AHCCCS Reports to the Arizona Legislature
Secure Behavioral Health Residential Facilities Report
Pursuant to Arizona Revised Statute § 36-425.06(B) AHCCCS is required to report on monies appropriated for secure behavioral health residential facilities (S- BHRFs). See report below.
Financial and Program Accountability Trends Report For Children Enrolled in Department of Child Safety - Comprehensive Health Program
Pursuant to Laws 2018, Chapter 152, Section 1, 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 Department of Child Safety - Comprehensive Health Program (formerly the Comprehensive Medical and Dental Program).
FFY23 AHCCCS DCS CHP Accountability Report
Rejection/Modification of Conclusions of Law
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.
SFY25 Q1 Rejection/Modification of Conclusions of Law Report
Peer Support Report
Pursuant to A.R.S. 36-2903.15, AHCCCS is required to submit an annual report on peer specialists, qualifications, oversight and training. See our Peer Support Report attached below.
SMI Annual Behavioral Health Report
Pursuant to A.R.S. § 36-3415 (B), AHCCCS is required to report on annual mortality; complaints regarding access to services; enrollment; demographics; per capita expenditures; length of stay; readmission rates; and housing waitlist for members with a Serious Mental Illness (SMI) designation.
SMI Annual Behavioral Health Report (SFY23)
Targeted Investments Program (TIP) Expenditures
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.
SMI Housing Trust Fund Report
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.
Filled FTE Position & Travel and Relocation Expenses Report
AHCCCS Filled FTE Position & Travel and Relocation Expenses Report
Pursuant to Laws 2024, Chapter 209, Section 152, AHCCCS is required to report on filled, appropriated, and non-appropriated full-time equivalent (FTE) positions by fund source. Pursuant to A.R.S. § 35-196.01, AHCCCS is also required to report any travel and relocation expenses for Fiscal Year 2024. See report below.
Filled FTE Position & Travel and Relocation Expenses Report
Uncompensated Hospital Costs and Profitability Report
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.
2024 Uncompensated Care and Hospital Profitability Report
Appendix C- 2024 Uncompensated Care and Hospital Profitability Report
Behavioral Health Annual Report
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.
Behavioral Health Annual Report (Updated 10/15/2024)
Systematic Alien Verification for Entitlements (SAVE)
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.
Systematic Alien Verification for Entitlements (SAVE) Report
Hospital Assessment Report
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. Due to claims data lag, a follow up will be posted in March of 2025.
Arnold v. Sarn Report
Pursuant to Laws 2023, Chapter 133, Sec. 10, AHCCCS is required to report the progress in implementing the Arnold v. Sarn lawsuit settlement. See report below.
Jacob's Law Report
Pursuant to A.R.S. 8-512.01, 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.
Jacob's Law Legislative Report
Graduate Medical Education
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 by local, tribal and county governments, and state universities, including the amount of federal matching monies used.
July Graduate Medical Education (GME) Report
CHC/RHC GME Report
Pursuant to A.R.S. § 36-2907.06 (I)(3) and A.R.S. § 36-2907.06(I)(4), AHCCCS submitted to JLBC an update on Community Health Centers (CHC) Rural Health Clinics (RHC) Graduate Medical Education (GME) programs.
Community Health Center (CHC) On-Call OBGYN Report
Pursuant to Laws 2023, Chapter 133, Section 10 AHCCCS is required to report on the use of monies from the on-call obstetrics and gynecological services line item, including the number of deliveries and emergency procedures provided by the on-call health care providers for which the monies were spent.
Reconciliation Payments and Penalties
Pursuant to A.R.S. 35-142.01(B) and Laws 2023, Chapter 133, Sec. 10, AHCCCS is required to report on the total amount of Medicaid reconciliation payments and penalties received and deposited into the State's General Fund or that remain in the Hospital Assessment Fund for the period of July 1, 2023 through June 30, 2024.
Reconciliation Payments and Penalties
Substance Use Disorder Treatment Programs Report
Pursuant to A.R.S. § 36-2023(C)(6), AHCCCS is required to submit an annual report on its Substance Use Disorder (SUD) treatment programs by January 1 of each year.
Substance Use Disorder Treatment Programs Report
Financial and Program Accountability Trends Report For Children Enrolled in Department of Child Safety - Comprehensive Health Program
Pursuant to Laws 2018, Chapter 152, Section 1, 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 Department of Child Safety - Comprehensive Health Program (formerly the Comprehensive Medical and Dental Program).
FFY23 (Q1 & Q2) AHCCCS DCS CHP Accountability Report
SMI Annual Behavioral Health Report
Pursuant to A.R.S. § 36-3415 (B), AHCCCS is required to report on annual mortality; complaints regarding access to services; enrollment; demographics; per capita expenditures; length of stay; readmission rates; and housing waitlist for members with a Serious Mental Illness (SMI) designation.
SMI Annual Behavioral Health Report (SFY22)
Rejection/Modification of Conclusions of Law
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.
SFY 2024 Q3 Rejection/Modification of Conclusions of Law Report
Childhood Immunization Completion Rates
Pursuant to A.R.S. 36-2904(N), 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.
