AHCCCS Complete Care will integrate physical and behavioral health care contracts for the majority of the 1.9 million AHCCCS members.
Seven managed care organizations (MCOs) submitted their proposals to serve AHCCCS members across all three geographic services areas in Arizona.
- Magellan Complete Care of Arizona, Inc.
- UnitedHealthcare Community Plan
- Mercy Care
- Banner – University Family Care Plan
- Health Net Access, Inc.
- Health Choice Arizona/Steward Health Choice Arizona
- Care1st Health Plan Arizona, Inc.
Mohave/Coconino/Apache/Navajo & Yavapai
(also zips 85542, 85192, 85550)
(exceptions: the zips listed as included in the Southern GSA)
In 2013, Magellan Health Services lost its bid to continue as the Maricopa County Regional Behavioral Authority (RBHA). The insurer unsuccessfully contested the award and the Arizona Department of Health Services decision to contract with Mercy Maricopa Integrated Care; a joint bid between Mercy Care Plan and Maricopa Integrated Health System. In 2014, northern and southern Arizona RBHAs were announced: Health Choice Integrated Care and Cenpatico Integrated Care, respectively.
Currently, United Healthcare is the leading AHCCCS MCO insuring more than a half million Medicaid members across 13 Arizona counties. Mercy Care Plan is second serving more than 368,000 in Maricopa and Pima counties and third is Health Choice with nearly 249,000 members across eight counties.
According to AHCCCS, integrating physical and behavioral healthcare contracts will drive several strategic, innovative health care initiatives forward. Also integrated into the contract is Children’s Rehabilitative Services, which currently is managed by United Healthcare Community Plan. With the Complete Care contracts, AHCCCS strives to improve payment systems, encourage participation in electronic health record sharing, reward providers for positive health outcomes, provide coordinated care to inmates as they leave the justice system, impact services for foster children and those diagnosed with Autism Spectrum Disorder, and create more access to treatment for opioid and heroin-addicted patients.
Multiple contracts for AHCCCS Complete Care will be awarded on or before March 8, 2018. Implementation is scheduled for October 1, 2018.