On March 16, 2010, the Legislature completed its 7th Special Session to address
the budget shortfall for FY 2010. Below is information regarding the impact to the
AHCCCS program. AHCCCS will continue to update this section as further information
1, 2011 Provider Rate Reductions
Mon Nov 22, 2010
On April 1, 2011, AHCCCS will be reducing provider rates by the following percentages:
- Inpatient and Outpatient Hospital Fee Schedule – 5%
- Physician Fee Schedule – 5% (includes DME, radiology and lab, but excludes drugs
administered in a physician’s office)
- Dental Fee Schedule – 5%
- Emergency and Non-Emergency Transportation – 5%
- ALTCS EPD HCBS Services – 2.5% (a 2.5% reduction was imposed on October 1, 2010)
More information is provided on the
Provider Rate Reduction Fact Sheet [PDF].
KidsCare Wait List
Wed July 25, 2012
There were 93,331 applicants on the KidsCare waiting list as of July 15, 2012. Please
note, AHCCCS continues to verify eligibility for Medicaid and revise the KidsCare
wait list accordingly.
Wed Feb 15, 2012
There were 136,843 applicants on the KidsCare waiting list as of February 15, 2012.
Please note, this number does not mean all individuals on the waiting list are actually
eligible for KidsCare. AHCCCS has recently updated the list to remove duplicate
applications, children who have turned 19 and would no longer qualify for Kidscare,
and individuals currently eligible under other AHCCCS programs . Typically, 30%
of all applicants are denied for the KidsCare program. However, this percentage
will become less precise as more time goes by, since the applications on the waiting
list will be older and circumstances for those applicants change. Thus, there is
no good way to predict how many of the applicants on the waiting list might be eligible
for KidsCare. Regardless, AHCCCS will continue to update the waiting list number
at the end of each month.
Fri Dec 29, 2010
AHCCCS continues to work with CMS on issues related to the KidsCare program, including
the impact of the Enrollment freeze. For additional information about the Enrollment
KidsCare Enrollment Cap
Information about denial and discontinuance activity in the KidsCare program can
be found at:
KidsCare Activity [PDF]
Refer to the Federal Activities
section for more information about the impact of health care reform on the KidsCare
Mon Jun 28, 2010
Thu Mar 18, 2010
Effective June 15, 2010, the KidsCare program will end. KidsCare is Arizona's
Children's Health Insurance Program and covers children whose families have
income between 100% and 200% of the Federal Poverty Level (FPL). The State does
not have enough funds to keep paying its portion of this program. This program was
funded jointly by the State and federal government under Title XXI of the Social
Security Act. There are about 38,000 children currently enrolled in the program.
Loss of KidsCare or AHCCCS Health Insurance is now a qualifying event for an employer's
group health plan. See the
Federal Activities page for more information.
AHCCCS has submitted the following notice to CMS:
AHCCCS Notice to CMS Regarding KidsCare Termination - 3/18/10 [PDF]
Prop 204 Expansion
Population Scale Back
Thu May 13, 2010
AHCCCS submitted the following letter to withdraw the Waiver and State Plan amendment
Thu Mar 18, 2010
The Proposition 204 population will be fully funded through December 2010. Effective
January 1, 2011, AHCCCS will not have sufficient funding to continue coverage for
the Proposition 204 population at current levels. The FY 2010 enacted budget authorizes
AHCCCS to define eligibility in accordance with available funding levels.
Please note, in the event Congress continues federal funding to states as authorized
by the American Recovery and Reinvestment Act, AHCCCS will have sufficient monies
to fund the population through June 30, 2011. Additional information will be posted
as it is available.
Adult Benefit Reduction
Fri Apr 9, 2010
The enacted budget directs AHCCCS to implement several changes to the adult benefit
package. As a result, AHCCCS will review and make necessary changes to its State
Plan and applicable policies. Additional information will be made available as further
details emerge. Below is a link to the Benefit Changes page where you can find more
Thu Mar 18, 2010
The FY 2010 enacted budget authorizes AHCCCS to reduce provider rates (in addition
to previous reductions already implemented) up to 5% to meet its budget requirements.
In addition, the budget authorizes AHCCCS to reduce provider rates an additional
10% in the event the sales tax increase proposal is not passed by voters on May
18, 2010. Additional information will be available as it is received.
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