Childhood Immunizations Report
Capitation Rate Changes Report
Pursuant to a footnote in the General Appropriation Act, AHCCCS is required to report to JLBC "before implementing any changes in capitation rates”. See report on AHCCCS capitation rates effective 4/1/2024 below.
Capitation Rate Changes Report
Hospital Assessment Report
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.
Behavioral Health Programmatic Expenditure Report
Pursuant to A.R.S. § 36-3405(a)(b)(c), AHCCCS is required to report annually on behavioral health services, detailing programmatic financial expenditures and identifying the number of members who received behavioral health services.
Behavioral Health Programmatic Expenditure Report
HCBS and Nursing Facility Reimbursement Rates Adequacy Review
Pursuant to A.R.S. § 36-2959(C) AHCCCS is required to report on the adequacy and appropriateness of Title XIX reimbursement rates to service providers for the elderly and physical disability program of the Arizona long-term care system.
HCBS and NF Reimbursement Adequacy Report
Preliminary Capitation Rate Changes Report
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."
Preliminary Capitation Rate Changes Report
Insurance Carrier Compliance
Pursuant to A.R.S. 36-2923, AHCCCS is required to provide a summary report for State Fiscal Year of 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.
Graduate Medical Education
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.
Graduate Medical Education (GME) Report
Clinical Oversight Review Committee Report
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.
Inpatient Psychiatric Treatment Report
Inpatient Psychiatric Treatment
Pursuant to ARS § 36-2903.13, AHCCCS is required to submit a report detailing the availability of inpatient psychiatric treatment both for adults and for children and adolescents.
Inpatient Psychiatric Treatment Report
Community College BH Workforce Development Report
Pursuant to House Bill 2691 (Laws 2022, Chapter 330) AHCCCS is required to report on the status of Maricopa County Community College District (MCCCD) and Northland Pioneer Community College (NPCC) behavioral health workforce training programs in Maricopa and Navajo Counties.
HB 2691 Community College BH Workforce Development Report
Rejection/Modification of Conclusions of Law
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.
SFY 2024 Q2 Rejection/Modification of Conclusions of Law Report
Opioid Treatment Programs and 24/7 Access Points Report
Arizona Revised Statute §36-2907.14 requires the Administration and its contractors to reimburse an Opioid Treatment Program Provider for enrolled members only if the provider demonstrates enforcement of each plan contained in the annual report. Additionally, §36-2907.15 indicates that the Administration and the Department of Health Services shall establish standards for designating centers of excellence for treating opioid use disorder statewide.
Opioid Treatment Programs and 24/7 Access Points Report
Interstate Agreement Report
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.
Hospital Chargemaster Report
Pursuant to A.R.S. § 36-2903.12 , AHCCCS and ADHS are 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.
School-Based Referrals for Behavioral Health Services Report
Pursuant to A.R.S. §36-3436.01(C), AHCCCS reports on the number, cost and type of behavioral health services provided to uninsured and under-insured children, based on school-based referrals for such services, funded by the Children's Behavioral Health Services Fund (CBHSF).
School-based Behavioral Health Services Report
ADHS AHCCCS Nursing Workforce Development Report
In accordance with HB 2691 (Laws 2022, Chapter 330) as outlined in A.R.S. 36-1805, ADHS and AHCCCS are required to submit a report on the status of the Nurse Education Investment Pilot Program (ARS 36-1802), the Student Nurse/New Graduate Clinical Placements and Preceptor Training Program (ARS 36-1803) and the Transition to Practice Program (ARS 36-1804).
ADHS AHCCCS Nursing Workforce Development Report
Hospital Emergency Department Utilization Report
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.
Hospital Emergency Department Utilization Report
Rejection/Modification of Conclusions of Law
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.
SFY 2024 Q1 Rejection/Modification of Conclusions of Law Report
Financial and Program Accountability Trends Report For Children Enrolled in Department of Child Safety - Comprehensive Health Program
Pursuant to Laws 2018, Chapter 152, Section 1, 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 Department of Child Safety - Comprehensive Health Program (formerly the Comprehensive Medical and Dental Program).
FFY22 AHCCCS DCS CHP Accountability Report
H20 Housing Waiver Report
Pursuant to Laws 2021, Chapter 408, Section 9, AHCCCS is required to submit a report on the status of the implementation of the 1115 Waiver Health and Housing Opportunities (H2O)services, including a summary of the types of services available by service category, the number of members receiving the services by eligibility category, number of members waitlisted, and program outcomes.
Full Time Equivalent Positions Report
Pursuant to Laws 2022, Chapter 313, Section 134, AHCCCS is providing the following report of filled, appropriated, and non-appropriated full-time equivalent (FTE) positions by fund source.
Full Time Equivalent Positions Report
Uncompensated Hospital Costs and Profitability Report
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.
2023 Uncompensated Care and Hospital Profitability Report
Appendix C- 2023 Uncompensated Care and Hospital Profitability Report
Targeted Investments Program (TIP) Expenditures
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. A follow up report will be submitted in January 2023.
TI Expenditures Report November 2023
Behavioral Health Annual Report
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.
Behavioral Health Annual Report
SMI Housing Trust Fund Report
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.
Rejection/Modification of Conclusions of Law
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.
