The Notice to Provider form is a document that authorizes caregivers to enroll the child in school and obtain medical care for the child. The child’s assigned DCS specialist will give you a Notice to Provider form when the child is placed in your home. The Notice to Provider form includes the DCS Specialist’s contact information, specifications about contact with the child's family, and the child's health coverage identification number.

• Institutional care in a nursing facility;
• Home and community based services, combining out-patient and in-home care;
• Medical services, such as doctor’s office visits and prescriptions (prescription coverage is limited for people with Medicare);
• Behavioral health services;
• Preventive and well care for children; and
• Hospice services.

If you have questions regarding ALTCS services, contact ALTCS toll-free at 888-621-6880. Additional information for ALTCS can be found at https://www.azahcccs.gov/members/ALTCSlocations.html.

The Division of Developmental Disabilities (DDD) is a service system administered through the Arizona Department of Economic Security (DES) that supports people who develop severe and/or chronic disabilities that may limit a person's ability to do the tasks related to daily living. If a child is enrolled in DDD, a support coordinator will be assigned to help determine a service plan to meet the needs of the child. For more information about eligibility, common developmental disability terms, and FAQs, visit https://des.az.gov/services/disabilities/developmental-disabilities.

Grievances can be filed at any time verbally or in writing. To file a grievance, call Mercy Care DCS CHP Grievance System Department at 602-586-1719, toll-free at 1-866-386-5794, or fax to 602-351-2300, or email [email protected]. You can also send grievances in writing to Mercy Care DCS CHP, Grievance System Department, 4755 S. 44th Place Phoenix, AZ 85040.