The AHCCCS managed care organization (MCO) didn't meet a deadline for correcting problems in its provider migration project and adjudicating claims. AHCCCS also discovered the Centene-owned insurer had made $8 million in overpayments impacting 1,600 providers across more than 2 million claims.
AHCCCS stated it recognizes the...Arizona News
Arizona's Medicaid agency identified significant concerns regarding the data submitted by HCA as well as, "HCA's lack of attention to, and focus on," the audit, which was used to evaluate immunizations to members before age 2 in compliance with childhood immunization reporting requirements.
It's not the first time AHCCCS has penalized...Arizona News
Arizona's Medicaid agency reported numerous case management issues against the former provider of Arizona Long Term Care Services (ALTCS).
After working as an ALTCS provider since 2006, Bridgeway lost its bid to secure a new contract with the Arizona Health Care Cost Containment System (AHCCCS) in March 2017 and was responsible for...