ARIZONA STATE
SENATE
Fifty-Fourth
Legislature, Second Regular Session
AHCCCS; chiropractic care; report
Purpose
Adds
chiropractic services ordered by a primary care practitioner or physician to
the health and medical services covered by the Arizona
Health Care Cost Containment System (AHCCCS). Establishes AHCCCS reporting
requirements.
Background
AHCCCS contracts with health professionals to provide
medically-necessary health and medical services to eligible members. Currently,
AHCCCS contractors (contractors) are required to provide: 1) inpatient hospital
services; 2) outpatient health services; 3) laboratory and X-ray services; 4)
prescription medications; 5) medical supplies, durable medical equipment,
insulin pumps and prosthetic devices; 6) treatment of medical conditions of the
eye; 7) early and periodic heath screening and diagnostic services; 8) family
planning services; 9) podiatry services;
10) nonexperimental transplants; 11) emergency dental care; 12) ambulance and
nonambulance transportation; 13) hospice care; and 14) orthotics (A.R.S. § 36-2907).
The
anticipated fiscal impact to the state General Fund associated with this
legislation is unknown at this time.
Provisions
1.
Requires
contractors to provide chiropractic services performed by a licensed
chiropractor and ordered by a primary care physician or practitioner, subject
to rules adopted by AHCCCS.
2.
Authorizes
a primary care physician or practitioner to order up to 20 visits for
chiropractic services annually and any additional chiropractic services deemed
medically necessary in that same year.
3.
Prohibits
monies in the Hospital Assessment Fund from being used to provide chiropractic
services.
4.
Allows
AHCCCS to provide medically-necessary chiropractic services upon approval by
the U.S. Centers for Medicare and Medicaid Services.
5. Requires AHCCCS to:
a) prescribe qualifying conditions under which
chiropractic services may be used;
b) prescribe provider qualifications for
chiropractic services; and
c)
require
contractors to report on the use of chiropractic services including alternative
treatments and use this reported information to determine whether cost savings
were achieved as a result.
6.
Requires
AHCCCS, by January 21, 2025, to submit a report to the Governor, the President
of the Senate, the Speaker of the House of Representatives and the Secretary of
State on the cost savings determinations.
7.
Repeals
AHCCCS chiropractic services reporting requirements on July 1, 2026.
8.
Makes
technical and conforming changes.
9.
Becomes
effective on the general effective date.
Prepared by Senate Research
January 17, 2020
CRS/AB/kja