Source: https://www.azahcccs.gov/Resources/Reports/state.html
Timestamp: 2019-04-25 20:42:01+00:00

Document:
Pursuant to Laws 2016, Chapter 273, Section 7, AHCCCS is required to prepare and issue a semiannual financial and program accountability trends report using certain accountability factors by geographic service areas for children enrolled in the Comprehensive Medical and Dental Program.
Pursuant to Laws 2018, Chapter 284, Section 19, AHCCCS is required to submit a report detailing the availability of inpatient psychiatric treatment both for adults and for children and adolescents.
Pursuant to A.R.S. 36-2903.09, AHCCCS is required to confirm the submission of waiver requests seeking the authority to implement community engagement requirements and a five-year maximum lifetime benefit limit.
Pursuant to a footnote in the General Appropriation Act, AHCCCS is required to report to JLBC by March 1 annually "on the preliminary actuarial estimates of the capitation rate changes for the following fiscal year along with the reasons for the estimated changes."
Pursuant to A.R.S. § 36-2903.08, AHCCCS is required to report the amount each hospital contributed for the hospital assessment authorized pursuant to section 36-2901.08 in the previous fiscal year and the amount of estimated payments each hospital received from the coverage funded by the assessment.
Pursuant to A.R.S. 41-1092.08(B), AHCCCS is required to report on the rejection or modification of conclusions of law relating to administrative law judge decisions.
Pursuant to A.R.S. 36-2917.01, AHCCCS must submit annually to the Legislature a report on Clinical Oversight Review Committee activities. This report includes a summary of topics reviewed by the clinical oversight review committee in the preceding year and recommendations relating to quality performance metrics stemming from the committee's activities.
Pursuant to A.R.S. 36-2903.01(G)(9)(e), AHCCCS must submit annually to the Legislature a report on Graduate Medical Education (GME). This report includes information regarding the amount of GME money contributed and the number of residency positions funded.
Pursuant to Laws 2018, Chapter 151, AHCCCS is required to report to the chairpersons of the senate health and human services committee and the house of representatives health committee the current number of behavioral health residential facility beds and supportive housing beds that are available in this state for adults determined to have a serious mental illness.
Pursuant to A.R.S. 36-3405,the report identifies the number of clients served by behavioral health service category and includes programmatic financial reports of revenues, expenditures and administrative costs.
Pursuant to A.R.S. 36-2023, AHCCCS is required to submit an annual report on drug abuse treatment programs in this state that receive monies from the Administration.
Pursuant to Laws 2018, Second Regular Session, Chapter 2885, AHCCCS and the ADHS are required to submit a joint report to the joint legislative budget committee regarding how the grant monies for states to address the opioid epidemic included in the Consolidated Appropriations Act, 2018 (P.L. 115 141) will supplement the monies appropriated to AHCCCS pursuant to Laws 2018, first special session, chapter 1.
In accordance with Laws 2018, Chapter 284, Section 28, AHCCCS and ADHS are required to submit a joint report on hospital charge master transparency. The report provides a summary of the current charge master reporting process, a summary of hospital billed charges compared to costs and examples of how charge masters or hospital prices are reported and used in other states. The report also includes recommendations to improve the state's use of hospital chargemaster information, including reporting and oversight changes.
Pursuant to A.R.S § 36-2925, subsection H, AHCCCS is required to submit a report on the agreement between AHCCCS and the State of Hawaii for data processing activities using the AHCCCS Prepaid Medicaid Management System (PMMIS). This report summarizes the financial and operational activities for the Interstate Agreement between AHCCCS and the Med-QUEST Division/Department of Human Services for Hawaii.
Pursuant to 36-2923, AHCCCS is required to provide a summary report for State Fiscal Year 2018 total AHCCCS claims cost avoided, a review of carrier compliance in terms of data matching, and a review of carrier compliance in terms of fee-for-service claims processing.
Pursuant to A.R.S. § 36-2903.11, AHCCCS is required to report on the use of emergency departments for nonemergency purposes by AHCCCS enrollees.
Pursuant to Laws 2016, Chapter 122, AHCCCS is required to report to the Joint Legislative Budget Committee on Targeted Investment Program expenditures by program category.
Pursuant to A.R.S. 41-2051, AHCCCS must review the agency’s tribal consultation policies and submit an electronic progress report to the Governor’s Office on Tribal Relations.
Pursuant to the direction given to the agencies by the Joint Legislative Budget Committee at the meeting of June 19, 2018, Arizona Health Care Cost Containment System (AHCCCS) and the Arizona Department of Economic Security (DES) submitted a report on the status of the implementation of the Targeted Case Management (TCM) caseload ratio change.
