First Regular Session - 49th Legislature

The following changes were made as a result of the FY 2010 general appropriations bill passed during the 2009 Regular Legislative Session:

Note: Information provided in PDF files.

Changes to the Hospice Benefit

Due to Arizona's fiscal crisis, the Legislature did not authorize coverage for hospice services for Acute Care adult members beyond September 30, 2009. Hospice remains a covered service for members enrolled in EPSDT and ALTCS programs. Below is more information:

Program Integrity

As part of the FY 2010 Budget, the Legislature accounted for a savings of $50 million to the General Fund ($200 million in total funds) toward AHCCCS program integrity reductions. To assist in that effort, AHCCCS issued an RFI (YH09-0043) and hosted presentations to several vendors. Based on the information provided, AHCCCS developed an RFP (YH10-0002) to enhance program integrity and clinical editing capabilities. More information is provided below:

RFI YH09-0043 Fraud Reduction and Program Integrity within AHCCCS (closed 6/15/09)
List of companies who participated in the RFI process [27KB]
RFP YH10-0002 Program Integrity (due 2/17/10)

Other information regarding examining AHCCCS data with the Arizona Department of Health Services vital records can be found below.

AHCCCS Letter to State Representative Carl Seel [353KB]

More information on how AHCCCS currently ensures the integrity of the Medicaid program and compliance with federal requirements can also be found below.

View a copy of the AHCCCS Presentation on TPL and Fraud and Abuse Prevention provided to the Senate Healthcare and Medical Liability Reform Committee on April 23, 2009.
View additional information and further clarification on current AHCCCS policy and activities regarding TPL and Fraud and Abuse Prevention provided in response to a letter from Digital Healthcare Inc. as a result of the hearing on April 23, 2009.