AHCCCS Reports for Centers for Medicare and Medicaid Services (CMS)
The annual report documents accomplishments, project status, quantitative and case study findings, utilization data, and other information as part of Arizona’s 1115 Demonstration.
In accordance with 42 CFR 438.340 and 42 CFR 457.1240(e), AHCCCS created the AHCCCS Quality Strategy and Quality Strategy Evaluation.
The AHCCCS Quality Strategy Evaluation is a companion document to the AHCCCS Quality Strategy for the purpose of evaluating the effectiveness of the AHCCCS Quality Strategy.
AHCCCS contracts with External Quality Review Organizations (EQROs) to produce External Quality Review (EQR) Annual Reports that assess the performances of AHCCCS contracted health plans.
- Spouse as Paid Caregiver
- Self Directed Attendant Care (SDAC)
- Transition Services
- Prior Period Coverage For HCBS
- Ball v. Biedess (Rodgers)
- Arizona State Hospital Transition Workgroup
- HCBS Annual Report for CYE 2024
- HCBS Annual Report for CYE 2023
- HCBS Annual Report for CYE 2022
- HCBS Annual Report for CYE 2021
- HCBS Annual Report for CYE 2020
- HCBS Annual Report for CYE 2019
- HCBS Annual Report for CYE 2018
- HCBS Annual Report for CYE 2017
- HCBS Annual Report for CYE 2016
- HCBS Annual Report for CYE 2015
- HCBS Annual Report for CYE 2014
- HCBS Annual Report for CYE 2013
- HCBS Annual Report for CYE 2012
The HCBS report provides information to plan and forecast the needs and interventions for long-term care consumers in the area of Non-Medical Home and Community Based Services (NMHCBS) and the Arizona Long Term Care System (ALTCS) HCBS programs.
Specific information about Home and Community Based Services (HCBS) includes:
HCBS Annual Reports
AHCCCS is required to submit Quarterly Progress Reports to the Centers for Medicare and Medicaid Services (CMS) . These reports are submitted quarterly based upon the federal fiscal year (FY), which begins every October 1.
- CMS Approval Letter for COVID-19 PHE CHIP Amendment
- COVID-19 PHE CHIP Amendment Evaluation Report
- CMS Approval Letter for TI 2.0 Evaluation Design
- TI 2.0 Evaluation Design
- CMS Approval Letter for PPCG and KidsCare Expansion Evaluation Design
- CMS Approval Letter for H2O Evaluation Design
- H20 Evaluation Design
- CMS Approval Letter for Non TI 2.0 and Non H20 Evaluation Design
- Non TI 2.0 and Non H20 Evaluation Design
- CMS Approval Letter for PHE CHIP Amendment Evaluation Design
- COVID-19 PHE CHIP Amendment Evaluation Design
- AHCCCS Interim Evaluation Approval Letter10/6/2022
- AHCCCS Interim Evaluation Report
- AHCCCS Evaluation Design Plan
- CMS Approval Letter for Evaluation Design 11/19/2020
- COVID-19 Section 1115 Evaluation Design
- CMS Approval letter for COVID-19 Section 1115 Evaluation Design 02/01/2022
- CMS Approval Letter for COVID-19 PHE EPSDT Dental Amendment 10/28/2024
- COVID-19 PHE EPSDT Dental Amendment 10/28/2024
- CMS Approval Letter for Summative Evaluation Report 11/14/2024
- AHCCCS Summative Evaluation Report
AHCCCS Prior Authorization Metric Annual Reports
To comply with the CMS Interoperability and Prior Authorization final rule, Arizona Health Care Cost Containment System (AHCCCS) is required to annually report aggregated prior authorization metric data for all medical items and services (excluding drugs) that require prior authorization.
