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Refugee Health

Case Managers

If you are having trouble with a provider accepting RMAP or difficulty with an RMAP claim, please call 1-602-542-6644 for assistance.

If you are having difficulty with an uncovered client, having difficulty finding a specialist or appropriate health care provider, or looking for health education resources and events, please call 1-602-364-3592.

The Arizona Health Disparities Center has created several resources in multiple languages that may be useful for your clients, including I Speak Cards and 'Know Your Language Access Rights' Fact Sheets.

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Low or No Cost Health Services

Sliding Fee Schedule Clinics

Sliding Fee Schedule Clinics provide free or low-cost primary, mental and dental health services to persons without health insurance. There are many of these clinics throughout Arizona. See a map of Sliding Fee Schedule Clinics in Arizona.

Federally Qualified Health Centers (FQHC)

An FQHC is any clinic or hospital that participates in a program to provide additional services to community members including benefit enrollment assistance, educational programs, and reduced rates for low-income individuals. See a list of FQHCs in Arizona.

Dental Services

Maricopa County:

  • St. Vincent De Paul Dental Clinic (602-261-6868): free, but only accepts people on a lottery basis
  • Adelante Healthcare Mesa Dental Clinic (480-247-7303): sliding fee scale
  • MIHS Family Health Center Dental Clinics (602-344-6400): sliding fee scale
  • Mountain Park Health Dental Clinic (602-243-7277): sliding fee scale
  • Native Health (602-279-5262): sliding fee scale and free transportation
  • A.T. Still Dental School (480-248-8100): low cost
  • YMCA Chris-Town Dental Clinic (602-242-7717): low cost
  • Phoenix College of Dental Hygiene (602-285-7323): low cost cleaning
  • Midwestern University Dental Clinic (623-537-6000): somewhat low cost

Pima County:

  • El Rio Community Health Center (520-670-3909): sliding fee scale
  • Marana Health Center (520-616-6200): sliding fee scale
  • St. Elizabeth’s Health Center (520-628-7871): sliding fee scale

Click here for a full list of Reduced Fee and Community Dental Clinics in Arizona.

Vision Services

Maricopa County:

  • Area Agency on Aging (602-264-2255): Free glasses for elders
  • Lion’s Club Vision Center (602-267-7573): low cost screening and glasses
  • EyeCare America Seniors EyeCare Program (800-222-3937): Free eye exam and one year of care for seniors age 65+ who have not seen an ophthalmologist in three or more years

Pima County

  • Pima Council on Aging (520-790-7262): Free glasses for elders
  • Lion’s Club Vision Center (520-777-7334) low cost screening and glasses
  • Pima Community Access Program (520-694-0418): low cost
  • EyeCare America Seniors EyeCare Program (800-222-3937): Free eye exam and one year of care for seniors age 65+ who have not seen an ophthalmologist in three or more years

Programs for Improving the Health of Refugees

Click on the program to view the enrollment instructions.

Refugee Medical Assistance Program (RMAP)

All refugees resettled in Arizona though a resettlement agency will be enrolled for RMAP benefits by the RMAP Health Services Manager at the time of their orientation. For asylees and secondary-migrants, their case manager must call RMAP (1-602-542-6644) to arrange for enrollment.

RMAP covers the domestic preventive health screening and functions as health insurance coverage for essential health services for the first 60 days after arrival to the US. Case managers should make sure clients have health insurance with AHCCCS, through an employer, or purchased on the health insurance marketplace before RMAP expires.

AHCCCS

Eligibility for Arizona Health Care Cost Containment System (AHCCCS):

  • AHCCCS is Arizona’s Medicaid program, which is a benefit that functions like a health insurance plan. AHCCCS is for adults between the ages of 18 and 65, with children, who earn less than the Federal Poverty Level.
  • Note: With the upcoming restoration of Medicaid, adults without dependent children will be eligible for AHCCCS. The income eligibility threshold will also be increased to 133% of the Federal Poverty Level. Newly-eligible Arizonans can begin applying for AHCCCS today at Health-e-Arizona PLUS. Coverage will begin January 1, 2014.

How to apply for AHCCCS, Temporary Assistance for Needy Families (Cash Assistance), and Nutrition Assistance (Food Stamps):

  • Complete the online application at Health-e-Arizona PLUS , or fill out the FA-001 Form from the Arizona Department of Economic Security/Family Assistance Administration (DES/FAA) and mail it, fax it or turn it in by hand to your local DES/FAA office.
  • The case manager and the client will be called into a DES office for an interview. The interview may also be done over the phone.
  • The client will be notified of approval or denial.

Women, Infants and Children (WIC)

Eligibility for Arizona Supplemental Nutrition Program for Women, Infants and Children (WIC):

  • WIC provides food, education and breast-feeding support services to pregnant women, breastfeeding women, postpartum women, infants, and children under the age of five who have little or no income.

