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Arizona’s Section 1115 Waiver Renewal Request (2021-2026)
With over 2 million Arizonans enrolled in AHCCCS, Medicaid has a huge responsibility for impacting population health in the state. Despite past innovation, AHCCCS says it has an opportunity and obligation to do more.
The goals of modernizing Arizona Medicaid are to:
- Engage Arizonans to take charge of their health
- Make Medicaid a temporary option
- Promote a quality product at the most affordable price
AHCCCS posted a draft of the Section 1115 Waiver, which allows Arizona to run its unique and successful managed care model and exempts Arizona from certain provisions of the Social Security Act. It also includes expenditure authority for costs not otherwise matched by the federal government. Waiver programs are required to be budget neutral for the federal government − such programs don’t require more federal dollars than without a waiver.
The Centers for Medicare and Medicaid Services’ (CMS) approval of Arizona’s Demonstration renewal application will extend authority for Arizona to implement programs including, but not limited to:
- Mandatory managed care
- Home and community-based services for individuals in the Arizona Long Term Care System (ALTCS)
- Administrative simplifications that reduce the inefficiencies in eligibility determination
- Integrated health plans for AHCCCS members
- Payments to providers participating in the Targeted Investments Program
- AHCCCS Works
- Waiver of Prior Quarter Coverage for specific populations
In addition to renewing current waiver and expenditure authorities, AHCCCS is seeking to implement the following:
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- Authority to allow for verbal consent in lieu of written signature for up to 30 days for all care and treatment documentation for ALTCS members when included in the member’s record and when identity can be reliably established.
- Authority to reimburse traditional healing services provided in, at, or as part of services offered by facilities and clinics operated by the Indian Health Service (IHS), a tribe or tribal organization, or an Urban Indian health program.
- Authority to reimburse Indian Health Services and Tribal 638 facilities to cover the cost of adult dental services that are eligible for 100 percent FFP, that are in excess of the $1,000 emergency dental limit for adult members in Arizona’s State Plan and $1,000 dental limit for individuals age 21 or older enrolled in the ALTCS program.
On Oct 16, from 1:30-3:30 pm, AHCCCS will hold a waiver public forum meeting over Zoom.
Download the presentation slides for the public forum from AHCCCS
Join us for a virtual Winter State of the State conference including robust Arizona market discussions, full conference program, data reference pages and a directory to support post-conference networking.
HOST & MODERATOR
JIM HAMMOND
CEO & Publisher, The Hertel Report
Managing Consultant, Professional Healthcare Solutions
- AHCCCS
- Arizona Health Care Association
- Arizona Healthcare Financial Management Association
- Arizona Hospital & Healthcare Association
- Arizona Medical Association
- Arizona Public Health Association
- Vitalyst
Register Today!
- $125 Non Members
- $100 Members
DISCOUNTS!
$25 Off Registration for Members of The Hertel Report
Use Coupon Code: THRmember2021
Multiple Member Purchase Use Coupon Code: multimembers2021
$15 Off Registration for Members of our Community Partner organizations
Please use coupon code:
- arma2021
- azhha2021
- hfma2021
- mgma2021
Mayo Clinic’s 17th Annual Women’s Health Update 2021
November 4th – 6th
DoubleTree Resort by Hilton Hotel Paradise Valley – Scottsdale, Arizona
(livestream available)
This three-day conference will address topics focusing on contraception, sexual health, menopause and other hormonal issues, breast health, LGBT health, cosmetic dermatology, general medical conditions in women and more. Interactive Q & A panel discussions with the faculty, reinforced by evidence-supported and case-based presentations, ensure this program is one not to miss!
Profession | Price | Livestream Pricing |
---|---|---|
M.D., D.O., Ph.D. | $650 | $525 |
Allied Health, NP, PA, Retirees | $550 | $525 |
Friday Roundtable – You must be Registered for either the Live or LIVESTREAM session | Limit | Cost |
---|---|---|
Roundtable Option 1: Endometriosis Updates – LIVESTREAM | 20 | $20 |
Roundtable Option 2: Integrative Therapies for Cancer Survivors – LIVESTREAM | 20 | $20 |
Roundtable Option 3: Contraceptive Choices – “Fitting the Right Woman with the Right Contraceptive” – LIVESTREAM | 20 | $20 |
Saturday Morning Yoga-Tai Chi – You must be Registered for either the Live or LIVESTREAM session | Limit | Cost |
---|---|---|
Saturday – Yoga-Tai Chi Course November 6 – 6:30-7:15am – LIVESTREAM (Open to Live and Livestream Registrants) | None | No Cost |
Target Audience
This course is designed for primary care physicians/practitioners, general internists, gynecologists, specialists in preventative care, and other health care professionals (PAs, NPs and RNs) who have an interest in Women’s Health.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Describe an approach to management of menopause, including the current guidelines on menopausal hormone therapy
- Discuss the newest cervical cancer screening guidelines
- Explain an approach to breast cancer screening with newer imaging modalities
- Formulate an approach to the management of PCOS in women
- Explain sex specific diagnosis and management of sleep apnea and sleep disorders in women
- Review the role of testosterone treatment in postmenopausal women and the lack of an “androgen deficiency in women”
- Explain the prevalence of premature and early menopause and its management
- Describe CBD use in women’s health
- Detail the role of gender affirming hormone therapy in the treatment of gender dysphoria
- Explain newer contraceptive options and changing contraceptive practices in the United States
Attendance at any Mayo Clinic course does not indicate or guarantee competence or proficiency in the skills, knowledge or performance of any care or procedure(s) which may be discussed or taught in this course.