Pursuant to A.R.S. § 36-2903.08 AHCCCS must submit a report regarding the change in uncompensated costs experienced by hospitals in this state and hospital profitability during the previous fiscal year.
Pursuant to Laws 2018, Chapter 276, Section 149, AHCCCS must submit a report regarding filled, appropriated, and non-appropriated full-time equivalent positions.
Pursuant to A.R.S. § 36-2903.03, all applicants are required to provide documentation to verify immigration status in order to qualify for services and AHCCCS is required to report on its collection and verification of documentation submitted in accordance with this law. AHCCCS is also required to report on the number of individuals, by citizenship status, referred for prosecution for violations of state or federal law.
Pursuant to Laws 2013, First Regular Session, Chapter 202, Section 5, AHCCCS must submit a report on the APR-DRG Payment Methodology. This report includes the history of the APR-DRG Methodology, potential operational issues, and how the agency will move forward.
Pursuant to A.R.S. § 41-3955.01, subsection D, AHCCCS must submit a report on the status of the SMI Housing Trust Fund. This includes a summary of the facilities, cost and location of each facility, and the number of individuals benefiting from the facilities.
Pursuant to Laws 2016, Chapter 71, AHCCCS is required to report annually on a number of requirements for purposes of ensuring easier access to behavioral health services for children in the legal custody of the Department of Child Safety (DCS) and adopted children who are Medicaid eligible under Title XIX or XXI.
Pursuant to A.R.S. 36-2903.01(G)(9)(f), AHCCCS must submit annually to the Legislature a report on Graduate Medical Education (GME). This report includes information regarding the amount of GME money contributed and the number of residency positions funded.
Pursuant to Laws 2016, Chapter 273, Section 7, AHCCCS is required to prepare and issue a quarterly financial and program accountability trends report using certain accountability factors by geographic service areas for children enrolled in the Comprehensive Medical and Dental Program.
Pursuant to Laws 2017, First Regular Session, Chapter 305, Section 12, AHCCCS is required to report the progress in implementing the Arn#old v. Sarn lawsuit settlement.
Pursuant to Laws 2018, Chapter 284, Section 13, AHCCCS submitted to the legislature the following letter regarding Maricopa County Special Health Care District Disproportionate Share Hospital (DSH) expenditures.
Pursuant to A.R.S. 36-3415, AHCCCS shall report annually to the Joint Legislative Budget Committee on each Fiscal Year's Medicaid and non-Medicaid behavioral health expenditures, including behavioral health demographics that include client income, utilization and expenditures, medical necessity oversight practices, tracking of high-cost beneficiaries, mortality trends, placement trends, program integrity and access to services.
Pursuant to A.R.S. 36-2904, AHCCCS is required to prepare and issue a biennial report indicating the number of children who by age two and by contractor received immunizations recommended by the National Centers for Disease Control and Prevention while enrolled as members.
Pursuant to A.R.S. 36-2903.09, AHCCCS is required to confirm the annual submission of waiver requests seeking the authority to implement work requirements and a five-year maximum lifetime benefit limit.
Laws 2017, Chapter 305 requires AHCCCS to conduct an analysis of “the impact of provider cost increases resulting from the enactment of Proposition 206…on the adequacy of the provider network for enrollees in the Arizona Long Term Care System.” This report contains the findings and recommendations of that impact analysis.
In the June 20, 2017 JLBC meeting, the Committee voted favorably on the following requirement: AHCCCS shall report to the Committee its methodology for making incentive payments to providers participating in TIP once the methodology is finalized. The JLBC Chairman shall decide whether the methodology requires further review by the full Committee.
Pursuant to A.R.S. 35-142.01(B) and Laws 2017, Chapter 305, Section 12, AHCCCS is required to report on the total amount of Medicaid reconciliation payments and penalties received and deposited into the State's General Fund for the period 07/01/2017 - 12/31/2017.
Pursuant to Laws 2017, Chapter 309, Section 21 , AHCCCS and ADHS were required to submit a summary on the current chargemaster reporting process, hospital billed charges compared to costs, and examples of how chargemasters or hospital prices are reported and used in other states. The report also includes recommendations to improve the state's use of hospital chargemaster information, including reporting and oversight changes.
Pursuant to 36-2923, AHCCCS is required to provide a summary report for State Fiscal Year 2017 total AHCCCS claims cost avoided, a review of carrier compliance in terms of data matching, and a review of carrier compliance in terms of fee-for-service claims processing.
Pursuant to Laws 2016, Chapter 71, AHCCCS is required to produce a network adequacy study for the CMDP program.