AHCCCS' Administrative Law Judge (ALJ) report for Q3 of SFY2023
AHCCCS' Administrative Law Judge (ALJ) report for Q4 of SFY2023
Hospital Assessment Report
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. Due to claims data lag, a follow up will be posted in March 2024.
Systematic Alien Verification for Entitlements (SAVE)
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.
Systematic Alien Verification for Entitlements (SAVE) Report
Reconciliation Payments and Penalties
Pursuant to A.R.S. 35-142.01(B) and Laws 2022, Chapter 313, Sec. 10, AHCCCS is required to report on the total amount of Medicaid reconciliation payments and penalties received and deposited into the State's General Fund or that remain in the Hospital Assessment Fund for the period of July 1, 2022 through June 30, 2023.
Reconciliation Payments and Penalties
Arnold v. Sarn Report
Pursuant to Laws 2022, Chapter 313, Section 10, AHCCCS is required to report the progress in implementing the Arnold v. Sarn lawsuit settlement.
BH Rate Adequacy Report
Pursuant to A.R.S. §36-3403(E), AHCCCS must report on the adequacy and appropriateness of Title XIX reimbursement rates to providers of behavioral health services.
Jacob's Law Report
Pursuant to A.R.S. 8-512.01, 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.
Jacob's Law Legislative Report
CHC/RHC GME Report
Pursuant to A.R.S. § 36-2907.06 (I)(3) and A.R.S. § 36-2907.06(I)(4), AHCCCS submitted to JLBC an update on Community Health Centers (CHC) Rural Health Clinics (RHC) Graduate Medical Education (GME) programs.
Postpartum SPA Notification Letter
The Arizona Health Care Cost Containment System submitted the Postpartum SPA Notification Letter pursuant to Laws 2022, Chapter 314, Section 27, which states:
A. Section 36-2901, Arizona Revised Statutes, as amended by this act, does not become effective unless on or before July 1, 2023 the centers for medicare and medicaid services authorizes the Arizona health care cost containment system administration to either redetermine the eligibility of members who are less than one year postpartum and are under one hundred thirty-three percent of the federal poverty level or use another methodology that enables the administration to provide coverage for eligible postpartum women pursuant to section 36-2901, Arizona Revised Statutes, as amended by this act, within the existing appropriation.
AHCCCS received approval of its State Plan Amendment (SPA) extending postpartum coverage to 12 months on April 4, 2023.
Postpartum SPA Notification Letter April 2023
Financial and Program Accountability Trends Report For Children Enrolled in Department of Child Safety- Comprehensive Health Program
Pursuant to Laws 2018, Chapter 152, Section 1, AHCCCS is required to prepare and issue a semi-annual financial and program accountability trends report using certain accountability factors by geographic service areas for children enrolled in the Department of Child Safety- Comprehensive Health Program (formerly the Comprehensive Medical and Dental Program).
FFY 2022 DCS CHP Accountability Report
Preliminary Capitation Rate Changes Report
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."
Preliminary Capitation Rate Changes Report
Hospital Assessment Report
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.
Substance Use Disorder Treatment Programs Report
Pursuant to A.R.S. § 36-2023(C)(6), AHCCCS is required to submit an annual report on its Substance Use Disorder (SUD) treatment programs by January 1 of each year.
Substance Use Disorder Treatment Programs Report
Behavioral Health Programmatic Expenditure Report
Pursuant to A.R.S. § 36-3405(a)(b)(c), AHCCCS is required to report annually on behavioral health services, detailing programmatic financial expenditures and identifying the number of members who received behavioral health services
Behavioral Health Programmatic Expenditure Report
Opioid Treatment Programs and 24/7 Access Points Report
Arizona Revised Statute §36-2907.14 requires the Administration and its contractors to reimburse an Opioid Treatment Program Provider for enrolled members only if the provider demonstrates enforcement of each plan contained in the annual report. Additionally, §36-2907.15 indicates that the Administration and the Department of Health Services shall establish standards for designating centers of excellence for treating opioid use disorder statewide.
Opioid Treatment Programs and 24/7 Access Points Report
Clinical Oversight Review Committee Report
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.
Clinical Oversight Review Committee
Maternal Mental Health Advisory Committee Report
Pursuant to Senate Bill 1011 (Laws 2021, Chap. 54) the Maternal Mental Health Advisory Committee is required to create and submit a report of recommendations to improve screening and treatment of maternal mental health disorders. This report provides a list of recommendations concerning improvements for screening and treating maternal mental health disorders in Arizona.
Maternal Mental Health Advisory Committee Report
Targeted Investments Program (TIP) Expenditures
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.
TI Expenditures Report November 2022
TI Expenditures Report Follow-Up January 2023
Graduate Medical Education
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.
Graduate Medical Education (GME) Report
Insurance Carrier Compliance
Pursuant to 36-2923, AHCCCS is required to provide a summary report for State Fiscal Year of 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.
Hospital Chargemaster Report
Pursuant to A.R.S. § 36-2903.12 , AHCCCS and ADHS are 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.
Interstate Agreement Report
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.
Inpatient Psychiatric Treatment
Pursuant to ARS § 36-2903.13, AHCCCS is required to submit a report detailing the availability of inpatient psychiatric treatment both for adults and for children and adolescents.
