Early in December Arizona indicated intent to file a waiver, it has now been submitted to CMS.
The Section 1115 waiver requests CMS to permit work requirements and a five-year lifetime limit to Arizona’s Medicaid program. If CMS approves the waiver, residents of Arizona who qualify for Medicaid and are between the ages of 19 and 55 must work, be a student, or attend employment support or development programs for a minimum of 20 hours per week. Beneficiaries would have six months after approval to meet the requirement. Some groups are exempted, such as American Indians, domestic violence victims, homeless people and people with serious mental illness. Arizona estimates approximately 400,000 residents would be subject to the requirements.
The waiver would also add a lifetime limit on Medicaid enrollment for “able-bodied” residents, meaning any able-bodied Arizonan would have to find health insurance coverage outside of Medicaid after five years of enrollment.
Read more about the waiver and how the current administration views the issue compared to the prior administration in The Hill.
The Arizona Health Care Cost Containment System (AHCCCS), recognizing the direct effects of social and economic factors on health outcomes, has submitted a formal 1115 Waiver Amendment Request to the Centers for Medicare and Medicaid Services seeking authority to implement community engagement requirements and a five-year maximum lifetime benefit limit for a portion of the Medicaid population.
Keeping with requirements in Arizona statute, the initiatives proposed were shaped by a public input process conducted over several months in early 2017 that included three public forums, an in-person tribal consultation, and over 500 written submissions.
For a list of public forums held view the link to AHCCCS
Read the public comments submitted to AHCCCS here
Read Director Betlach’s request submitted to CMS Administrator Seema Verma