How to apply for WIC:

  • Contact your local WIC clinic to make an enrollment appointment, or call 1-800-252-5942.
  • Make sure to bring the mother and children who are enrolling, proof of income, ID, and proof of other benefits the client is enrolled in (AHCCCS, TANF, Food Stamps, or Section 8) to the appointment.
  • The client will be notified of approval or denial.

Serious Mental Illness (SMI)

Eligibility for Serious Mental Illness (SMI) Status:

  • SMI is for adults who have a serious mental illness that prevents them from doing their normal daily activities without supportive treatment for a long-term or indefinite duration. SMI can assist with drug prescription cost for such individuals.

How to apply for SMI Status:

  • Request an SMI determination from a psychiatrist, psychologist or nurse practitioner with the Regional Behavior Health Authority (RBHA).
  • Make sure the client makes it to the appointment to be assessed for SMI.
  • If the client is deemed eligible for SMI status, they will be contacted within 3 business days.

Social Security Disability Insurance

Eligibility for Social Security Disability Insurance:

  • Social Security provides a monthly benefit to people who have previously worked and paid Social Security taxes, but now have a disability that prevents them from working.

How to apply for Social Security disability benefits:

Supplemental Security Income (SSI)

Eligibility for Supplemental Security Income (SSI):

How to apply for SSI:

  • Call 1-800-772-1213 to schedule a telephone appointment or an in-person appointment at your local Social Security office.
  • Make sure to gather all of the necessary documents for the client’s application.
  • Applications typically take 3 to 5 months to process. The client will be notified of approval or denial.

Medicare

Eligibility for Medicare:

  • Medicare is a health insurance plan for people age 65 or older, people under age 65 with certain disabilities, and people of all ages with end-stage renal disease. In order to be eligible, the person or the spouse must have worked for at least 10 years in Medicare-covered employment.

How to apply for Medicare:

  • If a person already receives benefits from Social Security, the person will automatically get Part A and Part B upon turning 65.
  • If a person is under 65 and disabled, the person will automatically get Part A and Part B after receiving disability benefits from Social Security for 24 months.
  • Initial Enrollment Period – Three months before the client turns 65, apply online at www.ssa.gov/medicareonly, or call 1-800-772-1213, or visit your local Social Security office. The initial enrollment period lasts until three months after the client turns 65.
  • General Enrollment Period – If the client did not enroll in Part A and/or Part B when first eligible, the client can apply between January 1 and March 31 each year. Late enrollment may result in higher premiums.
  • The client will be notified of approval or denial.

Arizona Early Intervention Program (AZEIP)

Eligibility for AzEIP:

How to apply for AzEIP:

  • Submit an online referral for the client, or call your local AzEIP office to make a referral.
  • Within 10 days, a service coordinator will meet with the case manager and the child’s family to gather information and begin the initial planning process.
  • The child may need to have a developmental evaluation completed by health professionals to determine eligibility.
  • If the client is deemed eligible for AzEIP, he or she will be assigned a primary agency and an ongoing service coordinator.

Division of Developmental Disability (DDD) Services

Eligibility for DDD services:

  • DDD provides supports and services to children up to age 6 who are at risk of having a developmental disability and people over age 6 with a diagnosis of particular developmental disabilities. In order to be eligible, the disability must have occurred prior to age 18 and the client must have substantial functional limitations in at least 3 of 7 major life areas.

How to apply for DDD services:

  • Submit an online referral for the client, or call your local DDD office to make a referral.
  • A DDD staff member will meet with the case manager and the client for an intake interview.
  • If the client is deemed eligible, he or she will be notified of available DDD services.

Arizona Long Term Care System (ALTCS)

Eligibility for ALTCS:

  • ALTCS is a Medicaid program that provides services to individuals who are 65 or older, blind, or disabled and need ongoing services at a nursing facility level of care. The client does not necessarily have to reside in a nursing facility.
  • Clients must demonstrate that they have completed an application for Social Security Disability Insurance or Supplemental Security Income before applying for ALTCS.

How to apply for ALTCS:

  • Contact your local ALTCS office to complete an application.
  • Provide documents to show that the client is financially eligible.
  • A registered nurse or social worker will meet with the case manager and the client to determine if the client is medically eligible.
  • If the client is deemed eligible for ALTCS, he or she will be assigned a program contractor and a case manager.

Copa Care

Eligibility for Copa Care:

  • Copa Care is a sliding-scale fee program available at all MIHS clinics and hospitals. If a client has low income and lives in Maricopa County, he or she can apply for Copa Care to receive medical services at lower costs. This is particularly useful for refugees who are not eligible for AHCCCS and whose RMAP benefits have expired.

How to apply for Copa Care:

  • Gather the necessary documents, including the client’s proof of ineligibility for AHCCCS (denial letter), ID, Proof of Income, Proof of Maricopa County residence and Immigration documents
  • Call 602-344-8181 to make an appointment to apply.
  • The case manager will need to take the client to an MIHS hospital/clinic to complete the enrollment.

