coconino, apache, & navajo counties, AZ
In Arizona, the western portion of the Navajo Nation is spread across Coconino, Navajo, and Apache counties.
ARIZONA publIC HEALTH county offices
serving the navajo nation
State-Run Public Health Services District County Offices
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While none of the county public health services offices in Apache, Coconino and Navajo counties are located on the Navajo Nation, they do serve Navajo Nation communities within these counties. Please use the links below to reach your county office for help with free or reduced cost services like medical care, immunization, food, job training and more, including more than 20 separate public health programs.
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Arizona Medicaid System (AHCCCS)
Founded in 1982, the Arizona Health Care Cost Containment System (written as AHCCCS and pronounced 'access') is Arizona's Medicaid program, a federal health care program jointly funded by the federal and state governments for individuals and families who qualify based on income level. Long a a complex system with different eligibility requirements for different qualifying plans for its different programs, since Oct 1, 2018 qualifying plans have been integrated into a single "AHCCCS Complete Care" (ACC) contractor-managed health plan for physical and behavioral programs. ACC integrated health plans are organized by geographical service area (GSA) served by a health plan contractor and a network of service/medical providers.
Information on Medicaid and CHIP in Arizona may be found here.
AHCCCS is and offers many different health care programs as well as medical insurance coverage and also helps obtain doctor's visits, physical exams, immunizations, prenatal care, hospital care and prescriptions. Their programs and services are sorted by residents who meet certain income and eligibility requirements , Select one of the following that best describes you (or the person you are applying for) to learn more:
Information on Medicaid and CHIP in Arizona may be found here.
AHCCCS is and offers many different health care programs as well as medical insurance coverage and also helps obtain doctor's visits, physical exams, immunizations, prenatal care, hospital care and prescriptions. Their programs and services are sorted by residents who meet certain income and eligibility requirements , Select one of the following that best describes you (or the person you are applying for) to learn more:
- Adults
- Caretaker Relatives
- Children
- Children’s Rehabilitative Services (CRS)
- Individuals Who are 65 or Older
- Individuals Who are Blind or Have a Disability
- Individuals Who Require Nursing Home or In-Home Care
- Individuals With Developmental Disabilities who Need Long Term Care
- Individuals Who Need Help Paying Medicare Costs Only
- Pregnant Women
- Women Who Want Screening for Breast or Cervical Cancer
- Working Individuals With a Disability (Freedom to Work)
AHCCCS Choices for Tribal Members
"AI/AN" (American Indian/Alaska Natives) may choose between 2 types of health plans.
- The American Indian Health Plan (AIHP) program provides medically necessary services and coverage for preventive and behavioral health care services specifically for tribal members. AI/AN may choose between AIHP and ACC at any time. Go to the American Indian Health Plan Handbook.
- The AHCCCS Complete Care (ACC) plan The Navajo Nation (Apache, Coconino and Navajo counties) are designated the "North GSA" which is presently presently served by 2 contracted health plans: Care 1st and Steward Health Choice Arizona. Tribal members who have chosen ACC may change between ACC plans only once a year during a designated 90-day period, but may opt out and choose AIHP at any time.
Arizona Children's Health Insurance Program (KidsCare)
KidsCare is Arizona’s Children’s Health Insurance Program (CHIP), providing high quality, health coverage to children in working families. KidsCare was designed for families who earn too much to qualify for Medicaid/AHCCCS, but cannot afford private health insurance. All parents pay affordable monthly premiums and can choose their own doctor and dentist.
Early Intervention for Newborns to Age 3 with Disabilities or Delays (AzEIP)
The Arizona Early Intervention Program (AzEIP) is an interagency system of services and supports, contracting with "geographic service-region"-based private providers known as Team-Based Early Intervention Services (TBEIS) providers. TBEIS providers work collaboratively with the Division of Developmental Disabilities (DDD) and the Arizona Schools for the Deaf and Blind (ASDB). Navajo Nation Geographic Service Region: The Arizona portion of the Navajo Nation is a single geographic service region for AzEIP services and is designated "DDD District North." Growing in Beauty, within the Navajo Nation Office of Special Education and Rehabilitation Services, is an AzEIP contractor. To make an AzEIP referral, contact Raising Special Kids (RSK) at (888) 592-0140 or submit an online referral.
