ARIZONA
HOUSE OF REPRESENTATIVES
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SB 1355: AHCCCS; dental services; native Americans |
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PRIME SPONSOR: Senator Carter, LD 15 BILL STATUS: Caucus & COW |
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Requires the Arizona Health
Care Cost Containment System (AHCCCS) to seek federal authorization to
reimburse the Indian Health Services (IHS) and tribal facilities to cover the
cost of adult dental services.
History
AHCCCS contractors are required to provide medically necessary health and medical services to eligible members, including the following: 1) inpatient hospital services and outpatient health services; 2) laboratory and X-ray services; 3) prescription medications; 4) early and periodic heath screening and diagnostic services for those under the age of 21; and 5) up to $1,000 annually for emergency dental care and extractions per member over the age of 21 (A.R.S. § 36-2907).
The Federal Medical Assistance Percentage (FMAP), is published annually by the U.S. Secretary of Health and Human Services (Secretary) are used in determining the amount of federal matching funds for state expenditures for assistance payments for certain social services, and state medical and medical insurance expenditures.
The Secretary prescribes the FMAP for IHS and tribal facilities specifically under the Social Security Act and the Indian Health Care Improvement Act (Snyder Act). According to the Snyder Act, the Secretary is required to enter into contracts with urban Indian organizations as it relates to health care services for urban Indians. Any contract or grant requires the urban Indian organization undertake identifying gaps between unmet health needs of urban Indians and the resources available to meet such needs and make recommendations to the Secretary and Federal, state, local and other agencies on methods of improving health service programs to meet the needs (25 U.S.C. 1653).
The Social Security Act specifies that services provided to Medicaid-eligible patients at IHS and tribal facilities can be reimbursed at 100 percent of the FMAP 42 U.S.C. 1396d(b).
Provisions
1. Requires AHCCCS to seek federal authorization to reimburse IHS and tribal facilities to cover the cost of adult dental services that are eligible for a FMAP of 100%, in excess of the limits currently prescribed in statute, and received through the IHS and tribal facilities. (Sec. 1)
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5. Fifty-fourth Legislature SB 1355
6. First Regular Session Version 2: Caucus & COW
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