Pursuant to Laws 2017, Chapter 309, Section 22, AHCCCS is required to submit a report detailing the availability of inpatient psychiatric treatment both for adults and for children and adolescents.
Pursuant to A.R.S. 36-2023, AHCCCS is required to submit an annual report on substance use treatment programs.
AHCCCS is required pursuant to A.R.S. §36-2925, subsection H, to report on the agreement between AHCCCS and the State of Hawaii for data processing activities using the AHCCCS Prepaid Medicaid Management System (PMMIS).
Pursuant to Laws 2017, First Regular Session, Chapter 305, Section 12, AHCCCS is required to report the progress in implementing the Arnold v. Sarn lawsuit settlement.
Pursuant to Arizona Revised Statutes 36-2903.09, please find attached a letter confirming the submission of waiver requests seeking the authority to implement work requirements and a five-year maximum lifetime benefit limit.
Pursuant to Laws 2016, Chapter 71, AHCCCS is required toreport on a number of requirements for purposes of ensuring easier access to behavioral health services for children in the legal custody of the Department of Child Safety (DCS) and adopted children who are Medicaid eligible under Title XIX or XXI.
On June 20, 2017, the Joint Legislative Budget Committee voted in favor to require a report notifying the Committee of provider rate adjustments associated with a Proposition 206 requirement that most employers provide paid sick leave beginning July 1, 2017.
Pursuant to A.R.S. § 36-2903.03, all applicants are required to provide documentation to verify immigration status in order to qualify for services and requires AHCCCS to report on its collection and verification of documentation submitted in accordance with this law. AHCCCS is also required to report on the number of individuals, by citizenship status, referred for prosecution for violations of state or federal law.
Pursuant to Laws 2017, Chapter 305, Section 152, AHCCCS must submit a report to the Joint Legislative Budget Committee regarding filled, appropriated, and non-appropriated full-time equivalent positions by fund source.
Pursuant to A.R.S. 36-2930.03, AHCCCS is required to prepare a report detailing the technological feasibility and costs of applying 340B drug pricing to licensed hospitals and outpatient facilities that are owned or operated by a licensed hospital.
Pursuant to A.R.S. 36-2930.04(F), before the initial deposit of any monies, the Administration shall submit an expenditure plan for review by the Joint Legislative Budget Committee.
Pursuant to A.R.S. 36-3405(a)(b)(c), the report identifies the number of clients served by behavioral health service category and includes programmatic financial reports of revenues, expenditures and administrative costs.
Pursuant to Laws 2016, Chapter 122, Section 13, AHCCCS is required to report on the efforts to increase Third Party Liability payments for behavioral health services.
Pursuant to Laws 2016, Chapter 122, Section 11, AHCCCS is required to prepare a report detailing the technological feasibility and costs of applying 340B drug pricing to licensed hospitals and outpatient facilities that are owned or operated by a licensed hospital.
Pursuant to A.R.S. 36-2903.01 (G)(9)(e), AHCCCS must submit annually to the Legislature a report on Graduate Medical Education residency positions.
AHCCCS submitted to the Joint Legislative Budget Committee (JLBC) adjustments to the behavioral health capitation rates for CYE 2017. This letter outlines the updated rates and contains a request to be placed on the JLBC agenda.
Pursuant to Laws 2016, Chapter 122, Section 32, AHCCCS is required to submit a report detailing the availability of inpatient psychiatric treatment both for adults and for children and adolescents who receive services from the regional behavioral health authorities.
Pursuant to A.R.S. 35-142.01(B) and Laws 2016, Chapter 117, Section 17, AHCCCS is required to report on the total amount of Medicaid reconciliation payments and penalties received and deposited into the State's General Fund for the period 07/01/2016 - 12/31/2016.
Pursuant to Laws 2016, Chapter 122, Section 31, AHCCCS and ADHS were required to submit a summary on the current chargemaster reporting process, hospital billed charges compared to costs, and examples of how chargemasters or hospital prices are reported and used in other states. The report also includes recommendations to improve the state's use of hospital chargemaster information, including reporting and oversight changes.
Pursuant to 36-2923, AHCCCS is required to provide a summary report for State Fiscal Year 2016 total AHCCCS claims cost avoided, a review of carrier compliance in terms of data matching, and a review of carrier compliance in terms of fee-for-service claims processing.
Pursuant to Laws 2016, Chapter 122, Section 30, AHCCCS is required to report on the use of emergency departments for nonemergency purposes by AHCCCS enrollees.
Pursuant to Laws 2016, 2nd Regular Session, Chapter 117, AHCCCS is required to report on the estimates of retroactive capitation rate changes to CY 2015 rates for reimbursement of the Affordable Care Act (ACA) health insurer fee.