Inpatient Psychiatric Treatment Report
School-Based Referrals for Behavioral Health Services Report
Pursuant to A.R.S. §36-3436.01(C), AHCCCS reports on the number, cost and type of behavioral health services provided to uninsured and under-insured children, based on school-based referrals for such services, funded by the Children's Behavioral Health Services Fund (CBHSF).
School-based Behavioral Health Services Report
SMI ADA Methodology Report
Pursuant to Laws 2022, Chapter 305, Section 2, AHCCCS is required to develop a methodology to track accommodations that are requested and provided pursuant to the ADA to persons with disabilities who are living with SMI. In addition, AHCCCS must report on the methodology that is developed and the implementation costs that will be incurred by the administration to implement the methodology.
Hospital Emergency Department Utilization Report
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.
Hospital Emergency Department Utilization Report
Rejection/Modification of Conclusions of Law
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.
Rejection/Modification of Conclusions of Law
Targeted Investments Program (TIP) Expenditures
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. A follow up report will be submitted in January 2023.
TI Expenditures Report November 2022
Financial and Program Accountability Trends Report For Children Enrolled in Department of Child Safety- Comprehensive Health Program
Pursuant to Laws 2018, Chapter 152, Section 1, 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 Department of Child Safety- Comprehensive Health Program (formerly the Comprehensive Medical and Dental Program).
FFY21 CMDP Accountability Report
Uncompensated Hospital Costs and Profitability Report
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.
2022 Uncompensated Care and Hospital Profitability Report
Appendix C- 2022 Uncompensated Care and Hospital Profitability Report
Systematic Alien Verification for Entitlements (SAVE)
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.
Systematic Alien Verification for Entitlements (SAVE) Report
Full Time Equivalent Positions Report
Pursuant to Laws 2022, Chapter 313, Section 134, AHCCCS is providing the following report of filled, appropriated, and non-appropriated full-time equivalent (FTE) positions by fund source.
Full Time Equivalent Positions Report
Behavioral Health Annual Report
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.
Behavioral Health Annual Report
SMI Housing Trust Fund Report
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.
Reconciliation Payments and Penalties
Pursuant to A.R.S. 35-142.01(B) and Laws 2021, Chapter 408, Section 9, AHCCCS is required to report on the total amount of Medicaid reconciliation payments and penalties received and deposited into the State's General Fund or that remain in the Hospital Assessment Fund for the period of July 1, 2021 through June 30, 2022.
Reconciliation Payments and Penalties
Rejection/Modification of Conclusions of Law
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.
Hospital Assessment Report
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. Due to claims data lag, a follow up will be posted in March 2022.
Graduate Medical Education
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.
Jacob's Law Report
Pursuant to A.R.S. 8-512.01, 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.
Jacob's Laww Legislative Report
Arnold v. Sarn Report
Pursuant to Laws 2021, Chapter 408, Section 9, AHCCCS is required to report the progress in implementing the Arnold v. Sarn lawsuit settlement.
Childhood Immunization Completion Rates
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.
Childhood Immunizations Report
Financial and Program Accountability Trends Report For Children Enrolled in Department of Child Safety- Comprehensive Health Program
Pursuant to Laws 2018, Chapter 152, Section 1, 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 Department of Child Safety- Comprehensive Health Program (formerly the Comprehensive Medical and Dental Program).
FFY21 Q1-Q2 CMDP Accountability Report
Preliminary Capitation Rate Changes Report
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."
Preliminary Capitation Rate Changes Report
Hospital Assessment Report
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.
Clinical Oversight Review Committee
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.
Clinical Oversight Review Committee
Graduate Medical Education
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.
Graduate Medical Education (GME) Report
Hospital Chargemaster Report
Pursuant to A.R.S. § 36-2903.12 , AHCCCS and ADHS are 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.
Behavioral Health Programmatic Expenditure Report
Pursuant to A.R.S. § 36-3405(a)(b)(c), AHCCCS is required to report annually on behavioral health services, detailing programmatic financial expenditures and identifying the number of members who received behavioral health services.
Behavioral Health Programmatic Expenditure Report
Insurance Carrier Compliance
Pursuant to 36-2923, AHCCCS is required to provide a summary report for State Fiscal Year of 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.
Suicide Prevention Coordinator Report
Pursuant to Laws 2020, Second Regular Session, Chapter 58, Section 8, AHCCCS is required to report on the activities and accomplishments of the state suicide prevention coordinator.
Suicide Prevention Coordinator Report
Inpatient Psychiatric Treatment
Pursuant to ARS § 36-2903.13, AHCCCS is required to submit a report detailing the availability of inpatient psychiatric treatment both for adults and for children and adolescents.
Inpatient Psychiatric Treatment
Interstate Agreement Report
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.
Substance Use Disorder Treatment Programs Report
Pursuant to A.R.S. § 36-2023(C)(6), AHCCCS is required to submit an annual report on its Substance Use Disorder (SUD) treatment programs by January 1 of each year.
Substance Use Disorder Treatment Programs Report
Opioid Treatment Programs and 24/7 Access Points Report
Arizona Revised Statute §36-2907.14 requires the Administration and its contractors to reimburse an Opioid Treatment Program Provider for enrolled members only if the provider demonstrates enforcement of each plan contained in the annual report. Additionally, §36-2907.15 indicates that the Administration and the Department of Health Services shall establish standards for designating centers of excellence for treating opioid use disorder statewide.
