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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.
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
Telehealth Webinar
Thursday, November 19, 2020
2 p.m. to 3 p.m.
2020 Mid -Year Rural Health Policy Roundup
WEBINAR OBJECTIVES:
- Obtain current information on Congressional initiatives that impact rural Health Care
- Learn the status of rural Healthcare initiatives at committee administrative levels
- Game latest information about how new government administrative rulings that impact rural Healthcare along with positions taken by National Rural Health Association
Thursday, October 7th, 2021 | 12:00 PM – 1:00 PM CT (10am Phoenix)
Click HERE to Register
Communication gaps and lack of standardization are just a few of the challenges associated with patient transfers, but the right technology platform can make the process safer and more efficient.
During this discussion, Phil Baker, director of the Rapid Response Team and Transfer Center at the University of New Mexico Health Sciences Center (UNMH), will share how the TigerConnect Clinical Collaboration platform simplified the process for referring providers.
After implementing the platform, providers were able to quickly and securely send complete patient information – including pictures, videos, and files – to the accepting providers. As a result, UNM providers have been able to make faster, better-informed decisions on patient referrals, leading to a reduction in unnecessary transfers to the hospitals, increased patient throughput, and both improved patient care and physician satisfaction.
Key learning points:
- Why an integrated communication platform is a must-have strategic initiative for any health system
- How sharing the complete patient story, including pictures, videos and files, is vital to making efficient, informed, and quality-focused decisions
- How innovation and digital transformation can be led and implemented by non-clinical teams to positively impact care quality and cost reduction
Presenter:
Philip Baker
Director of the Rapid Response Team and Transfer Center at the University of New Mexico Hospital
Mandates, boosters and pediatric vaccines: How to successfully manage the next phase of COVID-19 vaccination
Click HERE to Register
If the mood of the initial COVID-19 vaccine rollout felt exuberant, the sentiment heading into fall feels more daunting against the backdrop of the Delta variant and ongoing vaccine hesitancy. Healthcare organizations need to manage those challenges while also figuring out effective ways to administer boosters, navigate vaccine mandates, and provide vaccines to kids 12 and over — and likely kids under 12 soon.
Luckily, we can lean on best practices from this past spring and summer to successfully tackle the tasks ahead. In this webinar, physician leaders and COVID-19 vaccination experts will share lessons from earlier efforts to ensure equitable, timely and efficient vaccine distribution in the coming months.
Key learning points:
- Best practices for adapting to changing guidance and policies
- Actionable strategies for overcoming vaccine hesitancy among healthcare workers, adults and parents
- Methods for incentivizing primary care and pediatric practices to vaccinate against COVID-19, especially in vaccine deserts
Presenters:
Kavita Patel, MD
Fellow and Managing Director in the Center for Health Policy at the Brookings Institution; frequent guest expert on NPR, CBS, NBC, and MSNBC; Primary Care Physician; and former Director of Policy for the Obama Administration
Rebecca Weintraub, MD
Assistant Professor of Global Health and Social Medicine at Harvard Medical School, Leader of the COVID-19 Vaccine Delivery response at Ariadne Labs, and Physician at Brigham and Women’s Hospital
Hilary Hatch, PhD
Chief Clinical Officer at Phreesia, Instructor of Medicine at Johns Hopkins, and Faculty at the Psychoanalytic Association of NY (PANY) affiliated with NYU Langone Health
Abyde’s Year-End HIPAA Review and Analysis Webinar
Tuesday, November 9, 2021 6pmPT (5pm AZ)
Value: Free Event
Description: Join us on Tuesday, November 9 at 6:00 pm PST for a short presentation covering the important first step in meeting annual HIPAA requirements – the Security Risk Analysis (SRA). The Security Risk Analysis is a requirement for all healthcare practices under the HIPAA Security Rule and it’s the first step to assessing the potential risks and vulnerabilities to protected health information held by the organization. However, 83% of practices fall short of this standard and ultimately miss the mark for having a sufficient risk management program in place.
David Hemmah, Director of Education at Abyde, is an experienced educator on HIPAA compliance. David’s background has allowed him to gain detailed insights on the challenges of achieving and maintaining compliance as an independent provider, including the difficulties and common mistakes in meeting government-mandated HIPAA requirements.
Learn more about:
– HIPAA Security Risk Analysis: What it is, why it’s important and how to avoid common misconceptions.
– What It Needs to Include: Meeting administrative, technical and physical safeguards.
– Enforcement Results: Including the recently passed HIPAA Safe Harbor Law.
– How Abyde Can Help: See for yourself how Abyde makes meeting this essential requirement simple.