Refugee Health

Resources for Case Managers

Programs for Improving the Health of Refugees

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.

If you are having AHCCCS enrollment issues, call (623) 931-5640 ext 7226 (Phoenix), or (520) 745-5802 ext 178 (Tucson).

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.
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.

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.
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.
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.
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.
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.

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

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:

SAMHSA's SSI/SSDI Outreach, Access, and Recovery (SOAR) Technical Assistance Center offers a 16 hour course that can give case managers additional tools to help individual who are homeless or at risk of homelessness apply for SSI or SSDI.

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.
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.

SAMHSA's SSI/SSDI Outreach, Access, and Recovery (SOAR) Technical Assistance Center offers a 16 hour course that can give case managers additional tools to help individual who are homeless or at risk of homelessness apply for SSI or SSDI.

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.