AHCCCS has recently published to its website an e-learning seminar -- "Fraud Awareness for Providers" that discusses provider and member fraud. SCAN encourages all providers and office staff to review the video on-line regarding this very important topic. Click here to review video.

ALTCS Member Benefit Reduction Notice, click here
For more information, visit the AHCCCS website, click here


Below are several tools to help you provide the best quality care possible to your patients.

Tools / Quick Checks SCAN Health Plan Arizona (Medicare) SCAN Long Term Care (ALTCS)
Adult Health Screening and Immunization Schedule
Appointment Availability and Accessibility Standards
Claims Billing Address
Claims Inquiry
Description of SCAN’s Health Plans
Drug Formulary Search
Drug Formulary Updates
Electronic Claims Transaction Information
Electronic Fund Transfer Information coming soon coming soon
Enrollment Verification
All members under both SCAN Health Plan Arizona and SCAN Long Term Care should receive a Member Identification (ID) card to show enrollment in our plans.

Members under SCAN Health Plan Arizona are issued a Member ID card from SCAN and members under SCAN Long Term Care should receive a Member ID card from Arizona Health Care Cost Containment System (AHCCCS).

Although an ID card does not guarantee that a Member is still eligible for services at the time of services. So, It is critical to verify insurance coverage and panel assignment to your practice (if applicable) before providing services.

Be sure to ask your patient for all insurance cards they might have, as they may have other insurance in addition to our plans.

Keep in mind when using this eligibility tool, only the co-payment amounts for that particular plan are listed. So, if a member is dually enrolled with both SCAN Health Plan Arizona Special Needs Plan (SNP) and an AHCCCS Long Term Care, the co-pays listed under the SNP plan would be covered by the Long Term Care Plan.

Member Services is responsible for ensuring that all membership information is accurate. However, if errors are found in a member’s eligibility records listed, please call Member Services to report the discrepancy at (888) 540-7226.

SCAN Health Plan Arizona (Medicare), click here

SCAN Long Term Care (ALTCS), click here

[x] click here to close
Fraud and Abuse
NPI Look Up
Non-Provision Of Service Info  
Prior Authorization Requirements
To download the prior authorization requirements please choose between the following Medicare plans.

SCAN Health Plan Arizona (MAPD)
SCAN Health Plan Arizona is a Medicare Advantage Prescription Drug Plan for people who have Medicare Part A&B and are not diagnosed with ESRD. The service area is Maricopa County
SCAN Health Plan Arizona (SNP)
SCAN Health Plan Arizona is a Medicare Advantage Special Needs Program for people who are enrolled onto the ALTCS program, have Medicare A & B and not diagnosed with ESRD. Members may live in private residences, assisted living facilities or nursing homes. The service area is Maricopa County.

[x] click here to close
Provider Operations Manual
Provider Search
To search for a provider in the SCAN Network choose between the following Medicare plans.

SCAN Health Plan Arizona (MAPD)
SCAN Health Plan Arizona is a Medicare Advantage Prescription Drug Plan for people who have Medicare Part A&B and are not diagnosed with ESRD. The service area is Maricopa County
SCAN Health Plan Arizona (SNP)
SCAN Health Plan Arizona is a Medicare Advantage Special Needs Program for people who are enrolled onto the ALTCS program, have Medicare A & B and not diagnosed with ESRD. Members may live in private residences, assisted living facilities or nursing homes. The service area is Maricopa County.

[x] click here to close
Urgent Care List – Next Care


Forms SCAN Health Plan Arizona (Medicare) SCAN Long Term Care (ALTCS)
1500 Form
UB04 Form
DME/Medical Supply Request Form
Certificate of Medical Necessity for Commercial Oral Nutritional Supplements  
EPSDT forms  
Formulary Exception  
Medical Prior Authorization Request Form
Pharmacy Prior Authorization Form
Specialty Prescription Prior Authorization Form
Referral Form


Resources SCAN Health Plan Arizona (Medicare) SCAN Long Term Care (ALTCS)
AHCCCS 2006 Performance Measures  
AHCCCS Provider & Member Survey  
AHCCCS Newsletter  
Clinical Practice Guidelines
CME Information
Interpretative Services
MedWatch Reporting Program  
Multi-Cultural Competency
Provider Newsletters go go
SCAN Member Survey  
SCAN Provider Survey  


Provider Notification Archives SCAN Health Plan Arizona (Medicare) SCAN Long Term Care (ALTCS)
Important Benefit Changes Regarding Dental  
AHCCCS Prescription Benefit Letter  



Contact Us SCAN Health Plan Arizona (Medicare) SCAN Long Term Care (ALTCS)
 


Contact Information
  • Case Management – 1-866-563-7321
  • Claims Inquiry – 1-877-235-7226
  • Prior Authorizations – 1-866-406-0955
  • Network Management Services – 1-866-406-0937
  • Transportation - 1-877-270-9240

Last updated on 8/18/2010