CommercialCoverageMedium impact
Members Who Lose AHCCCS Coverage May Have Continuity of Care Option
Arizona Medicaid - AHCCCS·AZ·Medical Policy
Effective date
May 24, 2023
We identified it
Jun 17, 2026
Summary
Former AHCCCS (Arizona Medicaid) members who transition to other health plans may continue receiving care from their previous providers under specific continuity of care provisions. This applies to members with life-threatening conditions (up to 30 days) or in third trimester of pregnancy (through 6 weeks post-delivery) when proper written requests and provider agreements are in place.
Action Required
Immediately: Billing team should establish process to identify former AHCCCS patients transitioning to new plans. Verify continuity of care arrangements are documented with written patient requests and signed provider agreements accepting new plan rates before billing. Front desk staff should inform qualifying patients about continuity options when AHCCCS coverage ends.