Find a Provider. Our network of more than 3000 providers is committed to understanding your medical history and partnering with you to develop a health care roadmap to support your health and lifestyle objectives. Find a Provider will help you identify a network provider for a plan member and the required medical specialty.Feb 16, 2022 · Your case manager must authorize all services provided through B – UFC/ALTCS. They will provide you with contact information in case you need information in between visits. For more information, please call our Customer Care Center and ask about Case Management at (833) 318-4146, TTY 711. Banner University Health Plans AHCCCS Prior Authorization Guidelines Banner University Family Care is committed to ensuring appropriate access to high quality and cost-effective medications for all members. The following prior authorization guidelines and criteria are intended for use by the Banner University Family Care Utilization Management ...Banner University Family Care Member Services can arrange transportation for you with Veyo; call (833) 318-4146. Care 1st Health Plan Member Services can arrange transportation for you with MTBA; call (602) 778-1800. Magellan Complete Care will provide transportation; call (800) 424-5891.AHCCCS Complete Care* will join physical and behavioral health care services to improve coordination of care between providers and improve healthcare outcomes for members. Banner – University Family Care/AHCCCS Complete Care (BUFC/ACC) is a health plan for participants in the Arizona Health Care Cost Containment System (AHCCCS), which is ...Banner – University Care Advantage is an HMO SNP with a Medicare contract. Enrollment in Banner – University Care Advantage depends on contract renewal. Banner – University Care Advantage (HMO SNP) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or ...Apr 1, 2022 · For more information about eServices, contact your Care Transformation Specialist. Customer Care . Banner – University Family Care ACC Phone: 800-582-8686 . Banner – University Family Care ATLCS Phone: 833-318-4146 . Banner Medicare Advantage Dual Phone: 877-874-3930 . COVID Antiviral Update Magellan Complete Care 016523 6222979 AHCCCSRX Magellan 800-424-5891 Mercy Care 610591 ADV RX8805 CVS-Caremark 855-548-5646 Banner University Family Care 003585 ASPROD1 UOA01 MedImpact 800-788-2949 Acute Care Plans Revised to update new billing information and remove termed health plans October 1, 2018 340B Pharmacy Contract Administrators Well-Child Care / Early and Periodic Screening, Diagnostic and Treatment (EPSDT) B – UFC/ACC wants to help your children grow up healthy. Early Periodic Screening, Diagnostic and Treatment (EPSDT) is a comprehensive child health program of prevention, treatment, correction, and improvement (amelioration) of physical and mental health problems for AHCCCS members under the age of 21.Find a Doctor near you. It's a relief knowing our 10,000 providers are working hard so you can breathe easier.Important Contact Information Customer Care Center. Banner – University Family Care/ACC: (800) 582-8686, TTY 711. Banner – University Family Care/ALTCS: (833) 318-4146, TTY 711The system owns and operates 30 acute-care hospitals, Banner Health Network, Banner – University Medicine, academic and employed physician groups, long-term care centers, outpatient surgery centers and an array of other services; including Banner Urgent Care, family clinics, home care and hospice services, pharmacies and a nursing registry.Submit to: [email protected]. Practitioner must be registered with CAQH. The primary contact information in CAQH must be current to avoid credentialing delays. Practitioners must also re-attest to the validity of their information quarterly. Add a Location with a New Organizational NPI.Members can find Banner – University Family Care/ALTCS (B – UFC/ALTCS) plan information below. Plan materials are effective October 1, 2022 through September 30, 2023. Members, please review your 2022/2023 plan information.Location. Banner Baywood Medical Center, Mesa, AZ. "Banner offers extensive continuing education to new grad nurses. It extends beyond the unit orientation to include the new grad forum that continues for over a year."Arizona. Arizona Complete Health: 1-888-788-4408. Allwell by Arizona Complete Health (Medicare): 1-877-986-7419. Banner University Family Care ACC: 1-877-986-7412. Banner University Family Care ALTCS: 1-833-318-4146. Magellan Arizona: 1-833-474-5060. Mercy Care - 1-800-624-3879. Mercy Care Advantage (Medicare) - 1-877-436-5288. Mercy Care RBHA ... Banner – University Care Advantage, Banner – University Family Care/ACC, Banner – University Family Care/ALTCS. Fax (866) 465-8340 BUHPGrievances&[email protected]. Dentaquest (Banner – University Family Care Only) DDS of AZ-Claims (800) 341-8478 12121 North Corporate Parkways, Mequon, WI 53092 Go to Dentaquest WebsiteBanner – University Family Care/AHCCCS Complete Care (B – UFC/ACC) is an integrated health insurance plan. Individuals who have B – UFC/ACC have qualified for the Arizona Health Care Cost Containment System (AHCCCS). AHCCCS is Arizona's Medicaid program. Improved care coordination and improved health outcomes. Programs and services for ...Banner – University Family Care/ACC. n. Banner – University Family Care/ALTCS. n. Banner Medicare Advantage Dual. Created Date: 12/17/2021 11:34:49 AM ...Banner-University Family Care: Care 1 st Health Plan: Health Choice Arizona: Magellan Complete Care: Mercy Care: United Healthcare Community Plan: Health Plan Getting ...Members can find Banner – University Family Care/ALTCS (B – UFC/ALTCS) plan information below. Plan materials are effective October 1, 2022 through September 30, 2023. Members, please review your 2022/2023 plan information.Banner – University Family Care/ALTCS (B – UFC/ALTCS) Customer Care Center (833) 318-4146, TTY 711. 5255 E Williams Circle, Ste 2050, Tucson, AZ 85711. The Customer Care Center number can be used to call all teams at B – UFC/ALTCS. Available Monday through Friday, 7:30 a.m. to 5:00 p.m. (except holidays).Contact the Customer Care Center at (800) 582-8686, TTY 711 and you can give permission to authorize a friend or family member to access your account information for up to one year. Our Customer Care Center will need the following information for your authorized contact: name, phone number, date of birth, and address.Dec 1, 2021 · Banner-University Family Care (ufc) coordinates the delivery of health Care to enrollees under a contract with the Arizona health Care cost containment system in various counties in southern Arizona. In addition to benefiting enrollees, ufc benefits the community as a whole by promoting the health of medicaid beneficiaries. Banner–University Family Care Select one of our plans below: *Please Note: Our former plan, University Family Care (UFC), has changed names. If you had UFC, your new plan name is Banner – University Family Care / AHCCCS Complete Care. Magellan Complete Care 016523 6222979 AHCCCSRX Magellan 800-424-5891 Mercy Care 610591 ADV RX8805 CVS-Caremark 855-548-5646 Banner University Family Care 003585 ASPROD1 UOA01 MedImpact 800-788-2949 Acute Care Plans Revised to update new billing information and remove termed health plans October 1, 2018 340B Pharmacy Contract Administrators04042022 EPSDT Eyeglasses Coverage. Banner – University Family Care covers eye exams and vision care for all AHCCCS members under 21 years old!Banner – University Family Care/ACC. n. Banner – University Family Care/ALTCS. n. Banner Medicare Advantage Dual. Created Date: 12/17/2021 11:34:49 AM ... Banner – University Family Care / AHCCCS Complete Care (B – UFC/ACC) B – UFC/ACC is a health plan for participants in the Arizona Health Care Cost Containment System (AHCCCS), which is Arizona's Medicaid program. As of October 1, 2018, physical and behavioral health care services, or integrated care, will be coordinated under B – UFC ...Arizona Complete Health: 520-809-6526 Banner University Family Plan: 480-827-5988. Close. ... Banner – University Family Care LTC Customer Service 1-833-318-4146Feb 3, 2020 · Banner – University Family Care / AHCCCS Complete Care (B – UFC/ACC) P.O. Box 35699 Phoenix, AZ 85069-7169 Electronic ID: 09830. Banner – University Family Care / Arizona Long Term Care System (B – UFC/ALTCS) P.O. Box 37279 Phoenix, AZ 85069 Electronic ID: 66901. Medicare Plans: Banner – University Care Advantage (B – UCA) (HMO SNP ... Banner – University Health Plans invite our contracted providers to share your feedback by participating in our 2023 Provider Satisfaction Survey.... [go to full article] AHCCCS: New Training Requirements for Prescribers. 