How to Apply for Services
The process to apply for services is to fill out an application. Anyone can fill out an application including a family member, doctor, or health plan representative. When someone other than you or a family member completes an application, this is called a referral. To get an application:
If you need help completing the APIPA-CRS application or getting information to send in with the application packet, ask Member Services for help. Completed applications must be sent to Arizona Physicians-Children’s Rehabilitative Services:
APIPA-CRS
Attn: Eligibility & Enrollment
PO Box 33320
Phoenix, AZ 85067-33320
How to Know if Your Application Has Been Approved or Denied
APIPA-CRS will notify you and your referral source within fourteen (14) days of receipt of your application to let you know if your application has been approved or denied. If APIPA-CRS decides that you are not eligible, you will receive a written notice explaining why. If you do not agree with the decision that APIPA-CRS has made, you may request a State Fair Hearing. You must request a State Fair Hearing within 30 days from the time you receive this decision. The request should be sent to:
Arizona Department of Health Service
Children’s Rehabilitative Services Administration
Office of Grievance and Appeals
150 N. 18th Ave. Ste 330
Phoenix, AZ 85007
If you are determined to be eligible, APIPA-CRS may send you a request for more information or ask you to sign additional documents. It is important for you to know that a determination of eligibility does not mean that you are automatically enrolled in APIPA-CRS. If APIPA-CRS requests more information you must complete and return the information that they send to you. This information must be sent within 90 days of the date you received the written notice of eligibility to:
APIPA-CRS
Attn: Eligibility & Enrollment
PO Box 33320
Phoenix, AZ 85067-33320
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