AHCCCS Rehab in Phoenix
Get Lifesaving addiction care at an AHCCCS rehab in Phoenix
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Get in contact with the admissions line to a treatment center that accepts AHCCCS.
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Getting Rehab Coverage with AHCCCS
If you are looking for a rehab center that accepts AHCCCS in Phoenix, there are several options available. AHCCCS is Arizona’s Medicaid program, which provides healthcare coverage to low-income individuals and families.
It’s important to research and find a rehab center that meets your specific needs and offers the level of care you require.
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Levels of Care that AHCCCS Covers
We're here to educate you on the substance abuse levels of care that you need to know. Knowing what levels of care are offered in addiction treatment can help you make an educated decision on what type of addiction care you need.
Get Started at an AHCCCS Drug Rehab
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AHCCCS Drug Rehab Coverage FAQs
Frequently Asked Questions About 30-Day Rehab
What drug rehab services are covered by AHCCCS?
AHCCCS (Arizona Health Care Cost Containment System) covers a range of drug rehab services for eligible individuals, including:
Outpatient services: These are services that are provided on an outpatient basis, which means the patient does not need to stay in the rehab facility overnight. This may include counseling, medication-assisted treatment (MAT), and behavioral therapy.
Inpatient services: These are services that are provided in a residential or inpatient setting, where the patient stays at the rehab facility for a period of time to receive treatment. Inpatient services may include detoxification, counseling, group therapy, and aftercare planning.
Medications for addiction treatment: AHCCCS covers medications used to treat substance abuse disorders, including medications to manage withdrawal symptoms and medications to prevent relapse.
Case management and supportive services: AHCCCS covers case management and supportive services to help individuals with substance abuse disorders navigate the healthcare system, access services, and develop a treatment plan.
It’s important to note that the specific services covered by AHCCCS may vary depending on the individual’s needs, the provider, and other factors. It’s always a good idea to check with AHCCCS or the provider directly to confirm what services are covered.
What is the process for getting pre-authorization for drug rehab services under AHCCCS?
Pre-authorization is not always required for drug rehab services under AHCCCS, and the specific process may vary depending on the type of service being requested. When a bed is available, it is likely that the treatment center will take you in immediately.
But if needed, the process for getting pre-authorization for drug rehab services under AHCCCS (Arizona Health Care Cost Containment System) may vary depending on the specific provider and type of service being requested, but in general, the process may involve the following steps:
Consult with a healthcare provider: The first step is to consult with a healthcare provider, such as a primary care physician or addiction specialist, to discuss the need for drug rehab services. The provider will assess the patient’s needs and determine if drug rehab services are necessary.
Submit a pre-authorization request: Once the provider has determined that drug rehab services are necessary, they will submit a pre-authorization request to AHCCCS. This request will include information about the patient’s medical history, the type of drug rehab services requested, and any other relevant information.
Wait for approval: AHCCCS will review the pre-authorization request and make a determination about whether the requested drug rehab services are covered under the patient’s plan. This process can take up to 14 days.
Start treatment: If the pre-authorization request is approved, the patient can start receiving drug rehab services as outlined in the treatment plan. AHCCCS will pay for the approved services, subject to any applicable copays or deductibles.
It’s always a good idea to check with AHCCCS or the provider directly to confirm the pre-authorization requirements for specific services.
Are there any limits on the number of days or sessions of drug rehab that AHCCCS will cover?
Yes, there may be limits on the number of days or sessions of drug rehab that AHCCCS (Arizona Health Care Cost Containment System) will cover. However, the specific limits may vary depending on the individual’s plan, the individuals history with addiction, and the type of services being provided.
For example, AHCCCS may limit the number of days that a patient can receive inpatient treatment for substance abuse or the number of outpatient therapy sessions that are covered. These limits may be determined by medical necessity or other factors, but they may also be overridden under the right circumstances (emergencies, high acuity).
It’s important to note that federal and state laws require health insurance plans to cover certain types of substance abuse treatment for a specific duration of time, so coverage limits may not apply in all cases.
Additionally, AHCCCS may have exceptions or appeals processes that can be used if a patient needs additional treatment beyond what is initially covered.
To determine the specific limits on drug rehab services covered by AHCCCS, it’s best to check with AHCCCS or the provider directly, as the limits may vary depending on the individual’s plan and other factors.
Are there any out-of-pocket costs for drug rehab services under AHCCCS, such as co-pays or deductibles?
In general, AHCCCS plans do not require deductibles for medical services, including drug rehab services. However, some plans may have exceptions or special requirements that could result in additional costs for the patient.
It’s important to note that AHCCCS plans may have annual out-of-pocket maximums, which limit the amount of money that an individual is responsible for paying for covered services in a given year. Once the out-of-pocket maximum is reached, AHCCCS will cover the full cost of covered services.
To determine the specific out-of-pocket costs for drug rehab services under AHCCCS, it’s best to check with AHCCCS or the provider directly, as the costs may vary depending on the individual’s plan and other factors.
How do I find an AHCCCS drug rehab provider in my area?
If you’d like to get in contact with an AHCCCS provider, give us a call at (888) 906-0952. Otherwise, to find an AHCCCS (Arizona Health Care Cost Containment System) drug rehab provider in your area, you can follow these steps:
Visit the AHCCCS website: The AHCCCS website has a search tool that allows you to find providers in your area. Go to www.azahcccs.gov and click on “Find a Provider” at the top of the page.