07/19/2023 Banner – University Medical Center Phoenix offers a wide range of support and treatments for behavioral and mental health issues, including individual, couples, family and group therapies. If your doctor decides your best treatment option should include medication, we also provide pharmacotherapy (therapy using prescribed medication, as needed).How to Contact Us . Address: 2701 E. Elvira Road, Tucson, Arizona 85756. Customer Care Center: (833) 318-4146 . If you are deaf or have difficulty hearing, call: TTY 711Our network of providers is committed to understanding your medical history and partnering with you to. develop a health care roadmap to support your health and lifestyle objectives. You can find a network provider by using the online search tool below.Feb 3, 2020 · Banner – University Family Care / AHCCCS Complete Care (B – UFC/ACC) P.O. Box 35699 Phoenix, AZ 85069-7169 Electronic ID: 09830. Banner – University Family Care / Arizona Long Term Care System (B – UFC/ALTCS) P.O. Box 37279 Phoenix, AZ 85069 Electronic ID: 66901. Medicare Plans: Banner – University Care Advantage (B – UCA) (HMO SNP ... Jun 22, 2023 · Banner – University Care Advantage, Banner – University Family Care/ACC, Banner – University Family Care/ALTCS. Fax (866) 465-8340 BUHPGrievances&[email protected]. Dentaquest (Banner – University Family Care Only) DDS of AZ-Claims (800) 341-8478 12121 North Corporate Parkways, Mequon, WI 53092 Go to Dentaquest Website Visit the DES/DDD website for more information about the requirements for eligibility. For more support you can contact DDD at (844) 770-9500 or [email protected]. For more support in accessing these specialized diagnostic services contact our Customer Care Center at (800) 582-8686, TTY 711. Learn About Our Plan Plan Details. Banner - University Family Care/AHCCCS Complete Care (BUFC/ACC) is an Arizona Medicaid Health Plan (AHCCCS) plan designed to efficiently meet the health and/or personal needs of those enrolled in AHCCCS and assigned to BUFC/ACC.300 providers found for "Family Medicine" Sorting options Sort byBest Match Availability A-Z Z-A Video Visit Watch Bio Stephanie Briney, DO Specialty Focus Family Medicine Book Appointment Online booking Video Visit Video Visit Watch Bio Frank Truong, MD Video Visits Available 4.9 out of 5.0 ( 985 ratings) Specialty FocusMar 21, 2023 · At B – UFC/ACC, we want to ensure you and your child are as healthy as possible. Please call our Customer Care Center at (800) 582-8686, TTY 711. We are available Monday through Friday from 7:30 a.m. to 5:00 p.m. We can help you find a doctor, make an appointment, and arrange a ride to your medical appointments. Find a Lab. Sonora Quest Laboratories (SQL) is Banner – University Family Care’s preferred lab services provider. They offer many conveniences to meet your needs. SQL has more than 70 Patient Service Centers throughout Arizona, including many sites in Maricopa and Pinal counties. Use the website for easy-to-use online appointment scheduling.Banner - University Medicine Family Medicine Clinic. 1300 N 12th St Ste 605. Phoenix, AZ 85006. Hours Today: 8 a.m. to 5 p.m. (602) 839-4567. Get Directions. Peter S Fine, FACHE Chief Executive Officer Banner Health. Peter Fine was appointed president and CEO of Phoenix, Arizona based Banner Health in November 2000....Arizona Long Term Care System (ALTCS) - Banner - University Family Care/ALTCS is a health plan for individuals who are age 65 or older, or who have a disability, and who require nursing facility level of care. Care and services may be provided in an assisted living facility, a home, or community-based setting. Search For a Location. Find a Banner Health location near you. Within 10 miles of: Breathe easy. Care is closer than you think. With more than 300 locations nearby, you can exhale knowing care is close at hand.Peter S Fine, FACHE Chief Executive Officer Banner Health. Peter Fine was appointed president and CEO of Phoenix, Arizona based Banner Health in November 2000....Banner – University Family Care/ALTCS (B – UFC/ALTCS) covers medically necessary physical and behavioral health services for AHCCCS-eligible children, youth, and adults. These services include the diagnosis of and treatment for individuals who may have autism spectrum disorder (ASD). Services are provided in an individualized manner, based ...04042022 EPSDT Eyeglasses Coverage. Banner – University Family Care covers eye exams and vision care for all AHCCCS members under 21 years old!Banner University Family Care, Arizona Complete Health, UnitedHealthcare Community Plan (Pima County only) Note: Zip codes 85542, 85192, 85550 (mostly in the San Carlos Tribal area) are included in the South GSA. We will provide a brief screening over the phone to determine how Banner can help you with mental health or substance abuse concerns. If you or a loved one is having suicidal thoughts, please don’t wait to get help. Call Banner Behavioral Health at (602) 254-4357 or The National Suicide Prevention Lifeline at 1- 800-273-8255 or 988. How to Contact Us . Address: 2701 E. Elvira Road, Tucson, Arizona 85756. Customer Care Center: (833) 318-4146 . If you are deaf or have difficulty hearing, call: TTY 711Provider Manuals & Directories. Banner – University Health Plans (B – UHP) would like to thank you for providing quality medical and behavioral health care to our members. We remain committed to developing a positive working relationship with all of our providers and welcome any comments or suggestions on how we can improve our operations ... Banner - University Medicine Family Medicine Clinic. 