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 you must get 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), which has some additional eligibility requirements. To learn more, see DB101’s information about ALTCS in the Personal Assistance Services article or contact your local DES/Family Assistance Administration office.