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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:
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.
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.
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.
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.
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
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.
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.
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.
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.
Home is where the health is
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.
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.
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
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