Opioid Treatment Programs and 24/7 Access Points Report
School-Based Referrals for Behavioral Health Services Report
Pursuant to A.R.S. §36-3436.01(C), AHCCCS reports on the number, cost and type of behavioral health services provided to uninsured and under-insured children, based on school-based referrals for such services, funded by the Children's Behavioral Health Services Fund (CBHSF).
Hospital Emergency Department Utilization Report
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.
Hospital Emergency Department Utilization Report
Rejection/Modification of Conclusions of Law
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.
SFY22 Q1 Administrative Law Judge Report
Targeted Investments Program (TIP) Expenditures
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.
TI Expenditures Report November 2021
TI Expenditures Report Follow-Up January 2022
Financial and Program Accountability Trends Report For Children Enrolled in Department of Child Safety- Comprehensive Health Program
Pursuant to Laws 2018, Chapter 152, Section 1, 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 Department of Child Safety- Comprehensive Health Program (formerly the Comprehensive Medical and Dental Program).
Uncompensated Hospital Costs and Profitability Report
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.
2021 Uncompensated Care and Hospital Profitability Report
Appendix C- 2021 Uncompensated Care and Hospital Profitability Report
SMI Housing Trust Fund Report
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.
Behavioral Health Annual Report
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.
Annual Behavioral Health Report
Systematic Alien Verification for Entitlements (SAVE)
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.
Systematic Alien Verification for Entitlements (SAVE) Report
Jacob's Law Report
Pursuant to A.R.S. 8-512.01, 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.
Hospital Assessment Report
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. Due to claims data lag, a follow up will be posted in March 2022.
Arnold v. Sarn Report
Pursuant to Laws 2020, Second Regular Session, Chapter 58, Section 8, AHCCCS is required to report the progress in implementing the Arnold v. Sarn lawsuit settlement.
Rejection/Modification of Conclusions of Law
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.
Rejection/Modification of Conclusions of Law
Graduate Medical Education
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.
Rejection/Modification of Conclusions of Law
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.
Rejection/Modification of Conclusions of Law
Financial and Program Accountability Trends Report For Children Enrolled in CMDP
Pursuant to Laws 2018, Chapter 152, Section 1, 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.
Financial and Program Accountability Trends Report For Children Enrolled in CMDP
Hospital Assessment Report
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.
Preliminary Capitation Rate Changes Report
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."
Preliminary Capitation Rate Changes Report
Clinical Oversight Review Committee
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.
Clinical Oversight Review Committee
Graduate Medical Education
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.
Graduate Medical Education Report
Opioid Treatment Programs and 24/7 Access Points Report
Arizona Revised Statute §36-2907.14 requires the Administration and its contractors to reimburse an Opioid Treatment Program Provider for enrolled members only if the provider demonstrates enforcement of each plan contained in the annual report. Additionally, §36-2907.15 indicates that the Administration and the Department of Health Services shall establish standards for designating centers of excellence for treating opioid use disorder statewide.
Opioid Treatment Programs and 24/7 Access Points Report
Interstate Agreement Report
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.
Hospital Chargemaster Report
Pursuant to A.R.S. § 36-2903.12 , 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.
Hospital Chargemaster Transparency Report
Inpatient Psychiatric Treatment
Pursuant to Laws 2019, 1st Regular Session, Chapter 270, AHCCCS is required to submit a report detailing the availability of inpatient psychiatric treatment both for adults and for children and adolescents.
Behavioral Health Programmatic Expenditure Report
Pursuant to A.R.S. § 36-3405(a)(b)(c), AHCCCS is required to report annually on behavioral health services, detailing programmatic financial expenditures and identifying the number of members who received behavioral health services.
BH Annual Programmatic Financial Report
Substance Use Disorder Treatment Programs Report
Pursuant to A.R.S. § 36-2023(C)(6), AHCCCS is required to submit an annual report on its Substance Use Disorder (SUD) treatment programs by January 1 of each year.
Annual Report on Substance Use Treatment Programs
School-Based Referrals for Behavioral Health Services Report
Pursuant to A.R.S. §36-3436.01(C), AHCCCS reports on the number, cost and type of behavioral health services provided to uninsured and under-insured children, based on school-based referrals for such services, funded by the Children's Behavioral Health Services Fund (CBHSF).
Hospital Emergency Department Utilization Report
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.
Hospital Emergency Department Utilization Report
Rejection/Modification of Conclusions of Law
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.
Targeted Investments Program (TIP) Expenditures
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.
2020 Targeted Investments Program (TIP) Expenditures Report
2020 TIP Expenditures Report Follow Up
Systematic Alien Verification for Entitlements (SAVE)
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.
Systematic Alien Verification for Entitlements (SAVE)
Uncompensated Hospital Costs and Profitability Report
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.
2020 Hospital Profitability Report
2020 Hospital Profitability Report Appendix
Financial and Program Accountability Trends Report For Children Enrolled in CMDP
Pursuant to Laws 2018, Chapter 152, Section 1, 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.
