Originally created to ensure Medicaid beneficiaries with a serious mental illness (SMI) weren't warehoused in facilities by the government, the IMD exclusion means state Medicaid agencies can't pay for mental healthcare services received in a residential treatment center with more than 16 beds.
This week, (November 13) Medicaid...National News
In a letter this week, the nonpartisan commission continued its criticism of the state's work requirement to Health and Human Services Secretary Alex Azar; Arkansas has no plans to pause the program, the first in the nation.
So far about 8,500 beneficiaries have been kicked off Arkansas' Medicaid program since its work requirement...Arizona News
Retiring AHCCCS Director Tom Betlach will join Missouri Medicaid Director Dale Carr and a senior leader from the Center for Program Integrity at CMS to discuss how states and the federal government are partnering to identify and address inappropriate or unnecessary spending in the healthcare system.
Department of Health & Human...Arizona News
Hospitals say getting paid for previously uninsured folks has saved them from potential closure. The Goldwater Institute says hospitals are raking in the dough by also raising rates on the commercial side.The Arizona Hospital and Healthcare Association (AzHHA) publishes a report that tracks uncompensated care trends for Arizona...Arizona News
CNSI, a health information technology (IT) company based in Maryland, developed the nation's first automated real time and cloud based Medicaid Management Information System (MMIS) in Michigan.
The initial term of the contract will be for three years, with two, one-year options to extend, not to exceed five years.
Other bidders...Arizona News
Grant funding provided by the Department of Health and Human Services (DHS), Substance Abuse and Mental Health Services Administration (SAMHSA).
AHCCCS will administer the grant and work with other state agencies, health plans, and community partners to address specific initiatives. This is the first installment of a two-year grant...Arizona News
As part of a million dollar translational research grant, over the next two years select Arizona State University faculty will spend time researching ways to improve quality and services as well as reduce costs for Maricopa County populations. The partnership will be led by College of Health Solutions researcher William...National News
Prescription drug rebates are typically negotiated by pharmacy benefits managers (PBM), such as CVS and United (two of the largest PBMs), but Department of Health and Human Services (HHS) Secretary Alex Azar says he has the power to eliminate them in the United States.
Pharmaceutical companies on Thursday, Aug. 10 were notified...Arizona News
The Centers for Medicare and Medicaid Services (CMS) on Thursday, Aug. 16 announced key changes to the Medicaid Review Process that are designed to significantly reduce approval times for state Medicaid agencies.
Sometimes a simple request can mean enduring several months of review. CMS said its now...News
AzHHA releases financial information which includes improved overall operating income and continued stability in uncompensated care.The report focuses on the impact Medicaid expansion has had on lowering uncompensated care. Also included are stats about overall AHCCCS enrollment (falling), the hospital assessment and childless adults...Arizona News
By the end of the month approximately 10,500 Coconino County residents receiving healthcare benefits from the Arizona Health Care Cost Containment System (AHCCCS) will have the opportunity to choose a new health plan.
Care1st Health Plan Arizona was awarded a new contract for the northern Arizona geographic service area (GSA),...Arizona News
The Health Services Advisory Group (HSAG) produced the June 2018 report for Arizona Medicaid's acute care and Comprehensive Medical and Dental Program (CMDP).
Overview of the CYE 2017 External Review included the following MCOs
Care1st Health Plan Arizona, Inc. (Care1st)
Health Choice Arizona (HCA)
Health Net Access (Health...
This award is an important step to reduce fragmentation for the state's Medicaid program, called the Arizona Health Care Cost Containment System, said Tom Betlach, director of AHCCCS.
As reported in The Phoenix Business Journal, the new contracts, called AHCCCS Complete Care, will begin Oct. 1, which is when AHCCCS will transition...
Kentucky will be offering a novel way to reactivate your medical coverage: a health or financial literacy course you must pass.
The waivers approved by the Trump administration present opportunity for new ways to think about how to empower individuals to improve their health.
The precise content of the courses is not yet worked...Arizona News
Ducey's budget will use that money to fund his spending priorities in education.
The governor’s proposal, released last week, shows $79 million in “efficiency savings” or cuts to agency budgets for things like employee vacancies and lower utility bills. A lot of money is being moved around, differing sources and differing...Arizona News
Trump administration to permit requirement to work if states seek it.
The Arizona Daily Star reports Arizona is one of 10 states that have submitted applications to add work requirements for the government health insurance program for low-income people.
The state’s Medicaid program, called the Arizona Health Care Cost Containment...
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...
Commercial real estate developers, construction industry and financing institutions all have a stake in the outcome.
When the Affordable Care Act was initially enacted, many Arizonans who had not had health insurance received access to care through insurance rather than in emergency rooms for the first time in their lives.
Due to...Arizona Comings & Goings
Snyder brings 20 years of public and private sector health care experience to her new role.
She has been serving as the Medicaid director for the state of Texas in the Texas Health and Human Services Commission, overseeing a $29 billion program serving 4.7 million people. At AHCCCS she will oversee daily administrative and program...Arizona News
Governor Doug Ducey's proposal, to be submitted later this month, will be scaled back from the one federal officials rejected last year.
The governor is offering new exceptions and a limit on how much time someone needs to spend on a job or in training each week to keep receiving benefits.
Something else is different: The people...