1300 N 12th St Ste 605. Phoenix, AZ 85006. Hours Today: 8 a.m. to 5 p.m. (602) 839-4567. Get Directions. Jun 17, 2022 · AHCCCS Complete Care* will join physical and behavioral health care services to improve coordination of care between providers and improve healthcare outcomes for members. Banner – University Family Care/AHCCCS Complete Care (BUFC/ACC) is a health plan for participants in the Arizona Health Care Cost Containment System (AHCCCS), which is ... Banner Health Center in Buckeye provides comprehensive care for family members of all ages. Under the care of a family medicine physician or pediatrician along with an experienced support team, each patient can build a long-term relationship with a medical provider familiar with their health history. Our treatment and care includes: Acute and ... I'm signing up for AHCCCS today, and the application is telling me I can choose between 5 Medicaid health plans. They are: Health Choice Arizona. Care 1st. United Health Care Community Plan. University Family Care. Mercy Care Plan. The website doesn't offer any details as to their differences.Family Care (BUFC/ALTCS), an AHCCCS Long Term Care plan; and Banner–University Care Advantage (BUCA), a Medicare Advantage Dual Special Needs Plan (D-SNP). BUHP fosters a member-centric culture, is an active community partner, and is on a mission to make health care easier so life can be better. Check BUHP out at www.banneruhp.com and Like on ...Search For a Location. Find a Banner Health location near you. Within 10 miles of: Breathe easy. Care is closer than you think. With more than 300 locations nearby, you can exhale knowing care is close at hand.Banner–University Family Care Select one of our plans below: *Please Note: Our former plan, University Family Care (UFC), has changed names. If you had UFC, your new plan name is Banner – University Family Care / AHCCCS Complete Care.Submit to: [email protected]. Practitioner must be registered with CAQH. The primary contact information in CAQH must be current to avoid credentialing delays. Practitioners must also re-attest to the validity of their information quarterly. Add a Location with a New Organizational NPI.Business name as shown on your income tax return and W9 *. Business name as shown on the second line of your W9. Practice Specialty *. Practice Location #1 (Address, Suite) City, State, Zip. Practice Location #2 (Address, Suite) City, State, Zip. Mailing Address (Address, Suite) Use Address #1 Use Address #2 Other.Visit the DES/DDD website for more information about the requirements for eligibility. For more support you can contact DDD at (844) 770-9500 or [email protected]. For more support in accessing these specialized diagnostic services contact our Customer Care Center at (800) 582-8686, TTY 711. Arizona Complete Health: 520-809-6526 Banner University Family Plan: 480-827-5988. Close. ... Banner – University Family Care LTC Customer Service 1-833-318-4146 Aug 22, 2023 · Contact information for Banner – University Family Care/ALTCS (B – UFC/ALTCS) Grievances & Appeals is listed below: Banner – University Health Plans. Attn: Grievances & Appeals Department. 5255 E Williams Circle, Ste 2050, Tucson, AZ 85711. Phone: (833) 318-4146, ask for Grievances & Appeals. Fax: (520) 874-3462 or (866) 465-8340. Banner University Family Care Member Services can arrange transportation for you with Veyo; call (833) 318-4146. Care 1st Health Plan Member Services can arrange transportation for you with MTBA; call (602) 778-1800. Magellan Complete Care will provide transportation; call (800) 424-5891.Banner Health Center in Buckeye provides comprehensive care for family members of all ages. Under the care of a family medicine physician or pediatrician along with an experienced support team, each patient can build a long-term relationship with a medical provider familiar with their health history. Our treatment and care includes: Acute and ...If you received a letter from AHCCCS about your coverage or are due for renewal, please visit www.healthearizonaplus.gov or call a Banner – University