CMDP Accountability and Trends Report
Suicide Prevention Coordinator Report
Pursuant to Laws 2018, Second Regular Session, Chapter 276, Section 10, AHCCCS is required to report on the activities and accomplishments of the state suicide prevention coordinator.
Suicide Prevention Coordinator Report
Behavioral Health Annual Report
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.
Annual Behavioral Health Report
SMI Housing Trust Fund Report
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.
Rejection/Modification of Conclusions of Law
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.
Hospital Assessment Report
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. Due to claims data lag, a follow up will be posted in February 2021.
2020 Hospital Assessment Report
2020 Hospital Assessment Report Attachment
Jacob's Law Report
Pursuant to A.R.S. 8-512.01, 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.
Graduate Medical Education
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.
Graduate Medical Education Report
Arnold v. Sarn Report
Pursuant to Laws 2019, First Regular Session, Chapter 263, Section 12, AHCCCS is required to report the progress in implementing the Arnold v. Sarn lawsuit settlement.
Financial and Program Accountability Trends Report For Children Enrolled in CMDP
Pursuant to Laws 2018, Chapter 152, Section 1, 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.
CMDP Accountability and Trends Report
Rejection/Modification of Conclusions of Law
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.
Substance Use Treatment Programs
Pursuant to A.R.S. 36-2023, AHCCCS is required to submit an annual report on Substance Use treatment programs in this state that receive monies from the Administration.
Annual Report on Substance Use Treatment Programs
Hospital Assessment Report
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.
Opioid Treatment Programs and 24/7 Access Points Report
Arizona Revised Statute §36-2907.14 requires the Administration and its contractors to reimburse an Opioid Treatment Program Provider for enrolled members only if the provider demonstrates enforcement of each plan contained in the annual report. Additionally, §36-2907.15 indicates that the Administration and the Department of Health Services shall establish standards for designating centers of excellence for treating opioid use disorder statewide.
Opioid Treatment Programs and 24/7 Access Points Report
Preliminary Capitation Rate Changes Report
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."
Preliminary Capitation Rate Changes Report
Clinical Oversight Review Committee
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.
Clinical Oversight Review Committee
Rejection/Modification of Conclusions of Law
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.
Graduate Medical Education
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.
Graduate Medical Education Report
Insurance Carrier Compliance
Pursuant to 36-2923, AHCCCS is required to provide a summary report for State Fiscal Year 2019total 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.
Inpatient Psychiatric Treatment
Pursuant to Laws 2019, 1st Regular Session, Chapter 270, AHCCCS is required to submit a report detailing the availability of inpatient psychiatric treatment both for adults and for children and adolescents.
Hospital Chargemaster Report
Pursuant to A. R. S. § 36-2903.12 , 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.
Targeted Investments Program (TIP) Expenditures
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.
Targeted Investments Program (TIP) Expenditures
Arnold v. Sarn Report
Pursuant to Laws 2018, Second Regular Session, Chapter 276, Section 10, AHCCCS is required to report the progress in implementing the Arnold v. Sarn lawsuit settlement.
Interstate Agreement Report
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.
Suicide Prevention Coordinator Report
Pursuant to Laws 2018, Second Regular Session, Chapter 276, Section 10, AHCCCS is required to report on the activities and accomplishments of the state suicide prevention coordinator.
Suicide Prevention Coordinator Report
Behavioral Health Programmatic Expenditure Report
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.
BH Annual Programmatic Financial Report
Behavioral Health Residential Facility and Supportive Housing Beds Report
Pursuant to Laws 2019, Chapter 258, 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.
Behavioral Health Residential Facility and Supportive Housing Beds Report
Hospital Emergency Department Utilization Report
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.
Hospital Emergency Department Utilization Report
Rejection/Modification of Conclusions of Law
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.
SMI Housing Trust Fund Report
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.
Reconciliation Payments and Penalties
Pursuant to A.R.S. 35-142.01(B) and Laws 2018, Chapter 276, Section 10, 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 07/01/2018 - 12/31/2019.
Reconciliation Payments and Penalties 06/28/2019
Uncompensated Hospital Costs and Profitability Report
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.
Uncompensated Hospital Costs and Profitability Report
Appendix C - Hospital Transparency Report
Financial and Program Accountability Trends Report For Children Enrolled in CMDP
Pursuant to Laws 2018, Chapter 152, Section 1, 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.
APR-DRG Payment Methodology Report
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.
BH Rate Adequacy Report
Pursuant to A.R.S. §36-3403(E), AHCCCS must report on the adequacy and appropriateness of Title XIX reimbursement rates to providers of behavioral health services
Full Time Equivalent Positions Report
Pursuant to Laws 2019, Chapter 276, Section 175, AHCCCS must submit a report regarding filled, appropriated, and non-appropriated full-time equivalent positions.
Full Time Equivalent Positions Report
Systematic Alien Verification for Entitlements (SAVE)
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.
Systematic Alien Verification for Entitlements (SAVE)
Hospital Assessment Report
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. Due to claims data lag, a follow up will be posted in February 2020.
Jacob's Law Report
Pursuant to A.R.S. 8-512.01, 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.
Graduate Medical Education
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.
Graduate Medical Education Report
Behavioral Health Annual Report
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.
