March 31, 2023
2023 Marketing Policies
Redetermination Strikes

Many Medicaid enrollees may soon lose coverage. The COVID suspension of Medicaid disenrollment imposed by the Federal government is ending in May, and starting April 1 states will begin eligibility redeterminations. As many as 650,000 Arizona residents, including 39,000 seniors, may be impacted.
It’s crucial that Medicaid recipients maintain a current address and promptly respond to information requests from Arizona Health Care Cost Containment System (AHCCCS), the state’s Medicaid administration agency. It is expected that up to half of those who will lose Medicaid eligibility will be due to a lack of response within the required 30 days.
AHCCCS expects to automatically recertify up to 75 percent of current enrollees through coordination with SSA, SNAP, and other government databases. Members who are successfully auto-renewed will receive a confirmation letter.
Alignment offers seniors who lose Medicaid benefits comprehensive plans to maintain vital healthcare services. See our options below for LIS/Duals Enhancement products in Maricopa and Pima County.
Maricopa County
THE ONE (HMO) 001
Pima County
THE ONE (HMO) 002
Maricopa County, Pima & Santa Cruz
HEART & DIABETES (HMO C-SNP) 003
If you have any questions regarding redetermination or our coverage alternatives, please call Alignment Partner Experience at 1-888-793-5700.
PremiumAssist Eligibility Service
To ensure our members gain access to all available government assistance programs, Alignment Health has engaged Centauri, a longstanding provider of eligibility services. Their PremiumAssist service connects potentially eligible members with Medicaid, Medicare Savings Program (MSP), and Low-Income Subsidy (LIS). This service is offered at no extra charge.
Members can speak to a representative, Monday through Friday, 9 am to 7:30 pm EST, at 1-888-874-1486. TTY members use 711.
1 (800) 772-6881 x7731 | sales@pfsinsurance.com
Contact a Pinnacle Representative if you have any questions.
1 (800) 772-6881
support@pfsinsurance.com
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