COVID-19 Federal Emergency Authorities Request

On March 17 and March 24, 2020, the Arizona Health Care Cost Containment System (AHCCCS) submitted requests to the Administrator for the Centers for Medicare and Medicaid Services (CMS) to waive certain Medicaid and KidsCare requirements to enable the State to combat the continued spread of 2019 novel coronavirus (COVID-19). AHCCCS is seeking a broad range of emergency authorities to:

• Strengthen the provider workforce and remove barriers to care for AHCCCS members
• Enhance Medicaid services and supports for vulnerable members for the duration of the emergency period
• Remove cost sharing and other administrative requirements to support continued access to services

Arizona’s request to CMS is posted below:

• Letter To CMS Administrator on COVID-19 Flexibilities (submitted March 17, 2020)
• Summary of Additional COVID-19 Flexibility Requests (submitted March 24, 2020)
• Summary of Additional COVID-19 Flexibility Requests (submitted April 17, 2020)

Status of AHCCCS Emergency Authority Requests (updated July 21, 2021)

CMS approved components of Arizona’s request under the 1135 Waiver, Appendix K and State Plan:

• CMS 1135 Waiver Approval Letter for COVID-19 Flexibilities (received March 23, 2020)
• CMS Medicaid Disaster Relief State Plan Amendment (SPA) Approval (received April 1, 2020)
• CMS 1115 Waiver Approved Appendix K Document (received April 6, 2020)
• CMS Medicaid Disaster Relief State Plan Amendment (SPA) Approval, #2 (received April 9, 2020)
• CMS CHIP Disaster Relief State Plan Amendment (SPA) Approval (received April 24, 2020)
• CMS 1135 Waiver Approval Letter for COVID-19 Flexibilities (received May 6, 2020)
• CMS Medicaid Disaster Relief State Plan Amendment (SPA) Amendment #3 (received May 22, 2020)
• CMS 1135 Waiver Approval Letter for COVID-19 Flexibilities (received July 9, 2020)
• CMS 1115 Waiver Appendix K Amendment Approval Letter (received August 31, 2020)
• CMS 1115 Waiver Approved Appendix K Amendment Document (received August 31, 2020)
• CMS 1115 Waiver Appendix K Approval Letter (received April 16, 2021)

The allowances from CMS grant broad authority to Arizona to tailor changes to best serve its citizens. AHCCCS will make decisions about how and when these changes will be implemented.

AHCCCS will pursue the extension of some of the flexibilities granted (updated 7/21/2020) during the public health emergency.