GME 2019 SPA


Arizona is submitting a state plan amendment to continue the Graduate Medical Education Program for FY 2019. This SPA updates the IME calculation for children’s hospitals. More information regarding the GME 2019 SPA, can be found below.

Tribal Consultation

Consistent with the AHCCCS Tribal Consultation policy, AHCCCS conducted an email tribal consultation on 08/31/2018 explaining the changes being made by the GME 2019 SPA and requesting Tribal input.

DRAFT State Plan Amendment and Public Comment Period

The DRAFT SPA can be found on the link below:

Public notice was posted on August 31, 2018 and comments are being accepted through September 25, 2018. Comments can be submitted through email or mail at the address below.



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