Nutrition for Pregnancy to Age 5 (WIC)
The Arizona Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides nutrition education and breastfeeding support services, supplemental nutritious foods and referrals to health and social services for pregnant, postpartum, and breastfeeding mothers and newborns to age 5. You must be individually determined to be at "nutritional risk" by a health professional and financially quality as low-income. Navajo Nation Region: Navajo Nation WIC: The Navajo Nation Dept. of Health directly runs an Indian Tribal Organization (ITO) administered Navajo WIC Nutrition Program which is independent of state WICs. Navajo Nation WIC has established its own residency requirements with service units that cut across state lines.
Home Visits (MEICHV)
The Maternal, Infant and Early Childhood Home Visiting Program (MEICHV) for pregnant mothers and children through kindergarten visits homes statewide to provide parents with information and education on child development, parenting skills, school readiness, and health topics while assisting with connections to other resources or programs as needed. Their home visit programs are named Family Spirit, Healthy Families, Nurse Family Partnership, and Parents as Teachers. Navajo Nation Region: MEICHV provides the Parents as Teachers (PAT) program in Shonto, Dilkon, Rock Point and Nazlini. PAT's goals: 1) Increase parent knowledge of early childhood development and improve parenting practices. 2) Provide early detection of developmental delays and health issues. 3) Prevent child abuse and neglect, and 4) Increase children’s school readiness and school success. It is designed to promote parental resilience, increase knowledge of parenting and child development, and encourage social and emotional competence of children—all vital protective factors. Call: (602) 364-1441.
Grants to Early Childhood Community Services (FTF)
First Things First was created by Arizona voters, FTF partners with families and communities to help young children be ready for success in kindergarten and beyond, supporting initiatives across Arizona and on the Navajo Nation through grants to community organizations that provide services—at no cost—for young children from birth to age 5 and their families. The statute that created FTF empowers tribes to decide how they would like to participate in the regional structure of FTF. Tribes can elect to have their lands designated as a separate regional partnership council – a tribal region. Navajo Nation Region: The Navajo Nation has elected to be designated as a separate regional partnership council, with Navajo First Things First home visits conducted through the Navajo Nation Office of Special Education and Rehabilitation. The priorities of the Navajo Nation Regional Partnership Council include:
- Improving the quality of child care and preschool programs
- Scholarships for children to access high-quality early learning
- Improving the quality of family, friend and neighbor care
- Strengthening families through voluntary home visiting
- Oral health screenings and fluoride varnishes
Acute Medical & Dental Healthcare for Kids in Foster Care (CMDP)
The Comprehensive Medical and Dental Program (CMDP), within the Department of Child Safety (DCS), is a Medicaid (AHCCCS)-managed acute health care program serving children and youth in foster care, contracting with AHCCCS for children who are determined Medicaid eligible. Non-Medicaid eligible children are provided the same services using non-Medicaid state funding. A small number of seriously ill children are enrolled through Arizona Long Term Care Services (ALTCS). CMDP pays for health care services from birth to 18 years, and up to age 21 in rare instances when the member is not Medicaid eligible. Navajo Nation Region: The Navajo Nation (Navajo and Apache counties) are in AZ DCS' Northern region.
Long-Term Care (ALTCS)
The program that specifically provides long term care for the aged, blind, and disabled is called the Arizona Long Term Care System (ALTCS), administered by the Division of Developmental Disabilities, Department of Economic Security.
Telemedicine
Navajo Nation Region: Telemedicine on the northeast Arizona-side of the Navajo Nation is underwritten by the Indian Health Service and the Arizona State Legislature, allowing Diné patients on the reservation to see medical specialists across the state through real-time video conferences and one day allowing Diné patients in urban hospitals to access traditional healing ceremonies conducted for them on the reservation. Here, it is often difficult to call or even see a doctor, and where roads are often washed out preventing patients from physically going into a clinic. To learn more ask your IHS doctor or go to the Arizona Telemedicine Program.