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Posts tagged with "Arizona Health Care Cost Containment System"

Arizona News

AHCCCS Awards Expanded Behavioral Health Contracts to Arizona Complete Health, Care1st & Mercy Care

Blue Cross Blue Shield of Arizona's (BCBSAZ) AHCCCS Complete Care (ACC) product, Health Choice Arizona (HCA), did not receive an expanded contract from the Arizona Health Care Cost Containment System (AHCCCS) and effective October 1, 2022, HCA's  approximately 12,000 SMI members will move to Care1st, the newly awarded health plan in the...
Arizona News

Arizona Supreme Court Finds Federal Law Overrules State 'Balance Billing' Law

The Arizona Supreme Court ruled Monday that hospitals are not permitted to go after payments owed to a patient if they accept payments from the Arizona Health Care Cost Containment System (AHCCCS), the state's Medicaid program. Sections of state law have previously authorized hospitals to impose liens on patients when AHCCCS...
Medicaid Block Grants: A Primer Arizona News

Medicaid Block Grants: A Primer

The Trump Administration's rollout of its new Medicaid block grant policy, dubbed "Healthy Adult Opportunity" was met with backlash from House Democrats, who are moving to vote on a resolution next week that would disapprove the plan. Block grants give states fixed federal grants to use toward Medicaid spending based on individual...
Arizona News

Arizona Complete Health Gives $25k to Benson Hospital

Arizona Complete Health (ACH) awarded a $25,000 grant to Benson Hospital to renovate an outdated inpatient unit.  According to San Pedro Valley News-Sun, the facility hasn’t been remodeled in “three decades.” Julia Strange, the hospital’s chief executive officer, commented on how the hospital will put the funds to...
Arizona News

Some Arizona FQHCs Sue AHCCCS

Filed last week, the lawsuit alleges AHCCCS, Arizona's Medicaid program, has not reimbursed a group of federally qualified health centers (FQHCs) for the full costs of the services provided to AHCCCS members. Filed in federal court Oct. 28, the suit brought by the Arizona Alliance for Community Health Centers- a nonprofit group that...
Arizona News

Maricopa County Assessor Indicted for Orchestrating Adoption Scheme

Maricopa County Assessor Paul Petersen received a 32 count indictment in Arizona on Oct. 15 following the discovery of an adoption scheme orchestrated by Petersen involving transporting women from the Marshall Islands to the United States to give birth. The pregnant women he brought to the U.S. were able to receive government-funded...
Arizona News

Medicaid Work Requirements: Arizona's Approach

Arizona's Medicaid Program, the Arizona Health Care Cost Containment System (AHCCCS), is implementing work requirements beginning the fall of 2020 in Maricopa, Pima and Yuma counties. Eventually, nearly 120,000 Arizona residents on Medicaid will have to prove they are either working, studying or volunteering in order to continue...
Arizona News

Arizona Medicaid Offers Coverage for Lyft Rides, Bridging the State's Transportation Gaps

The rideshare company announced Wednesday, eligible beneficiaries unable to secure their own transportation to medical appointments can receive coverage for Lyft services by Arizona's Medicaid program for nonemergency transport. Lyft has opened up a whole new consumer base as a newly dubbed Medicaid provider. Transportation...
Arizona News

Arizona Court Ruling: Hospitals Can No Longer Impose Financial Liens on Monies Owed to AHCCCS Patients

The state's Court of Appeals ruled Tuesday that hospitals accepting Medicaid payments are not allowed to collect more payments by going after the money owed to a patient if the amount paid by the Arizona Health Care Cost Containment System (AHCCCS) is less than the final bill. A three-judge panel decided to void a section of Arizona law...
Arizona News

Update: Hacienda Healthcare Licensing Authority

Hacienda Healthcare last week agreed to give licensing authority of its facility to the Department of Health Services (ADHS) following dissent from state agencies concerning the Board of Directors decision to cease operations of the Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID). A joint letter...
Arizona News

Arizona's Medicaid Integration Directive Leads to Behavioral Health Consolidation

Two nonprofits, Intermountain Centers for Human Development and Community Partners Inc., that provide behavioral health care for AHCCCS beneficiaries, consolidated to weather the storm of forecasted payment cuts and changes to Arizona's Medicaid program.  The consolidation took effect on Friday, Aug. 31, 2018 as...
Members Only: 2018 AHCCCS Data Edition Data Resources

Members Only: 2018 AHCCCS Data Edition

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. ...
Arizona Seeks to Reduce Retroactive Medicaid Coverage Benefits Arizona News

Arizona Seeks to Reduce Retroactive Medicaid Coverage Benefits

Arizona's Medicaid program, the Arizona Health Care Cost Containment System, has a three-month retroactive eligibility period, which means those applying for Medicaid coverage may receive benefits for services provided three months prior to their application. The state now seeks to limit retroactive coverage to the month of an...
Arizona News

AHCCCS Offers Incentives to Reward Efficiency, Economy, and Quality of Care

Differential Adjusted Payment (DAP) rates will be effective with dates of service beginning October 1, 2018, through September 30, 2019. The AHCCCS Administration is implementing these DAP rates to assure that payments are consistent with efficiency, economy, and quality of care and are sufficient to enlist enough providers so that...
Hertel Report Stories
THR Feature Story

Innovative Arizona Telemedicine Partnership Keeping Arizona Nephrology Patients & Revenue Close to Home

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Feb
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2023
7:00 am 2023 Winter State of the State @ Hilton Phoenix Resort at the Peak
2023 Winter State of the State @ Hilton Phoenix Resort at the Peak
Feb 17 @ 7:00 am – 10:30 am
2023 Winter State of the State @ Hilton Phoenix Resort at the Peak
In some kind of a return to normalcy, the 2023 Winter State of the State breakfast meeting will be held once again at the Hilton Phoenix Resort at the Peak, formerly known as the Hilton[...]
Feb
23
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2023
8:30 am 2023 AzPHA Annual Conference @ Desert Willow Conference Center
2023 AzPHA Annual Conference @ Desert Willow Conference Center
Feb 23 @ 8:30 am – 4:30 pm
2023 AzPHA Annual Conference @ Desert Willow Conference Center
2023 AzPHA Annual Conference Addressing Health Disparities: Building Infrastructure & Engaging the Next Generation of Public Health Leaders Click HERE to register! Conference Themes: Empowering and Sustaining the Public Health Workforce: what are we doing[...]
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