Enter your search criteria: On the provider search page, you can enter your location, the type of provider you are looking for (such as “substance abuse treatment”), and any other relevant search criteria.
Review the search results: Once you have entered your search criteria, the website will generate a list of providers in your area that meet your search criteria. You can review the list to find a provider that meets your needs.
Contact the provider: Once you have identified a provider that you are interested in, you can contact them directly to confirm that they accept AHCCCS and to schedule an appointment.
In addition to using the AHCCCS website, you can also contact AHCCCS directly for assistance with finding a drug rehab provider in your area. You can call AHCCCS at 602-417-7100 or visit a local AHCCCS office for more information.
Can I receive drug rehab services outside of Arizona and still be covered by AHCCCS?
In general, AHCCCS (Arizona Health Care Cost Containment System) provides coverage for medical services received in Arizona only. This means that if you are an AHCCCS member and you receive drug rehab services outside of Arizona, those services may not be covered.
However, there are some exceptions to this rule. For example, AHCCCS may cover emergency medical services received outside of Arizona if the services are necessary to treat a life-threatening condition. Additionally, AHCCCS may cover certain services received outside of Arizona if those services are not available in Arizona or if the member has a referral from an Arizona provider.
If you need drug rehab services and you are outside of Arizona, it’s best to check with AHCCCS directly to determine whether those services will be covered. You can call AHCCCS at (602) 417-7100 or visit a local AHCCCS office for more information.
Are there any specific requirements or qualifications I must meet to be eligible for AHCCCS drug rehab coverage?
To be eligible for AHCCCS (Arizona Health Care Cost Containment System) drug rehab coverage, you must first be enrolled in an AHCCCS health plan. Eligibility for AHCCCS is based on various factors, including income, household size, citizenship status, and other criteria.
In addition to meeting the general eligibility requirements for AHCCCS, there may be specific requirements or qualifications that you must meet to be eligible for drug rehab coverage. These requirements may vary depending on the type of drug rehab services you need and your chosen provider.
For example, some drug rehab providers may require a primary care physician or specialist referral. Others may have specific criteria for determining medical necessity, such as a certain level of drug use or a specific diagnosis.
Will my primary care physician need to refer me to a drug rehab provider in order for me to receive coverage under AHCCCS?
It depends on your chosen drug rehab provider and the services you need. Usually, no referral is needed to receive drug rehab services. However, some drug rehab providers require a referral from a primary care physician or a specialist to be eligible for coverage under AHCCCS (Arizona Health Care Cost Containment System). Other providers may not require a referral.
How do I apply for AHCCCS so I can get Treatment?
To apply for AHCCCS (Arizona Health Care Cost Containment System) and receive drug rehab coverage, you can follow these steps:
Determine if you are eligible: AHCCCS eligibility is based on factors such as income, household size, citizenship status, and other criteria. You can check your eligibility online at the AHCCCS website.
Choose a health plan: If you are eligible for AHCCCS, you must choose a health plan offering drug rehab coverage. You can compare plans and choose the best fit your needs and preferences.
Apply for AHCCCS: You can apply for AHCCCS online at the AHCCCS website, by mail, or in person at a local AHCCCS office. You must provide information such as your name, address, income, and other personal details.
Complete the enrollment process: Once your application is approved, you must complete the enrollment process by choosing a primary care physician and selecting a drug rehab provider or program.
Request drug rehab services: If you need drug rehab services, you can request them through your chosen provider or program. Depending on the provider’s requirements, you may need a referral from your primary care physician or a specialist.
If you need assistance with the application process or have questions about your eligibility, you can contact AHCCCS or a healthcare navigator for help.
How can I appeal a denial of coverage for AHCCCS drug rehab services?
You can appeal the decision if your request for AHCCCS (Arizona Health Care Cost Containment System) drug rehab services is denied. Here are the steps to follow:
Request an appeal: Contact AHCCCS within 60 days of receiving the denial to request an appeal. You can do this by phone, mail, or in person. Be sure to provide your AHCCCS ID number, the date of the denial, and the reason for the denial.
Prepare your appeal: AHCCCS will provide a notice of your appeal rights and instructions on how to prepare your appeal. You will need to provide additional information to support your request for coverage, such as medical records, doctor’s notes, and other documentation.
Attend the hearing: AHCCCS will schedule a hearing to review your appeal. The hearing will be conducted by an administrative law judge who will listen to both sides and decide based on the evidence presented.
Receive the decision: You will receive a written decision within 90 days of the hearing. AHCCCS will provide coverage for the requested drug rehab services if your appeal is approved. If your appeal is denied, you may be able to request a second level of appeal.
If you need assistance with the appeal process or have questions about your rights, you can contact AHCCCS or a legal representative for help.
How Can I get Emergency AHCCCS for Drug Rehab Services?
Emergency AHCCCS normally comes into play at the detox level of care.
Individuals who have addictions to drugs like benzodiazepines, fentanyl, heroin, or alcohol can experience fatal withdrawal symptoms, and this constitutes an emergency need for treatment.
Many AHCCCS treatment providers can take in patients immediately and apply for emergency AHCCCS after they are in the facility’s care.
Some facilities currently have treatment grants that allow them to see patients at no cost.
To learn more, please call us at (888) 906-0952, and you’ll be put into contact with a treatment provider.