Behavioral Health Annual Report
Financial and Program Accountability Trends Report For Children Enrolled in CMDP
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.
CMDP Accountability and Trends Report
Inpatient Psychiatric Treatment
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.
1115 Waiver Submittal Letter
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.
Preliminary Capitation Rate Changes Report
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."
Preliminary Capitation Rate Changes Report
Hospital Assessment Report
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.
Rejection/Modification of Conclusions of Law
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.
Rejection/Modification of Conclusions of Law Report SFY19 Q2
Clinical Oversight Review Committee
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.
Clinical Oversight Review Committee Report
Graduate Medical Education
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.
Graduate Medical Education Report
Opioid Epidemic Grant Monies Report
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.
Opioid Epidemic Grant Monies Report
Hospital Chargemaster Transparency
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.
Hospital Chargemaster Transparency Report
Interstate Agreement Report
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.
Insurance Carrier Compliance
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.
SFY 18 Programmatic and Financial Annual Report & SFY 17 Revised Programmatic and Financial Annual Report
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.
Drug Abuse Treatment Programs
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.
Annual Report on Drug Abuse Treatment Programs
Behavioral Health Residential Facility and Supportive Housing Beds Report
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.
Behavioral Health Residential Facility and Supportive Housing Beds Report
Hospital Emergency Department Utilization Report
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.
Hospital Emergency Department Utilization Report
Targeted Investments Program (TIP) Expenditures
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.
Targeted Investments Program Expenditures Report
Tribal Outreach and Engagement Activities
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.
2017-2018 Annual AHCCCS Report on Tribal Outreach Engagement Activities
Targeted Case Management Report
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.
Targeted Case Management Report
Uncompensated Hospital Costs and Profitability Report
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.
Uncompensated Hospital Costs and Profitability Report
Full Time Equivalent Positions Report
Pursuant to Laws 2018, Chapter 276, Section 149, AHCCCS must submit a report regarding filled, appropriated, and non-appropriated full-time equivalent positions.
Full Time Equivalent Positions Report
Systematic Alien Verification for Entitlements (SAVE)
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.
Systematic Alien Verification for Entitlements (SAVE)
APR-DRG Payment Methodology Report
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.
SMI Housing Trust Fund Report
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.
Hospital Assessment Report
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.
Jacob's Law Report
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.
Graduate Medical Education
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.
Graduate Medical Education Report 06/29/2018
Financial and Program Accountability Trends Report For Children Enrolled in CMDP
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.
Arnold v. Sarn Report
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.
Arnold v. Sarn Report 06/29/2018
MIHS DSH Shortfall Letter
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.
Behavioral Health Annual Report
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.
Behavioral Health Annual Report
Rejection/Modification of Conclusions of Law
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.
Rejection/Modification of Conclusions of Law Report SFY19 Q1
Rejection/Modification of Conclusion of Law SFY18 Q3
Rejection/Modification of Conclusion of Law SFY18 Q4
Financial and Program Accountability Trends Report For Children Enrolled in CMDP
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.
Childhood Immunization Completion Rates
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.
AHCCCS Childhood Immunizations Report – Revised September 2018
AHCCCS Childhood Immunizations Report
1115 Waiver Submittal Letter
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.
Preliminary Capitation Rate Changes Report
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."
Preliminary Capitation Rate Changes Report
Hospital Assessment Report
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.
Hospital Assessment Report 02/06/2018
Clinical Oversight Review Committee
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.
Clinical Oversight Review Committee Report
Graduate Medical Education
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.
Graduate Medical Education Report
Clinical Oversight Review Committee
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.
Clinical Oversight Review Committee Report
Prop 206 Report
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.
Targeted Investment Program (TIP)
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.
Targeted Investment Program Report 01/28/2018
Reconciliation Payments and Penalties
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.
Reconciliation Payment and Penalties 06/29/2018
Reconciliation Payment and Penalties 01/05/2018
Hospital Chargemaster Transparency
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.
Hospital Chargemaster Transparency
Insurance Carrier Compliance
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.
CMDP Network Adequacy Study
Pursuant to Laws 2016, Chapter 71, AHCCCS is required to produce a network adequacy study for the CMDP program.
AHCCCS CMDP Network Adequacy Study
SFY 17 Programmatic and Financial Annual Report
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.
Inpatient Psychiatric Treatment
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.
Inpatient Psychiatric Treatment
Substance Use Treatment Programs
Pursuant to A.R.S. 36-2023, AHCCCS is required to submit an annual report on substance use treatment programs.
Substance Use Treatment Programs
Interstate Agreement
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).
Arnold v. Sarn Report
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.
1115 Waiver Submittal Letter
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.
Hospital Emergency Department Utilization Report
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.
Hospital Emergency Department Utilization Report
Rejection/Modification of Conclusions of Law
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.
Rejection/Modification of Conclusion of Law Q1
Rejection/Modification of Conclusion of Law Q2
Jacob's Law Report
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.
Proposition 206 and Provider Rate Adjustments
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.
Proposition 206 and Provider Rate Adjustments Report
Uncompensated Hospital Costs and Profitability Report
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.
Uncompensated Hospital Costs and Profitability Report
Systematic Alien Verification for Entitlements (SAVE)
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.
