses related to a hospital stay.
Our plan covers:
- Nursing care.
- Supplies and equipment
- Diagnostic tests and exams.
And after leaving the hospital, we make sure each member gets follow-up care, if needed, to continue healing at home.
Your doctor and you need to understand each other. Not speaking English well makes this difficult. We can arrange for a medical interpreter to be at your appointment.
We also have people at member services who speak more than one language. Chances are, we have someone who speaks your language.
You can get information in your preferred language. Just ask. Then anything we write to you will only be in that language. This service is provided at no cost to you.
Our plan includes prescription drugs and refills.
We also cover over-the-counter medicines with a written order from your doctor.
And we make getting your medicine easy. You can fill your prescriptions at:
- Local network pharmacies.
- Services that deliver right to your door.
Health insurance is complex. We can answer your questions simply and completely.
We help you find:
- Hospitals or other health facilities.
- Local resources.
We are concerned about how you feel. Behavioral health services can help you with personal problems that may affect you and/or your family. These problems may be stress, depression, anxiety or using drugs or alcohol.
AHCCCS Complete Care members assigned to UnitedHealthcare Community Plan will receive all of their health care from UnitedHealthcare Community Plan with the exception of the first 23 hours of crisis care. If you are experiencing a behavioral health crisis call one of the phone numbers below that matches the county you live in.
Crisis Hotlines by County:
Maricopa County: 602-222-9444 or 1800-631-1314
Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz and Yuma Counties: 1-866-495-6735
Apache, Coconino, Gila, Mohave, Navajo and Yavapai Counties: 1-877-756-4090
Gila River and Ak-Chin Indian Communities: 1-800-259-3449
You may self-refer to a behavioral health provider.
NurseLine at 1-877-440-0255 available 24 hours per day / 7 days a week.
A pregnancy is an incredible journey. It’s a journey you want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All recommended prenatal clinical visits and tests are covered by our plan.
At these visits, the clinic will:
- Make sure both you and your baby are healthy.
- Explain what to expect at each stage of your pregnancy.
- Answer your questions.
Members accessing behavioral health services can receive up to 600 hours per benefit year (October 1st through September 30th).
Sometimes a person’s health and safety requires help from community programs.
We help members connect to community services. Here they can get information about a variety of programs, like:
- Food and housing assistance.
- Community child care.
They can help members get much needed relief in many ways.
If you need a ride to an appointment, ask a friend, a family member or neighbor first. If you cannot get a ride UnitedHealthcare Community Plan will help you. AHCCCS Complete Care members may receive non-emergency transportation services through UnitedHealthcare Community Plan for a physical or behavioral health AHCCCS covered service.
Children in the plan receive vision coverage up to age 21. This coverage includes:
- Regular exams.
- Frames and lenses.
This benefit is offered by Nationwide Vision.
Well visits with your doctor can help keep you healthy. These visits can catch health problems early so they can be treated. Preventive services include:
- Checkups for adults and children.
- Well-baby care.
- Care for women expecting a baby.
- Routine shots and tests.
You will not have a copayment for preventive care.
UnitedHealthcare Community Plan is an Arizona Medicaid health plan serving AHCCCS Complete Care, KidsCare, and Developmental Disabilities (DD) members. We have nearly 40 years of experience serving families throughout Arizona.
We serve AHCCCS Complete Care and KidsCare members in Gila, Maricopa, Pima, and Pinal counties.
We have one of the largest provider networks in Arizona to serve you. Our goal is to help you take charge of your health by helping you to take good care of yourself and your family.
At UnitedHealthcare Community Plan, we care about our members; and as such, we value all of the cultural differences that our members possess. Beliefs about the cause, prevention, and treatment of illness vary among cultures. These beliefs need to be respected in the practices used to maintain UnitedHealthcare Community Plan members' health.
At UnitedHealthcare Community Plan, we know the importance of communication and strive to meet all of our members needs. UnitedHealthcare Community Plan can provide interpretation/translation services at no charge.
UnitedHealthcare Community Plan provides member materials to you in a language or format that may be easier for you to understand.
Call UnitedHealthcare Community Plan Member Services at 1-800-348-4058 for translation services, to find a doctor who understands your cultural needs, or for materials in another language or format. These services are provided at no cost to you.
En UnitedHealthcare Community Plan, nos importan nuestros miembros; y como tal, valoramos todas la diferentes culturas que posean nuestros miembros. Las creencias acerca de la causa, prevencion y tratamiento de enfermedad varean entre culturas. Estas creencias necesitan ser respetadas en las practicas usadas para mantener la salud de los miembros de UnitedHealthcare Community Plan.
En UnitedHealthcare Community Plan, nosotros sabemos la importancia de la comunicacion y nos esforzamos a satisfaser todas las necesidades de nuestros miembros. UnitedHealthcare Community Plan puede proveer servicios de interpretacion/traduccion a ningun costo.
UnitedHealthcare Community Plan le provee materiales de membresia en un idioma o formato que sea mas facil para que usted entienda.
