Note: Information provided in PDF files.
2011 Amendments
SPA 11-018 Fee Schedule Update
Updates the State Plan pages regarding the effective dates for fee for service rates.
SPA 11-017 GME
Updates GME funding for the service period July 1, 2010 through June 30, 2011 for programs with submitted IGAs.
SPA 11-016 Healthcare Acquired Conditions
Updates the State Plan to include standards of payment for healthcare acquired conditions.
SPA 11-015 340 B Drug Pricing
Updates the State Plan to include standards of pricing and payment for 340B drugs.
SPA 11-014 Hospice
Restoration
Updates the State Plan to indicate Hospice Care is a provided service, effective July 20, 2011.
SPA 11-013 Freestanding Birth Centers
Documents compliance with the Affordable Care Act, Section 2301, regarding Medicaid coverage and separate payments for freestanding birth center services.
SPA 11-012
Inpatient Hospital Limit
Limits the number of inpatient hospital days for adult members.
SPA 11-011 Outlier
Updates the methodology for qualifying and paying claims for inpatient
hospital services with extraordinary operating costs per day.
SPA 11-010 Outpatient Hospital Rate Rebase
Rebases the outpatient hospital fee schedule using the most current available Medicare cost data.
SPA 11-009D Nursing Facility Rate Reductions
Updating nursing facility reimbursement rates to reflect a 5% reduction from October 1, 2011 to September 30, 2012.
SPA 11-009C Rate Reductions
Updating reimbursement rates for various services to reflect a
5% reduction from October 1, 2011 to September 30, 2012.
SPA 11-009B Outpatient Hospital Rate Reduction
Updating reimbursement rates for outpatient hospital services to reflect a 5% reduction from October 1, 2011 to September 30, 2012.
SPA 11-009A 5% Inpatient Hospital Rate Reduction
Updating reimbursement rates for inpatient hospital services to reflect a 5% reduction from October 1, 2011 to September 30, 2012.
SPA 11-008 Behavioral Health Practitioners
Clarifying the list of state-licensed behavioral health practitioners.
SPA 11-007 School Based
Claims
Updating the reimbursement methodology for School Based Claiming.
SPA 11-006 Home Health Services
Clarifying the services of home health, private duty nursing and therapies in the State Plan.
SPA 11-005
Transplant Restoration
Updates Arizona’s State Plan to restore transplants previously covered by AHCCCS, and clarifies transplants covered as of April 1, 2010.
SPA 11-004 Public Assistance Reporting Information System (PARIS)
Attests to an eligibility determination system that provides for
data matching through the Public Assistance Reporting
Information System (PARIS) project.
SPA 11-003 Prohibition on Payments Outside the US
Updates Arizona’s State Plan to include a statement of compliance with Section 6505 of the Affordable Care Act that prohibits payments to any financial institution or entity located outside of the U.S.
SPA 11-002
Hospice
Describes hospice services provided under EPSDT.
SPA 11-001 GME Updates
This SPA has been separated into two related SPAs for timing
purposes. Further information is below:
SPA 11-001A GME
Updates GME funding for hospital payments made by 6/30/11.
SPA 11-001B GME Updates
Updates GME funding for hospital payments made after 6/30/11.
SPA 11-001C GME Updates
Updates GME funding for the service period July 1, 2010 through June 30, 2011 for programs with pending IGAs.
Original GME SPA 11-001 Submission
Updates GME funding for the service period July 1, 2010 through June 30, 2011.
For questions about the State Plan, call or write the Office of Intergovernmental
Relations:
