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What is Mercy Care Long Term Care?
What is Mercy Care Long Term Care?
This plan provides physical (medical) and behavioral health care coverage. We serve Elderly and Physically Disabled (EPD) Long Term Care (LTC) members. People get care and services as part of the Arizona Long Term Care System (ALTCS). Our service area is Maricopa, Gila, Pima and Pinal counties.
With this plan you can get:
- Your own case manager for help and answers to your questions
- The care and services you need in your own home, an assisted-living facility or a nursing home
- A choice of providers from our wide network
- Hospice care and services
- Attendant care or adult day care health services
- Home health services like nursing services, home health aide, and therapy
- Meal delivery at home
- Dental services (up to $1,000 per contract year)
This is only a partial list of services we cover
What is AHCCCS?
AHCCCS is short for Arizona Health Care Cost Containment System. It’s the Medicaid agency that serves people who live in Arizona. You’ll see it written as “AHCCCS.” And people call it “access.” AHCCCS offers health services to people who meet certain income and other requirements.
How to qualify
This plan is for people who qualify for medical and financial reasons and:
- Are age 65 or older or have a disability
- Need ongoing services at a nursing facility level of care
You don’t have to live in a nursing home. Many live in their own homes or an assisted-living facility.
To get a final decision from AHCCCS, you’ll need to complete the application form.
Apply for benefits
You can get help applying for Mercy Care Long Term Care. BETE stands for Benefit Eligibility, Triage, and Education. It can help anyone in the community with their long-term care benefit eligibility questions. Need help? Call 1-855-477-9896. Or visit BETE online.
You can apply for yourself, your family or someone close to you.
801 E. Jefferson St.
Phoenix, AZ 85034
By phone: Call AHCCCS at 1-888-621-6880.
In person: You may be able to visit your local ALTCS office. Be sure to call before you go.
Check your status
The decision on your health coverage can take up to 90 days. You’ll get a letter from AHCCCS with either:
- Approval of your application and next steps
- Denial of your application and info about how to appeal the decision
Watch your mail
Your coverage starts as soon as the state approves your application. You’ll get a Mercy Care welcome packet and member ID card in the mail.
You can choose a health plan after you get approval for coverage. If you don’t choose a health plan, the state will choose one for you.
Before you choose:
- Check with your doctor, pharmacy or hospital. Find out if they work with the plan you choose. Or call the plan to find out if your provider is in their network. Mercy Care has a tool to help you find a provider.
- Be sure the plan works in your county. You can check the AHCCCS page on health plans. Choose “Health Plans Available for AHCCCS Medical Assistance” for service areas.
Options for tribal members
- Here are some options and facts to know for tribal members:
- Are you living off tribal lands? If yes, you can join a Mercy Care health plan.
- Are you living on tribal lands? If yes, you’ll join the Tribal ALTCS Program.
- Were you living on tribal lands before admission in a facility off tribal lands? If yes, you’ll join the Tribal ALTCS Program.
Tribal members can also get services through:
- Indian Health Services Facilities
- Tribally Operated 638 Health Care Facilities
- Urban clinics: Urban Indian Health Programs
Need to switch health plans? Contact ALTCS.
Need help with general questions? Email Tribal Relations.
No longer qualify for health benefits?
You may still qualify to get treatment for mental health, drugs or alcohol use. Certain state and federal grants cover treatment. To learn more, call us at 602-263-3000 or 1-800-624-3879 (TTY 711). You can also check “grants for treatment” under the health and wellness tab at the top of this page.
Don’t lose your benefits
Already a member? Be sure your contact info is up to date. Then you’ll get notice when it’s time to renew your Medicaid coverage. Need to update your address, phone number or email? Contact your Mercy Care case manager for help. Or call 1-888-621-6880.
Need language help?
You can get all our printed materials in other formats. You pay nothing for these materials. This includes your member handbook and provider directory. You can also get info in languages other than English. Call us at 602-263-3000 or 1-800-624-3879 (TTY 711).
Learn more about language help.