As of Aug. 9, fee-for-service COVID-19 vaccine administration rates increased, according to AHCCCS.
For dates of service through March 14, 2021, AHCCCS adopted the Medicare payment rates as follows:
The AHCCCS fee-for-service rate for COVID-19 vaccine administration is $28.39 to administer single-dose vaccines.
For a COVID-19...Arizona News
Virtis Health, a national provider dedicated to therapeutic and diagnostic services for patients with complex conditions requiring specialty infusible and injectable medications, has announced the opening of three additional Ambulatory Infusion Centers (AICs) in Arizona. This expansion brings the total number of Virtis Health AICs in...
Despite a decline in overburdened intensive care units and COVID-19 cases overall since January, there's still a dire shortage of nurses affecting many care providers in Arizona and across the country.
The Hertel Report's Publisher Jim Hammond spoke to the motivating reasons for the shortage on Arizona360 last Friday:
There's a lot...
At AHCCCS' quarterly Arizona State Medicaid Advisory Committee (SMAC) meeting, members discussed continued Public Health Emergency (PHE) funding and other funding priorities.
AHCCCS now serves 2.2 million Arizonans, and over the last 17 months enrollment has grown by 373,000 - which is due to a condition of the enhanced federal match...Arizona News
On July 12, AHCCCS submitted a proposal to the Centers for Medicare and Medicaid Services (CMS) detailing its plan for reinvesting federal funding made available through the American Rescue Plan Act (ARPA).
The spending plan includes strategies that aim to strengthen AHCCCS’ existing home and community based services (HCBS) program...Arizona Comings & Goings
Matthew Isiogu is now senior vice president of innovation at Health Current. Previously he was the assistant director of the Division of Health Care Management at AHCCCS....Arizona News
The Centers for Medicare & Medicaid Services (CMS) withdrew federal approval for the Arizona Health Care Cost Containment System's (AHCCCS) Medicaid work requirement program, the AHCCCS Works Community Engagement Program. The waivers were approved under the Trump administration and similar work requirements from other states were...Arizona News
The Arizona Health Care Cost Containment System is soliciting input from stakeholders to inform the development and implementation of its Value Based Purchasing (VBP) strategies for Contract Year Ending (CYE) 2022 and CYE 2023.
One of AHCCCS’ Strategic Priorities in the AHCCCS Strategic Plan is to pursue and implement long-term...Arizona News
The Arizona Department of Health Services and Maricopa County Department of Public Health have honored 121 employers across the state for excellence in worksite wellness strategies.
The seventh annual Healthy Arizona Worksites Program awards event recognized many of the hundreds of participating corporations, healthcare organizations,...National News
UnitedHealthcare's announcement it would begin denying payments for non-urgent emergency department visits was met with fierce criticism from hospitals, doctors groups and patient advocacy organizations. As a result the insurance giant has said it will delay the policy.
UnitedHealthcare covers nearly 425,000 Arizonans on Medicaid...Arizona News
Jewish Family & Children’s Service announced the opening of the JFCS West Valley Healthcare Center, located at 1840 N. 95th Avenue, Suite 160 in Phoenix.
There is a great need to provide integrated healthcare to underserved communities across the Valley, and JFCS has completed its plan to open four integrated healthcare centers...Arizona News
This past week, the Arizona Health Care Cost Containment System (AHCCCS) announced two policy modifications that will effect both patients and participating providers.
Referring, Ordering, Prescribing, Attending (ROPA) requires that all healthcare providers who refer members for items or services, order non-physician services,...Arizona News
On June 7 at 5 p.m., AHCCCS is hosting an online community forum to solicit feedback from stakeholders about the American Rescue Plan Act home and community based services expenditure enhancement.
AHCCCS will use the feedback to submit a spending plan to the Centers for Medicare and Medicaid Services by June 12 this year.
Section...Arizona News
AHCCCS is conducting a survey to determine the performance and responsiveness of its contracted managed care organizations to providers.
AHCCCS is asking providers who are contracted with the health plans listed below to complete a survey. The survey will be open from April 15, 2021 through May 17, 2021.
Arizona Complete...Arizona Comings & Goings
Matthew Isiogu joins Health Current as senior vice president of Innovation; he was formerly the assistant director, division of health care management for AHCCCS....Health Related Groups
This week Molina Healthcare announced that its Ohio health plan subsidiary has been selected as an awardee in all three regions across the state pursuant to the Medicaid managed care RFA issued on September 30, 2020, by the Ohio Department of Medicaid (ODM).
Molina Healthcare, Inc., a FORTUNE 500 company, provides managed healthcare...Arizona News
The Biden administration has officially blocked work requirements. Last Tuesday, the Centers for Medicare and Medicaid Services (CMS) sent an official letter to Wisconsin state health officials withdrawing approval for work requirements for the Wisconsin Medicaid program, BadgerCare.
According to NBC26 Green Bay, Acting CMS...Arizona News
AHCCCS seeks waiver and expenditure authority from CMS on two waiver demonstration projects.
The AHCCCS Housing and Health Opportunities (H2O) demonstration wants to improve and expand housing services and interventions for AHCCCS members who are homeless or at risk of becoming homeless.
With this waiver approval, AHCCCS will work...Arizona News
Ten-year-old Cassidy Middleton has been an outspoken advocate against the use of step therapy -- a process insurance companies use to try to force patients to use less expensive pharmaceuticals before moving up to the drugs recommended by doctors. According to ABC15, Middleton has juvenile arthritis and has been subjected to step therapy...