AHCCCS Reports to the Arizona Legislature

340B Drug Pricing

Pursuant to Laws 2016, Chapter 122, Section 11, AHCCCS is required to prepare a report detailing the technological feasibility and costs of applying 340B drug pricing to licensed hospitals and outpatient facilities that are owned or operated by a licensed hospital.

340B Drug Pricing Report


Graduate Medical Education Residency Positions

Pursuant to A.R.S. 36-2903.01 (G)(9)(e), AHCCCS must submit annually to the Legislature a report on Graduate Medical Education residency positions.

Graduate Medical Education


Behavioral Health Capitation Update Letter

AHCCCS submitted to the Joint Legislative Budget Committee (JLBC) adjustments to the behavioral health capitation rates for CYE 2017. This letter outlines the updated rates and contains a request to be placed on the JLBC agenda.

Behavioral Health Capitation Update Letter


Inpatient Psychiatric Treatment

Pursuant to Laws 2016, Chapter 122, Section 32, AHCCCS is required to submit a report detailing the availability of inpatient psychiatric treatment both for adults and for children and adolescents who receive services from the regional behavioral health authorities.

Inpatient Psychiatric Treatment Report


Drug Abuse Treatment Programs

Pursuant to A.R.S. 36-2023, AHCCCS is required to submit an annual report on drug abuse treatment programs in this state that receive monies from the Administration.

Drug Abuse Treatment Programs


Reconciliation Payments and Penalties

Pursuant to A.R.S. 35-142.01(B) and Laws 2016, Chapter 117, Section 17, AHCCCS is required to report on the total amount of Medicaid reconciliation payments and penalties received and deposited into the State's General Fund for the period 7/1/16 - 12/31/16.

Reconciliation Payment and Penalties


Hospital Chargemaster Transparency

Pursuant to Laws 2016, Chapter 122, Section 31, AHCCCS and ADHS were required to submit a summary on the current chargemaster reporting process, hospital billed charges compared to costs, and examples of how chargemasters or hospital prices are reported and used in other states. The report also includes recommendations to improve the state's use of hospital chargemaster information, including reporting and oversight changes.

Hospital Chargemaster Transparency Report


Insurance Carrier Compliance

Pursuant to 36-2923, AHCCCS is required to provide a summary report for State Fiscal Year 2016 total AHCCCS claims cost avoided, a review of carrier compliance in terms of data matching, and a review of carrier compliance in terms of fee-for-service claims processing.

Insurance Carrier Compliance

Hospital Emergency Department Utilization Report

Pursuant to Laws 2016, Chapter 122, Section 30, AHCCCS is required to report on the use of emergency departments for nonemergency purposes by AHCCCS enrollees.

Hospital Emergency Department Utilization Report


Health Insurer Fee Report

Pursuant to Laws 2016, 2nd Regular Session, Chapter 117, AHCCCS is required to report on the estimates of retroactive capitation rate changes to CY 2015 rates for reimbursement of the Affordable Care Act (ACA) health insurer fee.

Health Insurer Fee Report


Arnold v. Sarn Semi-Annual Report

Pursuant to Laws 2016, 2nd Regular Session, Chapter 117, AHCCCS is required to report the progress in implementing the Arnold v. Sarn lawsuit settlement.

Arnold v. Sarn Semi-Annual Report


Healthcare Services for Native Americans Report

Pursuant to Laws 2016, Chapter 122, Section 29, AHCCCS produced a report detailing an estimate of State and Total Fund expenditures for Native Americans, broken out by fee-for-service and capitated expenditures, an assessment of the state fiscal implications of federal guidance regarding claiming 100% federal funds for certain expenditures, strategies to encourage written care coordination agreements, and an analysis of the impacts of the federal guidance on access to care, continuity of care and population health for Native Americans in Arizona.

Healthcare Services for Native Americans Report


Behavioral Health Capitation Update Letter

The Joint Legislative Budget Committee (JLBC) required AHCCCS to submit the final behavioral health capitation rates for CYE 2017 for Committee review upon completion. The letter updates the Committee on this process.

Behavioral Health Capitation Update Letter


Direct-Acting Antiviral (DAA) Medications

Pursuant to JLBC approval of the CYE 17 capitation rates on September 21, 2016, AHCCCS produced a report detailing DAA medications for treatment of Hepatitis C.

JLBC Hepatitis C Report


Systematic Alien Verification for Entitlements (SAVE)

Pursuant to A.R.S. § 36-2903.03, all applicants are required to provide documentation to verify immigration status in order to qualify for services and requires AHCCCS to report on its collection and verification of documentation submitted in accordance with this law. AHCCCS is also required to report on the number of individuals, by citizenship status, referred for prosecution for violations of state or federal law.

SAVE Report


APR-DRG Payment Methodology Report

Pursuant to Laws 2013, First Regular Session, Chapter 202, Section 5, AHCCCS must submit a report on the APR-DRG Payment Methodology. This report includes the history of the APR-DRG Methodology, potential operational issues, and how the agency will move forward.

APR-DRG Payment Methodology Report


SMI Housing Trust Fund Report

Pursuant to A.R.S. § 41-3955.01, subsection D, AHCCCS must submit a report on the status of the SMI Housing Trust Fund. This includes a summary of the facilities, cost and location of each facility, and the number of individuals benefiting from the facilities.

SMI Housing Trust Fund Report


Uncompensated Hospital Costs and Profitability Report

Pursuant to A.R.S. § 36-2903.08 AHCCCS must submit a report regarding the change in uncompensated hospital costs experienced by hospitals in this state and hospital profitability during the previous fiscal year.

