Federal Activities


Arizona Comments to Medicaid Managed Care Proposed Rules

July 27, 2015
On July 27, 2015, AHCCCS submitted comments to CMS regarding its proposed rules to modernize Medicaid managed care. The proposed federal rules, which were published in the Federal Register on June 1, 2015, represent the most comprehensive revision of the Medicaid managed care delivery system in more than a decade. Arizona’s comments focus on the many opportunities to improve the proposed rules, including those which will encourage high quality and efficient delivery of care to members, improve health outcomes, extend beneficiary protections, and provide States with greater flexibility to achieve these goals.

Arizona comments to CMS 7/27/15 [PDF]


HCBS Rules

On January 16, 2014, the Centers for Medicare and Medicaid Services (CMS) released final rules regarding requirements for home and community based services (HCBS) operated under section 1915 of the Social Security Act [PDF]. The rules establish requirements for both residential and non-residential settings to ensure that individuals receiving HCBS are integrated into their communities and have full access to the benefits of community living. More information can be found on the link below:

HCBS Rules


State Innovative Model Grant

October 23, 2015
AHCCCS has been awarded a $2.5 million State Innovation Model (SIM) Design grant from the Center of Medicare and Medicaid Innovation (CMMI). The SIM initiative provides support and funding for state multi-payer efforts around payment reform and health care system transformation to improve health, transform the delivery system, and lower costs. AHCCCS will engage a diverse group of stakeholders including public and commercial payers, and providers and consumers, to build a road map for transforming the state's healthcare delivery system to achieve better health, better care and lower cost. More information can be found on the link below:
SIM Grant Info


QI-1 Program Updates

January 2, 2013
As a result of recent Congressional action, increased federal funding for the QI-1 program was made available and AHCCCS will open the program effective immediately. All applications that were previously denied because the program was scheduled to expire December 31, 2012, will now be processed. Also, QI-1s who were previously notified their QI-1 benefits were ending, will be reinstated effective January 1, 2013.

QI-1 Program History

Health Care Reform Passed by Congress

Updated information on the status and impact of Health Care Reform, is available on the link below. Information on this page provides useful background based on various proposals and documents Arizona’s tracking of these issues. Please visit the AZ Future page for the most recent data and updates.

AZ Future Page

  1. AHCCCS Update Regarding Health Care Reform

    Thu Jan 26, 2012
    AHCCCS has updated its analysis on Medicaid expansion scheduled to be effective January 1, 2014, pursuant to the Affordable Care Act (ACA). Note, these estimates are based on information available at this time and should not be considered definitive as there remains a number of uncertainties. Federal guidance regarding a number of issues is forthcoming and is expected to have an impact on these estimates. Continue to check the website for updates to this information.

    ACA Prelim Estimates [PDF]

    Fri Feb 4, 2011
    Information regarding AHCCCS implementation of some of the Medicaid provisions of the Affordable Care Act (ACA) [PDF] is provided below. This document will be updated regularly as information becomes available.

    AHCCCS Activities- 5/13/11 [PDF]

    Thu Mar 25, 2010
    On March 23, 2010, President Obama signed federal health care reform into law (HR 3590 [PDF]). On March 25, the Senate passed the House amendments to HR 3590 via the Reconciliation bill (HR 4872 [PDF]), which was sent back to the House for a second vote on a procedure change. The House passed the Reconciliation bill a second time that same evening and now the bill awaits President Obama's signature, which is expected sometime next week. AHCCCS has completed its initial review of the impact to Arizona and has updated the fiscal estimates from the December 7, 2009, analysis. Copies of the AHCCCS preliminary analysis and the bills are provided below:

  2. Governor Brewer's Letters Regarding Health Care Reform

    Governor Brewer has shared her concerns about Arizona's challenges with Health Care Reform to Congressional leaders. Links and descriptions of those letters are provided below, beginning with the most recent.

American Recovery and Reinvestment Act (ARRA)

On February 17, 2009, President Obama signed into law the American Recovery and Reinvestment Act (ARRA)(P.L. 111-5). Title 5 of the ARRA provides approximately $87 billion in grant money to help States, the District of Columbia, and Territories meet the health care needs during the economic crisis.

Information on how the ARRA would impact Arizona's Medicaid program is provided below:

For additional information about ARRA and Medicaid, visit the CMS website.


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