Medicaid enrollees are having an increasingly difficult time locating providers to address their medical and behavioral concerns in a timely manner, including those enrolled in the Arizona Health Care Cost Containment System (AHCCCS).
An increasing number of enrollees are coming forward with stories that they have been unable to find...
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,...
Get the latest on national and Arizona Medicare Advantage (MA) enrollment in The Hertel Report's annual MA Data Edition. Learn about Arizona's top-performing MA plans, enrollment leaders, MA market penetration, and our popular MA enrollment by Arizona county and more!
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On June 20, 2025, the Maricopa County Superior Court stayed AHCCCS’ decision to award ALTCS EPD contracts to Centene and UnitedHealthcare, along with its subsequent decision to expand those awards to Mercy Care and Banner–University Family Care. The Court made clear that even contracts resulting from settlement agreements cannot move...Arizona News
Beginning October 1, 2025, Banner Health and Mercy Care will join Centene and UnitedHealthcare to provide covered services for about 26,000 Arizonans enrolled in its Arizona Long Term Care System (ALTCS) Elderly and/or Physically Disabled (EPD) program. Statewide contracts were awarded to Centene and UHC but Banner Health and Mercy Care...Arizona News
Banner-University Family Care, Mercy Care, and UnitedHealthcare Community Plan will continue to serve members enrolled in the Arizona Long Term Care System for the elderly and physically disabled through September 30, 2025.
Last week, On September 8, 2024, The Arizona Health Care Cost Containment System (AHCCCS) dismissed the...
In this annual data edition, The Hertel Report delivers the latest insights on plan enrollment, including detailed membership by county. But this year’s data goes beyond the numbers, revealing alarmingly poor performance among plans serving AHCCCS members across the state. This edition also covers the latest on the ALTCS contract award...
An Administrative Law Judge on August 9 decided against Arizona's Medicaid agency and in favor of insurers protesting the agency's choice of Arizona Complete Health Complete Care Plan and UnitedHealthcare Community Plan to provide long-term care services to about 26,000 AHCCCS members who are enrolled in the Arizona Long Term Care System...
The Arizona Health Care Cost Containment's (AHCCCS) procurement process ended in December when Arizona's Medicaid agency chose Centene (Arizona Complete Health) and UnitedHealthcare (UHC Community Plan) to provide integrated healthcare to Medicaid eligible Arizonans who are elderly and/or have a physical disability in the Arizona Long...
Our annual data edition focusing on the Arizona Health Care Cost Containment System (AHCCCS) covers a lot of territory and 15 pages to help readers keep tabs on the agency charged with overseeing the managed care plans contracted with the state to deliver care to about 2.2 million Arizona Medicaid members.
Correction: On Page 4 the...
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 News
The pilot program will make Connections Health Solutions the second provider of court-ordered evaluations in Maricopa County; evaluations are designed to help people who are unwilling or incapable of providing consent to receive behavioral health services.
According to a Maricopa County press release, the pilot includes about $1...
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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On October 1, 2022, new ACC-RBHA contracts began with Mercy Care (Central GSA), Arizona Complete Health (South GSA) and Care 1st Health Plan (North GSA) resulting in about 6,100 members transitioning from the Health Choice RBHA to Care1st. Aligning RBHA service areas with ACC and ALTCS contracts also shifted about 1,900 members the Mercy...Arizona News
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...
Cynthia J. Leach is the vice president of Long Term Care at Mercy Care since December 2020. She brings over 35 years’ experience in health care
administration, financial management, executive leadership and program
development to this role.
Her responsibilities are to develop, implement, oversee and evaluate the
Mercy Care Arizona...Arizona News
The Arizona Association of Health Plans (AzAHP) Board of Directors unanimously elected Lorry Bottrill to serve as the organization’s new chairman. Bottrill has been a leader in Arizona’s health care community for more than 25 years and currently serves as CEO of Mercy Care.
Jim Stringham, CEO of Banner University Health Plans, will...Arizona Comings & Goings
AzPHA Organizational Member Mercy Care is currently conducting their 2020 Mercy Care Community Needs Assessment.
Mercy Care is a not-for-profit health plan serving AHCCCS members (ACC, DDD and long-term care). Mercy Care partners with more than 20 local non-profits, and intends to always support the community and their...Arizona News
Providers received notice from Mercy Care on August 28 that Simon Med would no longer be part of its radiology provider network.
The notice applies to Mercy Care Complete Care, Mercy Care RBHA, Mercy Care Long Term Care, Mercy Care DD and Mercy Care Advantage.
Mercy Care patients from the plans above with scheduled appointments...