Pima Community Access Program (PCAP)

Eligibility for PCAP:

  • PCAP is a not-for-profit organization that arranges deals with local health care providers in Pima County to provide PCAP members with low-cost services. This is particularly useful for refugees who are not eligible for AHCCCS and whose RMAP benefits have expired. There is a $40 annual fee.

How to apply for PCAP:

  • Gather the necessary documents, including the client’s proof of ineligibility for AHCCCS (denial letter), ID, Proof of Income, Proof of Pima County residence and Immigration documents.
  • Apply at a community health center, or call 520-694-0418.

Substance Abuse Prevention and Treatment (SAPT)

Eligibility for SAPT services:

  • SAPT funds provide services for uninsured, priority populations including pregnant women using substances, individuals who use drugs by injection, and substance-using women with dependent children, including women trying to regain custody of their children

How to apply for SAPT services:

  • Contact the Regional Behavior Health Authority (RBHA) for an over-the-phone screening interview.
  • If the client is eligible for SAPT services, he or she will be referred to a provider to schedule services. Behavioral health services must be provided within a certain time period after the initial referral, depending on the priority population the client belongs to.

Guidance on Legal Matters

Title VI of the Civil Right Act of 1964 requires all agencies that receive federal funds to take reasonable steps to ensure that limited English proficient (LEP) persons have meaningful access to the agency’s services. This means the agency must provide a qualified interpreter and translated documents at no cost to the client.

Filing a Title VI complaint

If a client does not receive help in his or her language, he or she has the right to make a complaint.

  1. Visit Justice.gov
  2. Fill out a complaint form (available in English, Spanish, Chinese, Korean, and Vietnamese) or write a letter including the required information (indicated on the complaint form by asterisks), and mail it to:
    • Federal Coordination and Compliance Section - NWB
      Civil Rights Division
      U.S. Department of Justice
      950 Pennsylvania Avenue, N.W.
      Washington, D.C. 20530.
  3. For assistance, call 1-888-848-5306 (English, Spanish, and TDD).

When a patient cannot make or communicate his or her decisions regarding health care, the health care provider will ask someone who is authorized to make decisions for the patient.

The order of people authorized to make health care decisions is:

Guardian

A guardian is a person appointed by the Arizona Superior Court to make decisions for an incapacitated adult or a minor. The guardian can make personal decisions for the patient regarding health care as well as living arrangements, education, and social activities.

Any person interested in the incapacitated adult’s or minor’s welfare may petition the court to appoint a guardian by filling out the following forms. The process may take at least 2 months.

In order to appoint a guardian for an incapacitated adult, the incapacitated adult must be evaluated by a medical professional, interviewed by a court-appointed investigator, and represented by an attorney.

In order to appoint a guardian for a minor, the minor’s parents must consent to the appointment of a guardian for their minor child. No medical evaluation or representation by an attorney is necessary.

Health Care (Medical) Power of Attorney, Mental Health Care Power of Attorney

A patient may name someone to serve as an “agent” under a power of attorney. The agent under power of attorney can make health care decisions (Health Care Power of Attorney) or mental health care decisions (Mental Health Care Power of Attorney) only when the patient is unable to do so.

When appointing an agent under power of attorney, the patient can specify which health care decisions the agent is authorized or not authorized to make. The Office of the Attorney General provides a power of attorney form, though there is no specific form that must be used.

The power of attorney form must:

1. Name the person who will make health care decisions if the patient becomes unable to make or communicate his or her own decisions. An alternate person can be named in case the primary agent is unavailable.
2. Be signed and dated by the patient.
3. Be signed by an adult witness or notary who is not related, not in line to inherit any property, and not involved in providing health care to the patient. The witness or notary must confirm that the patient seems to be of sound mind and free from duress.

Surrogate

If the patient does not have a court-appointed guardian or agent under a power of attorney, the health care provider will ask a surrogate to make decisions for the patient.

The health care provider will go down the following list (listed in descending order of priority) to find a surrogate who is available and willing to make health care decisions on behalf of the patient:

  1. The patient’s spouse, unless legally separated
  2. An adult child of the patient, or a majority of the adult children
  3. A parent of the patient
  4. The patient’s domestic partner if the patient is unmarried
  5. A brother or sister of the patient
  6. A close friend of the patient
  7. If none of the above can be located, the attending physician will make decisions after consulting with an ethics committee. If unavailable, the physician may make decisions after consulting with a second physician.

A patient can prevent a specific person from becoming his or her surrogate, by stating in writing that he or she does not want that specific person to make his or her health care decisions.

A surrogate cannot decide to withhold or withdraw artificial nutrition from the patient. Only a court-appointed guardian or agent under a power of attorney can decide to withhold or withdraw artificial nutrition from the patient.

Most applicants for adjustment of immigration status are required to have a medical examination. The medical examination must be conducted by a civil surgeon who has been designated by the United States Citizenship and Immigration Services.

Department of Economic Security Health Privacy Statements

The Notice of Privacy Practices, available in 9 languages below, describes how personal medical may be used, disclosed, and accessed.

Promoting Health Literacy