Mayo Clinic Cardio-Oncology Update 2021
Thursday, November 4 – November 6
Location: Fairmont Scottsdale Princess, 7575 East Princess Drive, Scottsdale, AZ 85255
Description: This course will cover key updates in cardio-oncology clinical practice and research over the last year, and also review key fundamental topics regarding the management of cardiac and vascular diseases affecting patients with cancer and cancer survivors. Fundamental topics will include heart failure, myocarditis, vascular disease, and arrhythmias associated with cancer therapies, as well as the cardiac effects of radiation therapy.
This livestream course provides the latest, state-of-the-art information on the diagnosis and management of common disorders such as management of biliary stone disease, new insight in GI motility disorder, Barrett’s screening/surveillance, eosinophilic esophagitis, endoscopy for colon polyp resection, new interventional endoscopy, artificial intelligence in GI endoscopy; management of alcoholic hepatitis, hepatitis B, fatty liver, and early detection of hepatocellular carcinoma.
Friday offers a full-day, interactive, live-endoscopy session where participants have the unique opportunity to ask the endoscopists questions while the procedures are taking place. Interactive live endoscopy procedures include: colonoscopy and polypectomy techniques A, B and C; advanced imaging and ERCP cannulation; Barrett’s neoplasm: EMR or ablation; advanced resection (ESD); Third Space Endoscopy (POEM, G POEM, or STER); EUS for intervention – direct access to pancreas duct; enteroenterostomy; and colonoscopy insertion technique; enteral stent insertion for a treatment of stenosis/obstruction, ERCP with stent; removal of stones/sampling; cholangioscopy; biopsy/burshing; and diagnostic EUS.
Saturday offers didactic lectures with panel discussions for interactive Q & A opportunities with course faculty members. Active audience participation is strongly encouraged.
Course highlights:
- Relevant updates you can immediately apply to your clinical practice
- Evidence-based lectures, case presentations, panel discussions and Q & A sessions
- Interactive live endoscopy session with the opportunity to ask endoscopists questions during procedures.
MOC Credit
LIVESTREAM Registration | LIVESTREAM |
---|---|
Friday / Saturday | |
M.D., D.O., Ph.D. | $345 |
Allied Health, NP, PA, Retirees | $250 |
Saturday Only | |
M.D., D.O., Ph.D. | $200 |
Allied Health, NP, PA, Retirees | $140 |
Target Audience
The intended audience includes gastroenterologists, primary care physicians, nurses and advanced healthcare practitioners (NPs, PAs, RNs, etc.).
Learning Objectives
Upon completion of this activity, participants should be able to:
Gastroenterology:
• Review updated diagnostic criteria and management for IBS
• Explain expanding possibilities of interventional endoscopic ultrasound
• Describe diagnostic criteria and new treatment modalities for eosinophilic esophagitis
• Evaluate upcoming AI technology in diagnostic endoscopy
• Describe the best technique to achieve high-quality EMR for managing colon polyps
• Evaluate current recommendations and newer diagnostic modalities for Barrett’s esophagus
• Review current algorithms to evaluate and treat suspected gallstone disease and bile duct stones
Hepatology:
• Evaluate current management for alcoholic hepatitis, including the controversial role of liver transplantation, and assess emerging potential therapy
• Update current and emerging approaches to hepatitis B
• Appraise current management of fatty liver disease
• Review strategies for screening populations for and managing hepatocellular carcinoma
Attendance at any Mayo Clinic course does not indicate or guarantee competence or proficiency in the skills, knowledge or performance of any care or procedure(s) which may be discussed or taught in this course.
Attend virtually or in person. The Hertel Report’s Summer State of the State conference features robust Arizona market discussions, a complete conference program, data reference pages, and a directory to support post-conference networking.