Llame al Departamento de Servicios al Miembro de UnitedHealthcare Community Plan al 1-800-348-4058 para servicios de traduccion, para encontrar un doctor quien entienda sus necesidades culturales y para recibir materiales en otro idioma o formato. Estos servicios estan disponible a usted a ningun costo.
Transportation is covered for members that do not have a ride. Call 1-888-700-6822 for transportation assistance. You can call this toll-free number from anywhere in the state.
You must call as soon as you schedule your appointment. You must arrange your ride 3 days prior to your health care visit.
We have alternative ways for you to get to and from your healthcare visit. Bus passes may be available for local trips. Shuttle vans and buses may be available for longer trips.
Resources for Members with Autism Spectrum Disorder
Autism Resources for Members
Sesame Street and Autism, Resources for Parents
Southwest Autism Research & Resource Center
Arizona Autism Coalition
Raising Arizona Kids
Raising Special Kids
AHCCCS Resources for Autism
Arizona Department of Education
Autism Spectrum Disorder Providers
Autism Society of America (Arizona Chapters)
The Autism Society exists to improve the lives of all affected by autism by increasing public awareness about the day-to-day issues faced by people on the spectrum, advocating for appropriate services for individuals across the lifespan, and providing the latest information regarding treatment, education, research and advocacy.
Appointment Guidelines: Getting Needed Care
How soon should I expect to be seen by a doctor and how do I get the care I need?
Medically Necessary Non-Emergency Transportation (NEMT) Services
Emergency Dental Benefit - Beginning October 1, 2017
Podiatry Benefit Change Notice - Effective October 1, 2016
Behavioral Health Notice for members who are 18 years of age and older, and have Medicare Parts A and/or B
Behavioral Health Services Change Beginning October 1, 2015
Orthotics Benefit Notice - Starting August 1, 2015
A Better Member Call Experience Begins August 2015
AHCCCS Notice for SMI Members in Maricopa County - Effective April 1, 2014
AHCCCS Notice for American Indian SMI Members in Maricopa County - Effective April 1, 2014
New Outpatient Physical Therapy Benefit for Adult AHCCCS Members Beginning March 1, 2014
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.
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.
Motor Vehicle Division (MVD) 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 driver’s license or state issued ID, AHCCCS will get your picture from the Arizona Department of Transportation Motor Vehicle Division (MVD). When providers pull up the AHCCCS eligibility verification screen, they will see your picture (if available) 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.
Member Benefit Changes - Effective October 1, 2011
Due to Arizona's budget problems, some of the services that you may receive are being reduced beginning October 1, 2011. Limits are being placed on the number of inpatient hospital days and the hours of available respite care per year.
New Copays for Transitional Medical Assistance - Effective October 1, 2010
You will have higher co-payments (co-pays) for AHCCCS medical services beginning October 1, 2010 because you are in the Transitional Medical Assistance (TMA) program.
New Copays for Title 19 Waiver Group - Effective October 1, 2010
You will have higher co-payments (co-pays) for AHCCCS medical services beginning October 1, 2010 because you are getting AHCCCS services in the AHCCCS Care or Medical Expense Deduction (MED) programs.
Benefit Changes for Adults - Effective October 1, 2010
Due to Arizona's huge budget problems and more people being added to the Medicaid Program, after 10/1/2010, UnitedHealthcare Community Plan under the direction of the AHCCCS Administration, will no longer pay for certain medical care for anyone who is 21 years old or older.
Notice of Privacy Practices
We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it. You can download a copy of our Notice of Privacy Practices below.
Social Security Number Privacy
Protecting personal information is important to UnitedHealth Group companies, so we protect the confidentiality of Social Security numbers that we receive. Read Bulletin Details.
Take Charge of Your Health: Get a Flu Shot
Flu season is here. The flu can be very serious. Getting a flu vaccine is your best protection against the flu. The best time to get your flu shot is October through December. You should talk to your doctor about having a flu shot. Or you can call our Customer Service Center.
National Flu Campaign: Questions and Answers
Hepatitis A Outbreak
Arizona 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.
Member Newsletters 2016 - Current
Member Newsletters Prior to 2016
If you have questions or concerns about your medical care, you should talk about them with your case manager, PCP or the provider that is treating you first. If you are not happy about UnitedHealthcare Community Plan, your doctor, or any part of your health care, you can file a grievance (complaint).
You can call UnitedHealthcare Community Plan Member Services to file a grievance over the phone or you can send your grievance in writing. Call 1-800-293-3740 for UnitedHealthcare Community Plan.
For more information, refer to your Member Handbook.
If UnitedHealthcare Community Plan has denied a service that you think you should receive, you can file an appeal. The appeal can be written or verbal.
If you want to file a verbal appeal, call Member Services. Call 1-800-293-3740 for UnitedHealthcare Community Plan. The appeal can be written or verbal. Call UnitedHealthcare Community Plan Member Services at 1-800-293-3740 to file a verbal appeal.
For more information, refer to your Member Handbook.
AHCCCS Complete Care
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