DSH Budget Changes SPA


Arizona is submitting a state plan amendment to make changes related to the disbursement of pool 4 and pool 5 disproportionate share hospital payments. These changes would comport with changes found in the SFY2019 budget passed during the 53rd Legislature, 2nd Regular Session. More information regarding the DSH Budget Changes SPA, can be found below.

Tribal Consultation

AHCCCS consulted with tribes regarding the overall structure of the DSH SPA on July 27, 2017. AHCCCS sent out formal notice of the changes to the DSH program on 6/1/18. Currently, no IHS/638 facilities are included in Pool 4 or 5 so this SPA would not have a direct impact on those facilities.

DRAFT State Plan Amendment and Public Comment Period

The DRAFT SPA can be found on the link below:

Public notice was posted on May 31, 2018 and comments are being accepted through June 15, 2018. Comments can be submitted through email or mail at the address below.

Email: publicinput@azahcccs.gov


Attn: Office of Intergovernmental Relations
801 E. Jefferson St., MD 4200
Phoenix, AZ 85034