AHCCCS Member News


AHCCCS News & Updates AHCCCS News & Updates RSS Feed

Looking for a previous story? Information previously located on this page has been placed in either the State Legislative Budget Activities pages or the Federal Activities page.


ALTCS EPD YH18-0001 Request for Proposal Pre-Release Information New

November 19, 2015

AHCCCS is providing the anticipated procurement timeline with stakeholder forum information for the YH18-0001 Request for Proposal for the Elderly and Physical Disability Program (EPD) for members of the Arizona Long Term Care System (ALTCS) program.

AHCCCS has established a ListServ as a courtesy to allow interested parties to subscribe for notification of information regarding the ALTCS EPD Request for Proposal (RFP). However, subscribers/interested parties should not rely solely on this ListServ for up-to-date information. In order to ensure that subscribers/interested parties have access to all information pertaining to the RFP, it is the responsibility of the subscriber/interested party to regularly visit the AHCCCS Website. To subscribe to the ListServ for the ALTCS EPD YH18-0001 RFP, follow the instructions below:

  • Access the following link: http://listserv.azahcccs.gov
  • Locate and click on the list name: ALTCS-EPD-RFPYH18-L
  • In the right-hand column, click on the “Join or Leave ALTCS-EPD-RFPYH18-L”
  • Follow the instructions to Subscribe


Statement from AHCCCS and DES Directors New

October 30, 2015

AHCCCS and DES clarify that there are no proposals to merge the Division of Developmental Disabilities at the Department of Economic Security into the AHCCCS Administration. Both agencies are working to address barriers in navigating the system. Statement [PDF]


QI-1 Program Update New

October 7, 2015

Beginning October 9, 2015, AHCCCS will institute an enrollment freeze for persons who would otherwise be eligible for benefits as "qualifying individuals" or "QI-1s." Although QI-1s are a mandatory eligibility group, subsection (b)(3) of section 1933 of the Act requires the State to limit the number of QI-1s made eligible for the calendar year so that the amount of assistance provided to such individuals is estimated to equal but not exceed the State's federal allocation for the QI-1 population. In addition, there are concerns about the projected Medicare Part B premium increase, estimated to be nearly 52%, which would necessitate an additional $13.1 million in Federal Funding for CY 2016.

Due to insufficient federal funding, AHCCCS will be denying new and pending applications for QI-1s until it can be determined that sufficient funding is available. More information is available in the letter to CMS below.

AHCCCS QI Notice to CMS 9/30/2015 [PDF]


Report for SB 1375 New

October 1, 2015

Children involved with the foster care system have unique health care needs often characterized by significant risk of experiencing behavioral health conditions and concomitant chronic medical issues.

This report summarizes the recommendations of the state agency collaborative including data analyzed to arrive at these conclusions.

SB 1375 Report 10/1/2015 [PDF]

Public Comments [PDF]


AHCCCS Payments, Financial and Utilization Data for Arizona Hospitals

August 7, 2015

In an effort to improve transparency, AHCCCS has recently added hospital specific information to our website that includes AHCCCS payments, financial data, and utilization data. AHCCCS has compiled this information from its own system as well as publically available reports such as the Uniform Accounting Reports and Medicare Cost Reports. The site also provides links to other publicly available data. AHCCCS will continue to partner with the Arizona Department of Health Services to add additional provider data to our website.


AHCCCS CARE Program Announced

August 3, 2015

On August 3, 2015, Governor Ducey announced his plan to modernize Arizona's Medicaid program. Learn more about "AHCCCS CARE" on the link below



Arizona Comments to Medicaid Managed Care Proposed Rules

July 27, 2015

On July 27, 2015, AHCCCS submitted comments to CMS regarding its proposed rules to modernize Medicaid managed care. The proposed federal rules, which were published in the Federal Register on June 1, 2015, represent the most comprehensive revision of the Medicaid managed care delivery system in more than a decade. Arizona’s comments focus on the many opportunities to improve the proposed rules, including those which will encourage high quality and efficient delivery of care to members, improve health outcomes, extend beneficiary protections, and provide States with greater flexibility to achieve these goals.

Arizona comments to CMS 7/27/15


The Case for Inclusion – Arizona Ranked #1

July 27, 2015

Every year since 2006, United Cerebral Palsy (UCP) produces The Case for Inclusion, an annual ranking of how well State Medicaid programs serve Americans with intellectual and developmental disabilities (ID/DD) and their families.

