AHCCCS Complete Care

Arizona’s Medicaid program, AHCCCS, has awarded new contracts for integrated medical and behavioral health care, which will impact nearly 1.5 of AHCCCS’s 1.9 million members across the state. The new AHCCCS Complete Care (ACC) contracts will begin on October 1, 2018 and AHCCCS estimates that nearly 300,000 AHCCCS members will be required to transition to a new health plan (also called a managed care organization or MCO) because their current plan will no longer be available in their area. ACC MCOs integrate both medical and behavioral health care in to one payer.

AHCCCS sent letters to members last month to those who must change to a new health plan, which must be done by July 31st. Community meetings have been conducted to inform and educate stakeholders about the changes. A comprehensive set of slides that will help you understand the ACC program have also been added to the website.

The video below dives deeper into what members need to know when they move to an AHCCCS Complete Care integrated health care plan. You can watch by clicking here or on the picture below.


The three take-aways for AHCCCS members if they need assistance with enrollment are:

  1. Update your address! Make sure AHCCCS has your correct address.
  2. Read all mail from AHCCCS, it may contain very important instructions for you.
  3. If you receive a letter from AHCCCS and are not sure what to do or if you don’t understand what the letter says, contact 800.377.3536 or go towww.coveraz.org/connector to make an appointment.

We also ran a recent blog on Arizona hospital uncompensated care trends before and after Medicaid expansion. The excerpt below is from that blog.

Results for March 2018 show a marked increase in overall operating income year to
date. At the same time, the uncompensated care is continuing to run well below the levels encountered when the enrollment was frozen. The graph below illustrates that
uncompensated care rose when the number of childless adults covered by the AHCCCS program declined, and then decreased when coverage was restored and expanded to 133 percent of the federal poverty level.

Uncompensated care trends

All data collected to create this report comes from information gathered by the Arizona Hospital and Healthcare Association (AzHHA). If you would like to dive a little deeper into this issue, you can check out a recent podcast featuring AzHHA’s Senior Vice President Chief Operating Officer Jim Haynes as he reviews the report. Simply click on the link above and scroll down to the podcast titled, “Hospital Finance Reports.”

Once you’ve had a chance to look this over, we’d love to hear what you think. Driving meaningful conversations around the health issues affecting the people of our state is another way we are working toward our long-term goal of one day making Arizona the Healthiest State in the Nation!

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