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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:
-
- 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
With over 2 million Arizonans enrolled in AHCCCS, Medicaid has a huge responsibility for impacting population health.
The State Medicaid Advisory Committee (SMAC) reviews and advises the Medicaid agency on the operations, programs, and planning for Arizona’s Medicaid program. SMAC meets quarterly, chaired by the AHCCCS Director. SMAC meetings are open to the public and include a public comment period at the end of the agenda.
On Oct. 21 from 1-3 pm, SMAC will hold a meeting over Zoom.
HERe Conferences
8TH ANNUAL WOMEN’S EVENT
Join us for this special event, bringing together the best and brightest speakers and presenters
for a day of empowHERment, inspiration and connection.
Friday, November 13, 2020
Presented virtually via Zoom
Register by October 31 to receive your Swag Box!
7TH ANNUAL WOMEN’S EVENT RECAP
Friday, November 8, 2019
Clayton House
Scottsdale, AZ
It was our honor to work with Fresh Start Women’s Foundation at our 2019 Women Lead HERe conference. By joining us a breakout session leader and philanthropic partner, we had the opportunity to get to know the organization and truly understand the impact they have within our community.
Since 1992, Fresh Start Women’s Foundation has transformed lives by providing education, resources and support to women in all walks of life. If you would like to personally support this valuable community resource – or if you know someone who would benefit from the services it provides – please visit their website here.
A huge thank you to Rebecca Christ and Built From Scratch Studios for capturing the energy and essence of our 2019 Women Lead HERe conference.
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:
-
- 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 November 13, 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
2021 Mid-Year Rural Health Policy Roundup
Monday, November 15th, 12pm – Webinar
Click HERE to register
The objectives for this webinar are to:
• Obtain current information on Congressional Initiatives that impact rural health care
• Learn the status of the rural health care initiatives at committee and administrative levels
• Gain the latest information about any new governmental administrative rulings that impact rural health care along with positions taken by NRHA
Speakers
Alan Morgan serves as Chief Executive Officer for the National Rural Health Association. Recognized as among the top 100 most influential people in healthcare by Modern Healthcare Magazine, Alan Morgan serves as Chief Executive Officer for the National Rural Health Association. He has more than 26 years experience in health policy development at the state and federal level, and is one of the nation’s leading experts on rural health policy. Mr. Morgan served as a co-author for the publication, “Policy & Politics in Nursing and Health Care,” and for the publication, “Rural Populations and Health.” In addition, his health policy articles have been published in: The American Journal of Clinical Medicine, The Journal of Rural Health, The Journal of Cardiovascular Management, The Journal of Pacing and Clinical Electrophysiology, Cardiac Electrophysiology Review, and in Laboratory Medicine. Mr. Morgan served as staff for former US Congressman Dick Nichols & former Kansas Governor Mike Hayden.
Dr. Compliance: or how to stop worrying and love the 7 elements
3 learning objectives:
1. Repeat the 7 elements of an effective compliance program
2. Identify one element to take away and use today
3. OIG updates on telehealth and what it means to us
Oct 13, 2022 11:00 AM Arizona
Telehealth and the Future of Professional Regulation
- Gain familiarity with efforts to modify professional licensure regimes in ways that would facilitate interstate telehealth practice.
- Increase understanding of the Uniform Telehealth Act and its potential regulatory implications.
- Expand awareness of post-pandemic trends in state telehealth regulation.
- Recognize regulatory challenges associated with interstate telehealth practice.
Moderator: Tara Sklar, JD, MPH CONTINUING MEDICAL EDUCATION
Accreditation Statement The University of Arizona College of Medicine – Tucson is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Arizona College of Medicine – Tucson designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Disclosure Statement All Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they do not have any relevant financial relationships with ineligible companies that could constitute a conflict of interest concerning this CME activity.
A Pathway to Good Oral Health for All Arizonans
- Identify barriers to oral healthcare for those living in rural areas
- List medical reasons an individual may require a dental visit
- Describe policy that could improve oral health for those living in rural Arizona
Speaker
Scott Howell, DMD, MPH
2023 Arizona Telehealth Policy Summit
Who should attend: Healthcare leaders, administrators and professionals who are interested in the latest on Arizona’s telehealth policies, national trends, and local challenges and opportunities.
Blessing and Land Acknowledgement: Carlos Gonzales, MD, FAAFP – Assistant Vice President Indigenous Affairs
Opening Remarks: Daniel Derksen, MD – Associate Vice President for Health Equity, Outreach & Interprofessional Activities, Office of the Senior Vice President for Health Sciences
Learn from National and State Telehealth Experts about:
- State of Telehealth in Arizona – Moderator: Dean Marc Miller, JD, University of Arizona College of Law
- State Senator T.J. Shope
- State Representative Alma Hernandez, MLS, MPH
- State Representative Patty Contreras, MAdm
- National Trends in Telehealth – Moderator: Tara Sklar, JD, MPH, Faculty Director of Health Law, Arizona Law, Associate Director of Telehealth Law & Policy, Arizona Telemedicine Program
- Jennifer Huer, MA, JD, LLM – Interim Executive Director at Soloman Center, Yale Law School
- David Orentlicher, MD, JD – Nevada Assemblyman, Law Professor, University of Nevada – Las Vegas
- Sharona Hoffman, JD, LLM, SJD – Law Professor at Case Western Reserve University
- Telehealth Challenges & Opportunities at the Local Level – Moderator: Janet Major, Assoc. Dir. for Innovation and Digital Health, Arizona Telemedicine Program
- Sandip Bhowmik – Arizona State Broadband Director
- Kyle Sawyer – Assistant Director of Public Policy and Strategic Planning, AHCCCS
- Amanda Aguirre – President and CEO Regional Center for Border Health
Disability-related accommodations:
Please contact us regarding any questions about disability-related accommodations that will facilitate your full participation in this event such as ASL interpreting, captioned videos, Braille or electronic text, etc.
Full Agenda to follow closer to event date
Scott Howell, DMD, MPH is a board certified public health dentist, an associate professor and Director of Public Health Dentistry & Teledentistry at A.T. Still University, Arizona School of Dentistry & Oral Health. Having spent the last 15 years working in various community locations including long term care facilities, community health centers, and detention centers, his work now focuses on increasing oral health accessibility both through policy changes and unique clinical approaches and systems. Dr. Howell has also begun exploring the impacts of racism on public health and is a Senior Atlantic Fellow for Health Equity.