Uncompensated Hospital Costs and Profitability Report


JLBC Full-Time Equivalent Report

Pursuant to Laws 2016, Chapter 117, Section 167 AHCCCS must submit a report to the Joint Legislative Budget Committee regarding filled, appropriated, and non-appropriated full-time equivalent positions by fund source.

JLBC Full-Time Equivalent Report


Graduate Medical Education

Pursuant to A.R.S. 36-2903.01 (G)(9)(f), AHCCCS must submit annually to the Legislature a report on Graduate Medical Education (GME). This report includes information regarding the amount of GME money contributed and the number of residency positions funded.

Graduate Medical Education Report


Hospital Assessment Report

Pursuant to A.R.S. § 36-2903.08, AHCCCS is required to report the amount each hospital contributed for the hospital assessment authorized pursuant to section 36-2901.08 in the previous fiscal year and the amount of estimated payments each hospital received from the coverage funded by the assessment.

Hospital Assessment Report


KidsCare Notification Report

Pursuant to Laws 2016, Chapter 112, Section 8, AHCCCS is required to report when the Centers for Medicare and Medicaid Services (CMS) approve the Arizona State Plan Amendment (SPA) to remove the enrollment cap and resume enrollment in the state’s Children’s Health Insurance Program (KidsCare). On July 22, 2016 CMS approved the SPA removing the KidsCare enrollment cap.

KidsCare Notification Report


Semi-Annual Arnold v. Sarn Report

This report focuses on conditions for admission and length of stay by class members in the Arizona State Hospital (ASH); supervisory care homes; crisis services; supported employment; assertive community treatment (ACT) teams; family and peer support; supportive housing; community support services; and medication services.

Semi-Annual Arnold v. Sarn Report


Childhood Immunization Completion Rates

Pursuant to A.R.S. §36-2904, the Arizona Health Care Cost Containment System (AHCCCS) is required to produce a biennial status of 24-month immunization completion rates for children served by AHCCCS. This report also evaluates the performance of AHCCCS contracted health plans individually and overall.

Childhood Immunization Completion Rates


Behavioral Health Needs of Children involved with the Department of Child Safety

This report is an update to a previously published report analyzing psychotropic prescribing among children in Arizona’s foster care system. This report will be updated on an ongoing basis. Future reports will also include a comparison of prescribing trends between the foster child population and the Medicaid child population that is utilizing behavioral health services.

Psychotropic Prescribing Update Report


Waiver Report

Pursuant to a A.R.S. §36-2903.09, AHCCCS shall apply to CMS for certain waivers or amendments to the current Section 1115 waiver. In fulfillment of this requirement, the AHCCCS Administration submitted an application for a new waiver on September 30, 2015 to CMS.

Waiver Report


CYE 2017 JLBC Preliminary Capitation Rate Changes Report

Pursuant to a footnote in the General Appropriation Act, the Arizona Health Care Cost Containment System (AHCCCS) is required to report to the Joint Legislative Budget Committee (JLBC) by March 1 annually “on the preliminary actuarial estimates of the capitation rate changes for the following fiscal year along with the reasons for the estimated changes.”

CYE 2017 JLBC Preliminary Capitation Rate Changes Report


Interstate Agreement

AHCCCS is required pursuant to A.R.S. §36-2925, subsection H, to report on the agreement between AHCCCS and the State of Hawaii for data processing activities using the AHCCCS Prepaid Medicaid Management System (PMMIS).

Interstate Agreement


CMDP Quarter 1 FY 2016

The Arizona Department of Health Services, Division of Behavioral Health Services (ADHS/DBHS) has reviewed information for members enrolled for the Comprehensive Medical and Dental Program (CMDP) in accordance with the requisites outlined in Laws 2013 Chapter 220.

CMDP Quarter 1 FY 2016


Hospital Assessment

AHCCCS is required to report on the amount each hospital contributed to the Hospital Assessment authorized pursuant to 36-2901.08 and the amount of estimated payments each hospital received from the coverage funded by the assessment.

Hospital Assessment


Graduate Medical Education

Pursuant to A.R.S. 36-2903.01 (G)(9)(e), AHCCCS must submit annually to the Legislature a report on Graduate Medical Education.

Graduate Medical Education | Rich Text Version


Hospital Chargemaster Transparency

Pursuant to Laws 2015, Chapter 14, Section 23, AHCCCS and ADHS were required to submit a summary on the current chargemaster reporting process, hospital billed charges compared to costs, and examples of how chargemasters or hospital prices are reported and used in other states. The report also includes recommendations to improve the state's use of hospital chargemaster information, including reporting and oversight changes.

Hospital Chargemaster Transparency Report


Reconciliation Payments and Penalties

Pursuant to A.R.S. 35-142.01(B) and Laws 2015, Chapter 8, Section 13, AHCCCS is required to report on the total amount of Medicaid reconcilation payments and penalties received and deposited into the State's General Fund for the period 7/1/15 - 12/31/15.

Reconciliation Payments and Penalties 1/5/16

Reconciliation Payments and Penalties 6/30/16

AHCCCS Appropriation Status Reports

The Appropriation Status Report (ASR) provides monthly updates to the Arizona Legislature about the agency's expenditure of its annual appropriations sources and uses of funds reported pursuant to A.R.S. 36-2920 and 36-2994. The State of Arizona's fiscal year begins on July 1st and ends on June 30th of the following year. The fiscal year is named according to the calendar year of its last month.


AHCCCS Document Archive

If you are looking for previous reports, please visit the AHCCCS Document Archive site.