Arizona Olmstead Plan

AHCCCS invites all interested parties to subscribe to an email notification list to receive updates on recent Olmstead developments including opportunities for public comment.



AHCCCS is actively working to finalize a draft revision to the Olmstead Plan, reflecting 20 years of Arizona’s leadership and sustained progress since the Plan was last revised in 2003, and identifying opportunities for continued growth.

The Olmstead Plan is the State’s collaborative, guiding document for how the system of care will continue to advance services for individuals with disabilities and/or behavioral health needs, and ensure they live and thrive in the least restrictive, most integrated settings for their individual needs.

During 2021, AHCCCS hosted two community stakeholder meetings to inform members, family members, and community members about the past, present, and future of the Arizona Olmstead Plan. Participants shared feedback which has informed the revisions.

While carefully considering stakeholder input and identified needs, AHCCCS is also developing initiatives to disburse nearly $1.5 billion from the American Rescue Plan Act (ARPA) to strengthen and enhance Home and Community Based Services (HCBS). While this unprecedented funding supports the principles of Olmstead and compliments Olmstead planning efforts, it has delayed publication of the final draft plan. Subscribe to AHCCCS News alerts for notification of when the draft is posted, expected on or around July 1, 2022.


Supreme Court Decision

On June 22, 1999, the United States Supreme Court held in Olmstead v. L.C. that unjustified segregation of persons with disabilities constitutes discrimination in violation of title II of the Americans with Disabilities Act. This decision provided a legal framework for the efforts of the federal and state governments to integrate individuals with disabilities into the communities in which they live.

Under this decision, States are required to provide community-based services for persons with disabilities who would otherwise be entitled to institutional services when:

  1. The State’s treatment professionals reasonably determine that such placement is appropriate,
  2. The affected person is in agreement with the decision, and
  3. The placement can be reasonably recommended, taking into account the resources available to the State and the needs of others who are receiving State-supported disability services

Although the Court did not require states to develop a plan, Arizona officials chose to do so by creating a plan as an opportunity for advocates, agencies, members, and community stakeholders to collaborate on a guide to further improve upon access to services for members with disabilities to ensure they live and receive services in the most appropriate integrated setting in the community.

Arizona considers the Olmstead Decision as an opportunity for self-examination and a continuous process of quality improvement when establishing priorities for the service delivery system in the context of other critical issues.

In 2001, AHCCCS, the Arizona Department of Health Services (ADHS) (who then and until 2016 was responsible under statute for implementing behavioral health services in Arizona), and the Arizona Department of Economic Security undertook the process to develop Arizona’s first Olmstead Plan. Updates were made in 2003. From 2014 to 2016, the above agencies initiated a planning process to update the Arizona Olmstead Plan. Then in July 2016, before the updated plan could be finalized, the ADHS’ Division of Behavioral Health Services statutorily integrated with AHCCCS to streamline the monitoring and oversight of the Regional Behavioral Health Authorities (RBHAs), who then became AHCCCS-contracted Managed Care Organizations (MCOs). While the system delivery change necessitated revisions to the drafted Olmsted Plan, the change also uniquely positioned Arizona to enhance the service delivery system through integrated care and further ensure members live and receive services in the most appropriate integrated setting in the community. For information on Arizona’s current Olmstead Planning efforts, please reference the section entitled “Current Olmstead Planning Efforts.”

This section outlines highlights of Olmstead activities that have been undertaken in recent years and future plans for activities furthering the Olmstead principles including system changes, contract and policy changes and program and project initiatives. A Recent History and Upcoming Olmstead Activities page or click on the buttons below to take you to these specific sections on that page.

AHCCCS is preparing to draft and finalize a new Olmstead Plan that will be informed by stakeholder engagement and public comment.

The Olmstead Plan will include the following content areas:

  • Element One: Assessment of current environment
    • Recent progress that Arizona has made that address Olmstead Principles.
    • Identify areas for improvement.
    • Identify specific member population groups that are unserved/underserved.
  • Element Two: Measurable goals and desired outcomes
    • Development of an evaluation methodology for each goal
    • Plans to monitor and report the effectiveness and outcomes of each goal.

The timeline for the Olmstead Planning activities is outlined below.

Olmstead Planning Timeline
Subject to Change
Timeline Steps
July 2021 Stakeholder Survey
September – October 2021 AHCCCS identified members & family members to assist in advising the Arizona Olmstead Plan.

Hosted two community stakeholder meetings to promote awareness of Olmstead planning that included the following topics:
  • Overview of Olmstead
  • Overview of current initiatives and effort that address Olmstead principles
  • Potential areas of focus of the Olmstead Plan
  • Planning process and timeline, including ways to get involved
November 2021 – April June 2022 Work on draft of Arizona Olmstead Plan, which will include convening the member & family member advisory group. Obtain input and approval by AHCCCS executive leadership.
April July 2022 Finalize draft and post to AHCCCS web page for public comment
May August 2022 Host community forums and Tribal Consultation. Close out public comment period.
June – July September - October 2022 Finalize Arizona Olmstead Plan, which will include convening the member & family member advisory group.

The Olmstead Survey was designed to assist AHCCCS with updating the Olmstead Plan by seeking input from members, family members, provider staff, and representatives from health plans and state agencies. See the Olmstead survey summary.

Questions? Please email: Olmstead@azahcccs.gov