Tribal Outreach and Engagement Activities
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.
Tribal Outreach and Engagement Activities Report
APR-DRG Payment Methodology Report
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.
APR-DRG Payment Methodology Report
JLBC Full-Time Equivalent Report
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.
JLBC Full-Time Equivalent Report
SMI Housing Trust Fund Report
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.
340B Drug Pricing
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.
Financial and Program Accountability Trends Report For Children Enrolled in CMDP
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.
AHCCCS CMDP Report (Updated April 2018)
Graduate Medical Education
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.
Graduate Medical Education Report
Hospital Assessment Report
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.
Hospital Assessment Report 06/28/2017
Hospital Assessment Report 08/01/2017
Interstate Agreement
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).
Targeted Investment Program Funding
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.
Targeted Investment Program Funding
SFY 16 Programmatic and Financial Annual Report
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.
SFY 16 Programmatic and Financial Annual Report
Third Party Liability for Behavioral Health Services
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.
Third Party Liability for Behavioral Health Services
CYE 2018 JLBC Preliminary Capitation Rate Changes Report
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."
CYE 2018 JLBC Preliminary Capitation Rate Changes Report
340B Drug Pricing
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.
Graduate Medical Education Residency Positions
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.
Behavioral Health Capitation Update Letter
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.
Behavioral Health Capitation Update Letter
Inpatient Psychiatric Treatment
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.
Inpatient Psychiatric Treatment Report
Drug Abuse Treatment Programs
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.
Reconciliation Payments and Penalties
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.
Reconciliation Payment and Penalties 01/06/2017
Reconciliation Payment and Penalties 06/30/2017
Hospital Chargemaster Transparency
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.
Hospital Chargemaster Transparency Report
Insurance Carrier Compliance
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.
Hospital Emergency Department Utilization Report
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.
Hospital Emergency Department Utilization Report
Health Insurer Fee Report
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.
Arnold v. Sarn Semi-Annual Report
Pursuant to Laws 2016, 2nd Regular Session, Chapter 117, AHCCCS is required to report the progress in implementing the Arnold v. Sarn lawsuit settlement.
Arnold v. Sarn Semi-Annual Report
Healthcare Services for Native Americans Report
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.
Healthcare Services for Native Americans Report
Behavioral Health Capitation Update Letter
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.
Behavioral Health Capitation Update Letter
Direct-Acting Antiviral (DAA) Medications
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.
Systematic Alien Verification for Entitlements (SAVE)
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.
APR-DRG Payment Methodology Report
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.
APR-DRG Payment Methodology Report
SMI Housing Trust Fund Report
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.
Uncompensated Hospital Costs and Profitability Report
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.
Uncompensated Hospital Costs and Profitability Report
JLBC Full-Time Equivalent Report
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.
JLBC Full-Time Equivalent Report
Graduate Medical Education
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.
Graduate Medical Education Report
Hospital Assessment Report
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.
KidsCare Notification Report
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.
Semi-Annual Arnold v. Sarn Report
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.
Semi-Annual Arnold v. Sarn Report
Childhood Immunization Completion Rates
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.
Childhood Immunization Completion Rates
Behavioral Health Needs of Children involved with the Department of Child Safety
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.
Psychotropic Prescribing Update Report
Waiver Report
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.
CYE 2017 JLBC Preliminary Capitation Rate Changes Report
Pursuant to a footnote in the General Appropriation Act, the Arizona Health Care Cost Containment System (AHCCCS) is required to report to the Joint Legislative Budget Committee (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.”
CYE 2017 JLBC Preliminary Capitation Rate Changes Report
Interstate Agreement
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).
Interstate Agreement
CMDP Quarter 1 FY 2016
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.
CMDP Quarter 1 FY 2016
Hospital Assessment
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.
Hospital Assessment
Graduate Medical Education
Pursuant to A.R.S. 36-2903.01 (G)(9)(e), AHCCCS must submit annually to the Legislature a report on Graduate Medical Education.
Graduate Medical Education | Rich Text Version
Hospital Chargemaster Transparency
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.
Hospital Chargemaster Transparency Report
Reconciliation Payments and Penalties
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.
Reconciliation Payments and Penalties 01/05/2016
Reconciliation Payments and Penalties 06/30/2016
The Appropriation Status Report (ASR) provides monthly updates to the Arizona Legislature about the agency's expenditure of its annual appropriations sources and uses of funds reported pursuant to A.R.S. 36-2920 and 36-2994. The State of Arizona's fiscal year begins on July 1st and ends on June 30th of the following year. The fiscal year is named according to the calendar year of its last month.
2025 Reports
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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.
Clinical Criteria for AHCCCS Behavioral Health Enrolled and Served Reports
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SFY2023 Reports
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Pursuant to Laws 2023, Chapter 17, Section 3, AHCCCS shall submit a monthly report to the Legislature, beginning May 15, 2023, on metrics related to the resumption of Medicaid eligibility renewals. The AHCCCS Return to Regular Renewals webpage contains further information, resources and reporting on this topic, including a data dashboard of monthly renewal progress.
FY2024 Reports
FY2023 Reports
AHCCCS Document Archive
If you are looking for previous reports, please visit the AHCCCS Document Archive site.
