Arizona Section 1115 Demonstration Project Waiver

The 1115 Waiver refers to section 1115 of the Social Security Act (SSA). States must comply with Title XIX (Medicaid) and Title XXI (Children's Health Insurance Program) of the SSA. Since Arizona began providing Medicaid on October 1, 1982, AHCCCS has been exempt from specific provisions of the SSA, pursuant to an 1115 Research and Demonstration Waiver.


What is in the 1115 Waiver

Arizona's 1115 Waiver includes the following:

  • Provisions in the SSA and corresponding regulations AHCCCS is exempt from
  • Terms and conditions that AHCCCS must fulfill
  • Approved federal budget amounts

Waiver Approved

December 16, 2014
On December 15, 2014, CMS approved Arizona’s 1115 Waiver amendment request that will:

  1. Expand integration of physical and behavioral health services for adults with serious mental illness throughout the State;
  2. Extend the Safety Net Care Pool for the Phoenix Children’s Hospital;
  3. Extend uncompensated care payments to Indian Health Services and 638 Tribal facilities; and
  4. Cover all Medicaid services for pregnant women during their hospital presumptive eligibility period.

AHCCCS continues to work with CMS on its request to use federal matching funds for services provided by Tuba City Regional Health Care for inmates of the Navajo Detention Center and to charge premiums to individuals with income above 100% FPL. CMS did not approve Arizona’s request to require $200 co-pays for non-emergency use of the emergency room for individuals with income above 100% FPL.

More information, including the provisions of all of Arizona's Waiver and Expenditure Authorities and accompanying Special Terms and Conditions can be found in the links below. Additional background regarding these amendments can be found on the "Waiver History" tab at the top of this page.

CMS Approval Letter 12/15/2014 [PDF]
Waiver Authorities 12/15/2014 [PDF]
Expenditure Authorities 12/15/2014[PDF]
Special Terms and Conditions 12/15/2014 [PDF]





 

Adobe Acrobat Reader is required to view PDF files. This is a free program available from the Adobe web site. Follow the download directions on the Adobe web site to get your copy of Adobe Acrobat Reader.