Pursuant to Laws 2016, 2nd Regular Session, Chapter 117, AHCCCS is required to report the progress in implementing the Arnold v. Sarn lawsuit settlement.
Pursuant to Laws 2016, Chapter 122, Section 29, AHCCCS produced a report detailing an estimate of State and Total Fund expenditures for Native Americans, broken out by fee-for-service and capitated expenditures, an assessment of the state fiscal implications of federal guidance regarding claiming 100% federal funds for certain expenditures, strategies to encourage written care coordination agreements, and an analysis of the impacts of the federal guidance on access to care, continuity of care and population health for Native Americans in Arizona.
The Joint Legislative Budget Committee (JLBC) required AHCCCS to submit the final behavioral health capitation rates for CYE 2017 for Committee review upon completion. The letter updates the Committee on this process.
Pursuant to JLBC approval of the CYE 17 capitation rates on September 21, 2016, AHCCCS produced a report detailing DAA medications for treatment of Hepatitis C.
Pursuant to A.R.S. § 36-2903.08 AHCCCS must submit a report regarding the change in uncompensated hospital costs experienced by hospitals in this state and hospital profitability during the previous fiscal year.
Pursuant to Laws 2016, Chapter 117, Section 167 AHCCCS must submit a report to the Joint Legislative Budget Committee regarding filled, appropriated, and non-appropriated full-time equivalent positions by fund source.
Pursuant to A.R.S. 36-2903.01 (G)(9)(f), AHCCCS must submit annually to the Legislature a report on Graduate Medical Education (GME). This report includes information regarding the amount of GME money contributed and the number of residency positions funded.
Pursuant to Laws 2016, Chapter 112, Section 8, AHCCCS is required to report when the Centers for Medicare and Medicaid Services (CMS) approve the Arizona State Plan Amendment (SPA) to remove the enrollment cap and resume enrollment in the state’s Children’s Health Insurance Program (KidsCare). On July 22, 2016 CMS approved the SPA removing the KidsCare enrollment cap.
This report focuses on conditions for admission and length of stay by class members in the Arizona State Hospital (ASH); supervisory care homes; crisis services; supported employment; assertive community treatment (ACT) teams; family and peer support; supportive housing; community support services; and medication services.
Pursuant to A.R.S. §36-2904, the Arizona Health Care Cost Containment System (AHCCCS) is required to produce a biennial status of 24-month immunization completion rates for children served by AHCCCS. This report also evaluates the performance of AHCCCS contracted health plans individually and overall.
This report is an update to a previously published report analyzing psychotropic prescribing among children in Arizona’s foster care system. This report will be updated on an ongoing basis. Future reports will also include a comparison of prescribing trends between the foster child population and the Medicaid child population that is utilizing behavioral health services.
Pursuant to a A.R.S. §36-2903.09, AHCCCS shall apply to CMS for certain waivers or amendments to the current Section 1115 waiver. In fulfillment of this requirement, the AHCCCS Administration submitted an application for a new waiver on September 30, 2015 to CMS.
The Arizona Department of Health Services, Division of Behavioral Health Services (ADHS/DBHS) has reviewed information for members enrolled for the Comprehensive Medical and Dental Program (CMDP) in accordance with the requisites outlined in Laws 2013 Chapter 220.
AHCCCS is required to report on the amount each hospital contributed to the Hospital Assessment authorized pursuant to 36-2901.08 and the amount of estimated payments each hospital received from the coverage funded by the assessment.
Pursuant to A.R.S. 36-2903.01 (G)(9)(e), AHCCCS must submit annually to the Legislature a report on Graduate Medical Education.
Pursuant to Laws 2015, Chapter 14, Section 23, AHCCCS and ADHS were required to submit a summary on the current chargemaster reporting process, hospital billed charges compared to costs, and examples of how chargemasters or hospital prices are reported and used in other states. The report also includes recommendations to improve the state's use of hospital chargemaster information, including reporting and oversight changes.
Pursuant to A.R.S. 35-142.01(B) and Laws 2015, Chapter 8, Section 13, AHCCCS is required to report on the total amount of Medicaid reconcilation payments and penalties received and deposited into the State's General Fund for the period 07/01/2015 - 12/31/2015.
Pursuant to A.R.S. 36-3405(D) the Behavioral Health Enrolled and Served Report provides monthly updates to the Arizona Legislature about the number of persons served, the units of service and the amount of funding provided for client services and the amount provided for regional behavioral health authority administration and case management expenses.
If you are looking for previous reports, please visit the AHCCCS Document Archive site.

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