States were ranked based on four key aspects, for which Arizona was ranked #1 overall: promoting independence, promoting productivity, keeping families together and reaching those in need, and tracking health, safety, and quality of life.

The Case for Inclusion: United Cerebral Palsy’s 2015 Report


Governor Ducey's Administrative Simplification New

July 30, 2015
DBHS and AHCCCS are partnering to improve care for Arizonans receiving behavioral health services. Central to this initiative is the merger of AHCCCS’ and DBHS’ administrative structure and personnel, eliminating areas of duplication while strengthening the expertise of a single, unified administrative agency, AHCCCS, to administer and oversee the full spectrum of services to support integration efforts at the health plan, provider and member levels. More information on Administrative Simplification can be found below.

Governor Ducey’s Administrative Simplification


April 22, 2015
The Division of Behavioral Health Services (DBHS) and AHCCCS have been partners in an effort to improve care for Arizonans receiving behavioral health services. Governor Ducey recommended formalizing the partnership by bringing DBHS and AHCCCS together. This administrative simplification does not change services members can receive, nor does it change how members receive services. It also will not disrupt the important services DBHS provides to members, including employment and housing supports or the Office of Individual and Family Affairs, which will all transition to AHCCCS. The merger will become effective July 1, 2016.


Viewpoints: Arizona leads the nation in providing care for those needing skilled health services

May 23, 2015
A new analysis provided by Moody’s Investors Services indicates Arizona has controlled Medicaid spending on long-term care for the 65-and-up population. According to the analysis, the national average for long-term care spending increased an average of 6.5 percent a year from 1999-2009, while Arizona contained its costs at a rate below 4 percent. For more information, please see the link below.

Moody’s Investor Services

Home is where the health is


Results of AHCCCS Provider Rate Analysis

June 5, 2015
The Legislature enacted Laws 2015, Chapter 14 (SB 1475) on March 12, 2015, which authorized AHCCCS to reduce rates for providers up to 5% in aggregate for dates of service October 1, 2015 through September 30, 2016. In this process, the Legislature also authorized the agency to account for changes in utilization that were less than the amounts appropriated, as long as the fiscal impact of final decisions on provider rates did not exceed the amount appropriated for capitation rates for fiscal year 2015-2016.

On April 1, the agency opened up a public comment period seeking feedback on the impact a potential 5% rate reduction could have on providers. The agency reviewed comments submitted from 145 different providers and associations representing thousands of providers statewide. Based on the data and information provided through these public comments, along with lower than forecasted utilization and other available funding, AHCCCS has, working with the Governor's Office, determined that no provider rate reductions are required at this time. The agency will continue to monitor access to care, as well as state budgetary issues and utilization trends. The agency appreciates the time and effort taken by the many providers and organizations that submitted comments. These comments were critical to informing the agency’s final decision.

April 6, 2015
In an effort to address Arizona’s significant funding shortfall, the Legislature enacted Laws 2015, Chapter 14 (SB 1475) on March 12, 2015, which authorizes AHCCCS to reduce rates for providers up to 5% in aggregate for dates of service October 1, 2015 through September 30, 2016. More information, including information about the public comment process, is available on the AHCCCS Provider Rate Analysis website.


Director Betlach appointed to serve on CBO Panel of Health Advisors.

May 29, 2015
On May 29, 2015 the Congressional Budget Office (CBO) appointed Director Betlach to serve on its panel of Health Advisors. CBO’s Health Advisors represent a wide range of expertise to best advise the agency on its analyses. Since 1975, CBO has produced independent analyses of budgetary and economic issues to support the Congressional budget process. Each year, the agency’s economists and budget analysts produce dozens of reports and hundreds of cost estimates for proposed legislation.


ASD Advisory Committee

April 14, 2015
On April 14, 2015, the Governor’s Office established the statewide ASD Advisory Committee representing a broad range of stakeholders to address and provide recommendations to strengthen services for the treatment of Autism Spectrum Disorder (ASD). Information about the Committee membership, workgroups, goals, meeting dates and minutes and final recommendations will be posted as they become available on the ASD Advisory Committee page available on the link below:

ASD Advisory Committee

Adobe Acrobat Reader is required to view PDF files. This is a free program available from the Adobe web site. Follow the download directions on the Adobe web site to get your copy of Adobe Acrobat Reader.