Family Care/ACC Community Assistor at (833) 907-0885. There are several Community Assistors that can help you renew. Search for a Community Assistor using the link below.Banner Health Center in Buckeye provides comprehensive care for family members of all ages. Under the care of a family medicine physician or pediatrician along with an experienced support team, each patient can build a long-term relationship with a medical provider familiar with their health history. Our treatment and care includes: Acute and ... Sep 30, 2020 · Make your life easier with the MyBanner Complete Care Portal. The portal is convenient, accessible, and secure 24/7! Click 'Member Portal' in the navigation bar to log in or sign up. If you have questions, please call our Customer Care Center at (800) 582-8686, TTY 711. Business name as shown on your income tax return and W9 *. Business name as shown on the second line of your W9. Practice Specialty *. Practice Location #1 (Address, Suite) City, State, Zip. Practice Location #2 (Address, Suite) City, State, Zip. Mailing Address (Address, Suite) Use Address #1 Use Address #2 Other.Banner-University Family Care: Care 1 st Health Plan: Health Choice Arizona: Magellan Complete Care: Mercy Care: United Healthcare Community Plan: Health Plan Getting ...Aug 22, 2023 · Contact information for Banner – University Family Care/ALTCS (B – UFC/ALTCS) Grievances & Appeals is listed below: Banner – University Health Plans. Attn: Grievances & Appeals Department. 5255 E Williams Circle, Ste 2050, Tucson, AZ 85711. Phone: (833) 318-4146, ask for Grievances & Appeals. Fax: (520) 874-3462 or (866) 465-8340. Banner – University Family Care/ALTCS (B – UFC/ALTCS) is a health plan for participants in the Arizona Health Care Cost Containment System (AHCCCS), which is Arizona's Medicaid program and the Arizona Long Term Care System (ALTCS) program. Banner – University Family Care/ACC. n. Banner – University Family Care/ALTCS. n. Banner Medicare Advantage Dual. Created Date: 12/17/2021 11:34:49 AM ...AHCCCS Health Plan-B-UFC; *UAHP; Banner University Health Plans. Eligibility: Children and adults who are on AHCCCS in Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, Yavapai, and Yuma Counties. Intake Process: Call to locate a provider. Description: Provides an AHCCCS Health Plan for central and southern Arizona.AHCCCS Health Plan-B-UFC; *UAHP; Banner University Health Plans. Eligibility: Children and adults who are on AHCCCS in Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, Yavapai, and Yuma Counties. Intake Process: Call to locate a provider. Description: Provides an AHCCCS Health Plan for central and southern Arizona.Banner – University Family Care/ACC. n. Banner – University Family Care/ALTCS. n. Banner Medicare Advantage Dual. Created Date: 12/17/2021 11:34:49 AM ... Banner University Family Plan 480.827.5988; United Health Care 602.255.8605; Pinal County Resources; Please contact the Office of Individual and Family Affairs department for the assigned Health Plan to get connected to Peer Support Services in your area. Arizona Complete Health 520.809.6526; Health Choice Arizona 928.214.2168; Mercy Care Plan ... If you need assistance filing your complaint or an appeal a Customer Care Representative can assist you or you may submit an appeal or complaint in writing at the address below. Banner – University Health Plans. Attention: Grievances and Appeals Department. 5255 E Williams Circle, Ste 2050. Tucson, AZ 85711. Fax: (520) 874-3462 or (866) 465 ...Mar 21, 2023 · At B – UFC/ACC, we want to ensure you and your child are as healthy as possible. Please call our Customer Care Center at (800) 582-8686, TTY 711. We are available Monday through Friday from 7:30 a.m. to 5:00 p.m. We can help you find a doctor, make an appointment, and arrange a ride to your medical appointments. Members can find Banner – University Family Care/ALTCS (B – UFC/ALTCS) plan information below. Plan materials are effective October 1, 2022 through September 30, 2023. Members, please review your 2022/2023 plan information.The system owns and operates 30 acute-care hospitals, Banner Health Network, Banner – University Medicine, academic and employed physician groups, long-term care centers, outpatient surgery centers and an array of other services; including Banner Urgent Care, family clinics, home care and hospice services, pharmacies and a nursing registry.
Our network of providers is committed to understanding your medical history and partnering with you to develop a health care roadmap to support your health and lifestyle objectives. Find a Provider or Find a Dentist will help you identify a network provider near you in the needed medical specialty.. Aquapro 190 sq. ft. cartridge filter system 2 hp 2 speed pump
