Arizona Governor Katie Hobbs has ordered the Arizona Health Care Cost Containment System (AHCCCS) to create an extraordinary care exception process for children with intellectual and developmental disabilities whose families need more direct care or habilitation hours than allowed under the state’s new standardized assessment...Arizona News
The Arizona Health Care Cost Containment System (AHCCCS) last week terminated its December 2023 ALTCS-EPD contract awards, resetting a procurement process that has been contested for nearly two years.
AHCCCS said it will issue a new request for proposals for the ALTCS-EPD program, with submissions expected in fall 2026.
Mercy Care,...Arizona News
AHCCCS said members in its Arizona Long Term Care System for the elderly and physically disabled will remain with Banner, Mercy Care and UnitedHealthcare plans for another year after the agency extended existing contracts through Sept. 30, 2026.
New ALTCS EPD contracts were set to begin Oct. 1, 2025 with Mercy Care, Banner–University...Arizona News
Arizona's Democratic Governor Katie Hobbs accepted the resignations of AHCCCS Director Carmen Heredia and ADHS Director Jennifer Cunico the day before they were set to appear before the Senate Committee on Director Nominations (DINO), led by Republican Jake Hoffman, who had foreshadowed his torpedoing of both women's...Arizona News
On September 8, 2024, The Arizona Health Care Cost Containment System (AHCCCS) dismissed the recommendation of an administrative law judge and denied the appeal of Mercy Care, Health Choice Arizona and Banner-University Family Care after all three local non-profits contested the agency's award of its Arizona Long Term Care EPD contracts...
A new report by healthcare research firm ATI Advisory determined that the Centers for Medicare and Medicaid Services (CMS) is not doing enough to reconcile incongruities between the Medicare and Medicaid programs for dually eligible beneficiaries in long-term care.
The ATI Report found that the over one million full benefit...
Collectively, UHC Community Plan and Arizona Complete Health Complete Care Plan will provide health care services to the approximately 26,000 members enrolled in the Arizona Long Term Care System (ALTCS) and who are elderly and/or living with a physical disability, known as the ALTCS-EPD program. It marks the first time members across...
Arizona Health Care Cost Containment System (AHCCCS) is investing $47.5 million from ARP Awards to help strengthen HCBS in Arizona.
Starting on December 4, 2023, eligible HCBS providers can apply for up to $1 million for programmatic or infrastructure projects to improve HCBS for round 2 of the ARP Program Awards. All applications...
In an effort to protect abused, neglected, and vulnerable ALTCS members, AHCCCS and DES have published two surveys available for ALTCS members and ALTCS members' families through November 17, 2023.
The surveys and evaluations are conducted by the University of Arizona’s Sonoran Center for Excellence in Developmental Disability. All...
The Hertel Report's annual data edition focusing on Arizona Medicaid includes everything you need to know about AHCCCS and the contracted managed care organizations (MCOs) providing integrated healthcare to 2.5 million in Arizona.
AHCCCS 2022 DATA EDITION
What's Inside:
Pandemic Population Growth
AHCCCS Complete Care MCOs
...
Halfway through the 2022 Arizona State Legislative Session, each chamber is now in the process of hearing the other's bills. Several concern healthcare delivery in Arizona, specifically with regards to the state's Medicaid program, the Arizona Health Care Cost Containment System (AHCCCS).
A bill to expand the list of health and...
Arizona's Medicaid program continues to grow and so does this year's data edition. Along with enrollment by county and market reports, readers will learn more about how the Arizona Healthcare Cost Containment System (AHCCCS) is bending the cost curve, responding to the COVID-19 pandemic and managing the "great unwinding". Quality...
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...
23.1% of Arizonans have received at least one shot of the vaccine and 13.1% of the population is completely vaccinated. 81.8% of Arizona's doses have been used so far, with 2.7 million doses administered of 3.1 million doses delivered. Across the country, 34 doses have been administered for every 100 people and 77% of the shots delivered...
The report was created to empower states with the necessary tools to design, implement, and advance reform in long-term services and supports to achieve a more equal spending in home and community-based settings (HCBS) relative to institutional care.
While rebalancing long-term services and support (LTSS) systems has been a...
A dozen pages with the latest data on the AHCCCS Complete Care market mix, insurers' membership gains and losses YOY, new capitation rates, EPSDT, dental care and SDOH best practices, performance reviews including second-quarter plan report cards and more. Get the latest market footprint on RBHAs, ALTCS, DDD health plans along with...
A dozen pages with the latest data on the AHCCCS Complete Care market mix, insurers' membership gains and losses YOY, new capitation rates, EPSDT, dental care and SDOH best practices, performance reviews including second-quarter plan report cards and more. Get the latest market footprint on RBHAs, ALTCS, DDD health plans along with...
Our second data edition of the year features details on AHCCCS Complete Care contracts, beneficiary demographics, managed care organizations' member totals by current and future GSAs, YOY results by contractor and much more.
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Managed care organizations (MCOs) are prepping for new seven-year ALTCS contracts starting October 1; Bridgeway is out, Banner University Family Care is in.
In March 2017, the Arizona Health Care Cost Containment System (AHCCCS) awarded contracts to three managed care organizations (MCOs) to provide Arizona Long Term Care Services to...
