Connecting Communities: The Importance of Private Sector Partners

The AHCCCS program was founded upon a competitive, public/private partnership model. AHCCCS began in 1982 as the first statewide mandatory managed care program, placing all enrollees (except American Indians/Alaska Natives) in private health plans for acute care, long term care and behavioral health (known as Regional Behavioral Health Authorities or RBHAs). These contractors do far more than simply pay claims. Medicaid managed care has evolved and answered the call toward continued innovation and population health strategies. Today’s health plan uses sophisticated data analytics tools to assess member risk and develop intervention protocols to best assist the member in maintaining their health. In addition, health plans engage their members in person-centered approaches. In many cases, this also means engaging families and communities more broadly to give members the tools they need to best manage their own health. This level of engagement also assists the health plan in developing strategies that meet the specific needs particular to individual communities.

To learn more about health plan initiatives, from community engagement to value based purchasing, data analytics and more, click on a health plan logo below (health plans are listed in alphabetical order).

Care 1st
Health Choice
Health Net
Maricopa Health Plan
Mercy Care Plan
Mercy Maricopa Integrated Care
Phoenix Health Plan
United Healthcare
University of Arizona Health Plan
Today there are:
  • 3 Regional Behavioral Health Authorities (RBHAs), beginning October 1, 2015:
    • (Cenpatico Integrated Care, Health Choice Integrated Care, and Mercy Maricopa Integrated Care);
    • 9 AHCCCS acute care health plans
      • (Care 1st, CMDP, Health Choice, Health Net Access, Maricopa Health Plan, Mercy Care Plan, Phoenix Health Plan, United Healthcare Community Plan, University Family Care);
    • 3 Arizona Long Term Care System (ALTCS) health plans serving the elderly and physically disabled;
      • (Bridgeway Health Solutions, Mercy Care Plan, United Healthcare Community Plan-EPD);
    • 1 statewide ALTCS health plan serving persons with intellectual or cognitive disabilities
      • (DES Division of Developmental Disabilities);
    • 1 statewide health plan for children with CRS-qualifying conditions
      • (United Healthcare Community Plan-CRS)