Visit the DES/DDD website for more information about the requirements for eligibility. For more support you can contact DDD at (844) 770-9500 or [email protected]. For more support in accessing these specialized diagnostic services contact our Customer Care Center at (800) 582-8686, TTY 711. At B – UFC/ACC, we want to ensure you and your child are as healthy as possible. Please call our Customer Care Center at (800) 582-8686, TTY 711. We are available Monday through Friday from 7:30 a.m. to 5:00 p.m. We can help you find a doctor, make an appointment, and arrange a ride to your medical appointments.Members can find Banner – University Family Care/ACC (B – UFC/ACC) plan information below. Plan materials are effective as of October 1, 2022, through September 30, 2023. Members, please review your 2022/2023 plan information. If you need assistance filing your complaint or an appeal a Customer Care Representative can assist you or you may submit an appeal or complaint in writing at the address below. Banner – University Health Plans. Attention: Grievances and Appeals Department. 5255 E Williams Circle, Ste 2050. Tucson, AZ 85711. Fax: (520) 874-3462 or (866) 465 ...Arizona Long Term Care System (ALTCS) - Banner - University Family Care/ALTCS is a health plan for individuals who are age 65 or older, or who have a disability, and who require nursing facility level of care. Care and services may be provided in an assisted living facility, a home, or community-based setting.Banner–University Family Care Select one of our plans below: *Please Note: Our former plan, University Family Care (UFC), has changed names. If you had UFC, your new plan name is Banner – University Family Care / AHCCCS Complete Care.Aug 19, 2022 · Maricopa County. ValleyLife Lesli Stern, Program Manager, Vocational Services [email protected] (602) 216-6344. Copa Health Joy Mullins, Program Director Jun 2, 2023 · Banner – University Family Care / AHCCCS Complete Care (B – UFC/ACC) B – UFC/ACC is a health plan for participants in the Arizona Health Care Cost Containment System (AHCCCS), which is Arizona's Medicaid program. As of October 1, 2018, physical and behavioral health care services, or integrated care, will be coordinated under B – UFC ... Banner – University Health Plans invite our contracted providers to share your feedback by participating in our 2023 Provider Satisfaction Survey.... [go to full article] AHCCCS: New Training Requirements for Prescribers. 07/19/2023Non-emergency out of network services and treatments. If you have any questions about these services or if you would like to discuss options to address your needs, please call our Customer Care Center at (800) 582-8686, TTY 711, so we can discuss your options.Mar 8, 2022 · Durable Medical Equipment (DME) Emergency or Urgent Care medical treatment. Eyeglasses or contacts for children, or adults only after cataracts are removed. Family planning / birth control. Health care services through screenings, diagnosis and medically needed treatments for members 21 years of age or older. Find a Doctor near you. It's a relief knowing our 10,000 providers are working hard so you can breathe easier. Banner - University Medicine Family Medicine Clinic. 1300 N 12th St Ste 605. Phoenix, AZ 85006. Hours Today: 8 a.m. to 5 p.m. (602) 839-4567. Get Directions.I'm signing up for AHCCCS today, and the application is telling me I can choose between 5 Medicaid health plans. They are: Health Choice Arizona. Care 1st. United Health Care Community Plan. University Family Care. Mercy Care Plan. The website doesn't offer any details as to their differences. Banner – University Family Care/AHCCCS Complete Care (B – UFC/ACC) is an integrated health insurance plan. Individuals who have B – UFC/ACC have qualified for the Arizona Health Care Cost Containment System (AHCCCS). AHCCCS is Arizona's Medicaid program. Improved care coordination and improved health outcomes. Programs and services for ... Business name as shown on your income tax return and W9 *. Business name as shown on the second line of your W9. Practice Specialty *. Practice Location #1 (Address, Suite) City, State, Zip. Practice Location #2 (Address, Suite) City, State, Zip. Mailing Address (Address, Suite) Use Address #1 Use Address #2 Other.Banner – University Family Care LTC Customer Service 1-833-318-4146 www.bannerufc.com Mercy Care LTC Customer Services 1-800-624-3879 www.mercycareaz.org.