HOST & MODERATOR
JIM HAMMOND
CEO & Publisher, The Hertel Report
Managing Consultant, Professional Healthcare Solutions
FEATURED GUEST SPEAKER
An experienced ACO program administrator, Rick is a national thought leader in value-based healthcare strategy and VP Commercial & Strategy for Lumeris. He leads partnership alliances and corporate development for Lumeris
Join Arizona healthcare stakeholders from across the healthcare continuum to glean fresh insight and a look at trends impacting health equity and addressing the social determinants of health (SDOH) in Arizona communities.
PROGRAM DETAILS:
Orange Tree Resort, Scottsdale
10601 N 56th St, Scottsdale, AZ 85254
Friday, July 15, 2022
- 9 to 10am: Networking & Light Refreshments
- 10am – 12:30pm: State of the State Program
- 12:30-1:30pm: Boxed Lunch, dash or stay & connect
Register Today!
Now in Late Registration
To be listed in the attendee directory register by Sunday, July 10, 2022
- $150 Non Members
- $125 Members
DISCOUNTS!
$25 Off Registration for Members of The Hertel Report
Use Coupon Code: THRmember2022
Multiple Member Purchase Use Coupon Code: multimembers2022
$15 Off Registration for Members of our Community Partner organizations
Please use coupon code:
- arma2022
- azhha2022
- hfma2022
- mgma2022
Ladies’ Happy Hour & Networking Event
Join us on August 11, 4:30-6:30pm at the Sandbar Desert Ridge. Learn more about our upcoming event, the 10th Annual Women Lead HERe Conference. Click HERE for more information about the conference.
We will be accepting donations of period products and cash to support the Diaper Bank’s Period Poverty campaign.
Hosted by HFMA Arizona Chapter
Cost hosted by MGMA and The Hertel Report
In some kind of a return to normalcy, the 2023 Winter State of the State breakfast meeting will be held once again at the Hilton Phoenix Resort at the Peak, formerly known as the Hilton Squaw Peak Resort, it was the conference host for two decades from 2000 to 2020.
Join us Friday, February 17, 2023, and get up to speed on all things healthcare while networking with friends and colleagues in person. Don’t worry, we also have a virtual option for those who cannot be there with us.
Networking and Breakfast: 7am-8am
Conference: 8am-10:30am
Click HERE to register!
The annual conference is hosted and moderated by Jim Hammond, publisher of The Hertel Report and Professional Healthcare Solutions’ managing consultant. Jim will share his take on the news and big changes coming in healthcare; updating the audience on Arizona’s health insurance market, Medicare, Medicaid, ACOs, and more.
Joining Jim this year is Charlton Wilson, MD, former CMO at Mercy Care and a recent Robert Wood Johnson Policy fellow. Dr. Wilson will recap his year in Washington D.C. working with congressional committees and learning about the lawmaking and law-shaping process.
Chief Medical Officer Mark Stephan, MD and Seth Dubry, MD, Arizona Medical Director at Equality Health, will also join us to discuss how the value-based network prioritizes meeting people where they are, empowers primary care providers and acknowledges cultural competency in the delivery of care and support.
And, finally, Paul Rose, CEO of Western Asset Protection, is returning again by popular demand. Paul is an expert in all things Arizona Medicare, including supplements, Part D and Medicare Advantage. Paul will share an insider’s view into Arizona’s new plans, sales efforts and winners and losers from the current Medicare open enrollment period.
Click HERE to view and download the event flier!
2023 AzPHA Annual Conference
Addressing Health Disparities: Building Infrastructure & Engaging the Next Generation of Public Health Leaders
Click HERE to register!
Conference Themes:
- Empowering and Sustaining the Public Health Workforce: what are we doing to address workforce development through all regions of AZ and our diverse communities; Addressing our engagement with the next generation of public health leaders; Sustaining and caring for our current public health workforce.
- Improving Public Health Infrastructure: understanding the current state of public health in Arizona and what can be done to improve, sustain, and innovate our growth and address our needs.
- Addressing Health Disparities – Best practices, successes, and lessons learned working to address health equity and reduce health disparities throughout Arizona and our diverse communities.
Final Agenda Coming Soon!
Click to view Sponsorship Packet
Scholarship Sponsor
Use Scholarship Code: AZHD2023
Scholarship is supported by funds made available from the Centers for Disease Control and Prevention, Center for State, Tribal, Local and Territorial Support, under OT21-2103. The contents of this document are those of the authors and do not necessarily represent the official position of or endorsement by the CDC.
Gold Sponsor
Our summer conference in Flagstaff includes our bi-annual Arizona healthcare market update. Topics include the latest news on Medicare Advantage, Medicaid, the Marketplace, hospitals and healthcare systems, along with organizations excelling in value-based payment arrangements including Accountable Care Organizations. More details coming soon.
Flagstaff Medical Center
McGee Auditorium
10am to 12:30pm
Coffee and networking begin at 9:30am.
Box lunch following conference – we invite you to stay and network or grab and go.