This award is an important step to reduce fragmentation for the state’s Medicaid program, called the Arizona Health Care Cost Containment System, said Tom Betlach, director of AHCCCS.
As reported in The Phoenix Business Journal, the new contracts, called AHCCCS Complete Care, will begin Oct. 1, which is when AHCCCS will transition about 300,000 members to a managed care organization in their geographic service area.
AHCCCS members in every county will have a choice of health plans, with the most choice going to Medicaid members who live in Maricopa County. Members will be notified of their health plan assignment in June and can make changes to their assignment during July.
Providers participate in the following Geographic Service Areas:
Central GSA (Maricopa, Gila and Pinal counties, excluding zip codes 85542, 85192, and 85550): Banner-University Family Care Plan, Care1st Health Plan Arizona, Health Choice Arizona (Steward Health Choice Arizona), Health Net Access, Magellan Complete Care of Arizona, Mercy Care, and UnitedHealthcare Community Plan.
South GSA (Pima, Cochise, Graham, Greenlee, La Paz, Santa Cruz, and Yuma Counties, including zip codes 85542, 85192, and 85550): Banner-University Family Care Plan, Health Net Access, and UnitedHealthcare Community Plan (in Pima County only).
North GSA (Mohave, Coconino, Apache, Navajo, and Yavapai Counties): Care1st Health Plan Arizona, Health Choice Arizona (Steward Health Choice Arizona).
AHCCCS members who are not impacted by this new contract include:
*Members determined to have Serious Mental Illness.
*Members enrolled in the Arizona Long Term Care System (ALTCS) program.
*Members enrolled in the DES Division of Developmental Disabilities (DDD) ALTCS program.
*The majority of members served by the Comprehensive Medical and Dental Program through the Department of Child Safety.
Learn more from the AHCCCS