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July 22, 2014
On July 19th, Arizona submitted an application for the CMS State Innovation Model Funding to accelerate the state’s delivery system transformation towards a value-based integrated model that focuses on whole person health in all settings and regardless of coverage source. Additional information about the proposed initiative, including the grant proposal can be found in the link below.
June 19, 2014
Recently, a stakeholder meeting was held to announce that the State of Arizona would apply for a State Innovations Models (SIM) Grant, Round Two, which is a multi-payer model designed to transform health delivery systems in an effort to improve health and lower costs. According to the Centers for Medicare and Medicaid Services, “These efforts are designed to reduce reliance on payment methodologies based on volume and encourage movement toward payment based on outcomes, by reinforcing the expectation that providers and payers must be engaged in order to create meaningful delivery and payment system reforms.” Arizona’s approach will focus on coordinating existing efforts to better connect payers and providers with an emphasis on connecting to behavioral health as part of the long-term solution to health delivery system reform.
July 11, 2014
Governor Brewer recently proclaimed August as Child Support Awareness Month for the State of Arizona. To celebrate Child Support Awareness Month, the Department of Economic Security Division of Child Support Services, in partnership with the Salvation Army Ray and Joan Kroc Corps Community Center has an open invitation to their 2nd Annual Family Connection Fun Day & Back to School Bash. Please see the links below for more information:
April 1, 2014
Effective May 1, 2014, AHCCCS will no longer accept new applications for Independent Providers (Type 24) because AHCCCS will phase out the Independent Provider Program by the end of 2014. AHCCCS encourages persons wanting to provide Direct Care Services to members of the Arizona Long Term Care System (ALTCS) to seek employment with a Direct Care Service Agency.
As of May 1, 2014, prospective Independent Providers should contact local Direct Care Service Agencies or the ALTCS member’s Tribal Case Manager for a listing of available Direct Care Service Agencies.
Marketplace Special Enrollment Period for Certain Individuals
March 25, 2014
As a result of the delays in processing applications on healthcare.gov and concerns regarding account transfers, CMS released information about the availability of special enrollment periods for certain individuals who are applying for coverage at the health insurance Marketplace. Applicants that may qualify for the special enrollment period are: (1) consumers who are “in line” by the March 31st deadline to complete enrollment; and (2) consumers who have complex cases. These special cases are for specific situations where a consumer was not able to successfully complete enrollment during the open enrollment period despite their efforts to do so and through no fault of their own. There is also an exception for individuals who are victims of domestic abuse. More CMS guidance is available on the links below:
Maintenance on Federal Data Sources
March 10, 2014
Federal data sources used by Health-e-Arizona Plus (HEAplus) will not be available during scheduled maintenance times. When these federal data sources are not available, HEAplus will not be able to accept your application. We apologize for any inconvenience. Federal data sources will not available during the following times:
Challenges continue with transfers of applications between state and federal systems
February 12, 2014
There are 60,000 consumers who applied for healthcare coverage through the federal Marketplace at www.healthcare.gov and were told their income qualified them for AHCCCS coverage instead. AHCCCS has been working with the federal government to transfer these 60,000 applicants from the federal Marketplace into the AHCCCS system. This step is necessary in order to complete the individual’s AHCCCS eligibility.
The federal government has indicated that Arizona and a number of other states are “in production” with regards to the transfer of these applications. However, there are a number of technical problems with the accounts that are being transferred from the federal Marketplace making eligibility determinations impossible to complete in some cases. AHCCCS is attempting to develop a way to work around these challenges manually. While we are working diligently with the federal government to address their system’s shortcomings, this account transfer process will be slow and cumbersome for the foreseeable future. In the meantime, we continue to urge individuals who are assessed Medicaid/AHCCCS eligible by healthcare.gov to go to www.healthearizonaplus.gov directly to apply.
We recognize that many Arizonans are stuck in this difficult consumer experience. Please rest assured that AHCCCS is doing everything possible to accurately resolve these applications. AHCCCS will keep its website updated as this process moves forward. We apologize for the current inconvenience in the lack of seamless communication between the state and federal systems.
December 17, 2013
IMPORTANT: If you are denied AHCCCS coverage for being over income, please apply for health care coverage at www.healthcare.gov.
If you apply on HEAplus and your AHCCCS application is denied for being over income, you must go to the Federal Marketplace to apply for health care coverage. You can do this by going online to www.healthcare.gov, open an account and complete your application.
April 7, 2014
CMS released new information to provide additional assistance on the special enrollment period for consumers who were “in line” on March 31st. For more information please visit the links below.
Updates regarding AHCCCS enrollment and restoration can be found on the link below. These updates reflect enrollment as of the first of the month and are typically updated published by the 10th of each month.
January 17, 2014
AHCCCS has updated its page containing Reports to the Arizona Legislature. Reports are now filtered by topic and year delivered. For more information, please visit http://www.azahcccs.gov/reporting/reports/state.aspx.
September 24, 2013
Laws 2011, Ch. 96, § 1 required ADHS to adopt rules regarding health care institutions that facilitate licensing of "integrated health programs that provide both behavioral and physical health services." In response, ADHS revised the rules in Arizona Administrative Code (A.A.C.), Title 9, Chapter 10 and Chapter 20.
For additional information describing rule changes, visit the ADHS website at:
October 29, 2013
As of October 1, 2013, AHCCCS is no longer processing Baby Arizona applications. The Affordable Care Act (ACA) requires states to utilize a single streamlined application approved by the Secretary of Health and Human Services. In Arizona, this is completed through the Health-e-Arizona Plus (HEAplus) online application. HEAplus offers a quick and user-friendly process when applying for health insurance and can be accessed directly at www.healthearizonaplus.gov.
Providers are encouraged to become Community Partners. Today there are over 75 Contracted Community Partner
Organizations in more than 300 locations throughout the State who help Arizonans apply online for AHCCCS Health
Insurance, Nutrition Assistance (formerly Food Stamps) and TANF Cash Assistance. Improved access to electronic
data sources provides real-time eligibility determinations. For more information about HEAplus, including how
become a contracted community partner organization, please visit the
AHCCCS Health-e-Arizona Plus web page.
July 10, 2013
The AHCCCS Strategic Plan identifies four goals critical to sustain and build on the success of the AHCCCS program in light of the restoration of coverage -- the most important healthcare policy issue the State has faced since the inception of the AHCCCS program 30 years ago and can be found on the link below:
AHCCCS Strategic Plan 2014-2018 [PDF]
July 8, 2013
The Supreme Court ruling on the Affordable Care Act (ACA) provides states multiple and complex opportunities with respect to the future of their Medicaid programs. With these opportunities in mind, Governor Brewer signed into law the AHCCCS Restoration Plan which restores coverage to Childless Adults and provides coverage for those between 100-133% of the Federal Poverty Level, beginning January 1, 2014.
Medicaid Moving Forward