Arizona Complete Health's AHCCCS membership in the sate totals 372,445 while Care1st Health Plan of Arizona serves approximately 80,626 Arizona Medicaid members. Both Centene plans also have Regional Behavioral Health Agreements in separate geographic service areas that cover Medicaid members with a serious mental illness (SMI).
Mercy...Arizona News
After a request from Congress, the Office of Inspector General analyzed prior authorization and appeals data from 115 risk-based managed care organizations (MCOs) including Centene's Arizona Complete Health & Care1st Health Plans. According to the report, in Arizona Centene denied one out of every eight prior authorization (PA)...
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
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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'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...
Arizona's Medicaid agency took comments on the proposed merger and transition plan of Arizona Complete Health (Centene) and Care1st Health Plan (WellCare) that will result in one insurer - Centene expanding its AHCCCS Complete Care (ACC) market footprint statewide.
AHCCCS approved the transition plan with following provisions:
...Arizona News
Care1st Health Plan Arizona is a WellCare company which currently serves 184,000 of the state's Medicaid members in eight counties under a new AHCCCS Complete Care (ACC) contract.
The company said the regional hub in Phoenix will better serve Medicaid members in Arizona, augment the company's clinical and operational functions...
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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