What It Covers

If you get AHCCCS, it will pay for a broad range of medical services. If you’re not sure if a particular service is covered by AHCCCS, or if it requires prior authorization, ask your doctor or your AHCCCS managed care program.

Here is a list of the main services that AHCCCS provides:

  • Doctor's Visits
  • Immunizations (shots)
  • Prescriptions (not covered if you have Medicare)
  • Lab and X-rays
  • Specialist Care
  • Hospital Services
  • Transportation to Doctor
  • Emergency Care
  • Pregnancy Care
  • Surgery Services
  • Physical Exams
  • Behavioral Health
  • Family Planning Services
  • Dialysis

For children under age 21, AHCCCS also provides:

  • Early and Periodic Screening Diagnosis and Treatment (EPSDT) Services
  • Glasses
  • Vision Exams
  • Dental Screening
  • Dental Treatment
  • Hearing Exams
  • Hearing Aids

Coverage for some long-term care services, including nursing homes, may require a separate application for a program called the Arizona Long Term Care System (ALTCS). It has different eligibility requirements and most people who get AHCCCS coverage do not qualify for ALTCS. To learn more, see DB101’s information about ALTCS in the Personal Assistance Services article or contact your local DES/Family Assistance Administration office.

Services not covered by AHCCCS
  • Dental services that are cosmetic or not medically necessary
  • Cosmetic surgery
  • Autopsy
  • Vocational/educational services
  • Gender-reassignment surgery
  • Artificial insemination, including in vitro fertilization