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TITLE: AHCCCS; preventive dental care |
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SPONSOR: Shah |
STATUS: As Introduced |
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PREPARED BY: Maggie Rocker
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Description
The bill would provide preventive dental coverage for AHCCCS adults age 21 or older. Preventive dental coverage would include 2 cleanings, 1 fluoride application, and 1 set of x-rays annually.
Estimated Impact
Based on AHCCCS' calculations, the JLBC Staff estimates the 9-month FY 2021 cost of implementation would increase General Fund spending by $1.5 million and Hospital Assessment spending by $1.7 million ($15.2 million Total Funds). The full-year cost of the proposal in FY 2022 would increase General Fund spending to $1.9 million and Hospital Assessment spending to $2.2 million ($20.3 million Total Funds).
Analysis
AHCCCS currently provides emergency adult benefits up to $1,000 per member per contract year. Under the proposed bill, the acute Medicaid adult population would also be eligible for preventive dental care, encompassing 2 teeth cleanings, 1 set of x-rays, and 1 fluoride application annually. The bill does not provide coverage for exams. Arizona Long Term Care System (ALTCS) Elderly and Physically Disabled (EPD) and Developmentally Disabled (DD) adults, as well as AHCCCS clients under the age of 21, already receive preventive dental care.
AHCCCS assumes member utilization would mirror that of utilization by members between ages 18 - 20 who currently receive Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services. This utilization rate multiplied by the number of acute adults age 21 and older would result in an annual cost of $1.9 million General Fund and $2.2 million Hospital Assessment ($20.3 million Total Funds).
Local Government Impact
None
1/30/20