ARIZONA HOUSE OF REPRESENTATIVES

Fifty-sixth Legislature

First Regular Session

House: HHS DP 5-4-0-0

HB 2624: AHCCCS; redeterminations

Sponsor: Representative Biasiucci, LD 30

House Engrossed

Overview

An emergency measure that requires the Arizona Health Care Cost Containment System (AHCCCS), by December 31, 2023, to issue decisions on redeterminations for all members who have not been redetermined for eligibility since December 1, 2022 and who were identified as factually ineligible through AHCCCS's auto-renewal process based on information provided electronically from federal and state databases that include financial and other eligibility information. Outlines restrictions and reporting requirements for AHCCCS.

History

Established in 1981, AHCCCS is Arizona's Medicaid program that oversees contracted health plans for the delivery of health care to individuals and families who qualify for Medicaid and other medical assistance programs. Through contracted health plans across the state, AHCCCS delivers health care to qualifying individuals including low-income adults, their children or people with certain disabilities. Members must meet certain financial and non-financial requirements to be eligible for AHCCCS (A.R.S. § 36-2901).

Statute outlines the covered health and medical services offered to AHCCCS members, including: 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 health 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; 14) orthotics; 15) medically necessary chiropractic services; and 16) diabetes outpatient self-management training services (A.R.S. § 36-2907).

Provisions

1. Instructs, by December 31, 2023, AHCCCS to issue decisions on redeterminations for all members who have not been redetermined for eligibility since December 1, 2022 and who were identified as factually ineligible through AHCCCS's auto-renewal process based on information provided electronically from federal and state databases that provide financial and other eligibility information. (Sec. 1)

2. Prohibits AHCCCS from establishing procedural requirements to complete redeterminations or removals beyond the minimum procedures required to establish a good faith effort or under federal law. (Sec. 1)

3. Prohibits AHCCCS to:

a) follow, conform or submit to any federal guidance that is contrary to the prescribed requirements;

b) follow any other timelines, deadlines or limits; and

c) divide or disburse the initiation or completion of redeterminations or removals, unless required to do so under federal law. (Sec. 1)

4. Contains a delayed repeal date of January 1, 2025. (Sec. 2)

5. Requires AHCCCS by May 15, 2023 through May 15, 2024 to submit a monthly report to the Governor, the President of the Senate, the Speaker of the House of Representatives and provide a copy to the Secretary of State that contains specified information. (Sec. 3)

6. Repeals the reporting requirements on January 1, 2025. (Sec. 3)

7. Includes an emergency clause. (Sec. 4)

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11. HB 2624

12. Initials AG/BSR Page 0 House Engrossed

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