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ARIZONA STATE SENATE
Fifty-Sixth Legislature, Second Regular Session
transitional services; long-term care; appropriation
Purpose
Appropriates $5 million from the state General Fund (state GF) in FY 2025 to the Arizona Health Care Cost Containment System (AHCCCS) to provide up to three months of institutional services and home and community-based services (HCBSs) to individuals who have not been determined eligible for coverage under the Arizona Long Term Care System (ALTCS). Allows AHCCCS to provide services through a program contractor.
Background
AHCCCS contracts with health professionals to provide medically necessary health and medical services to eligible members. AHCCCS contractors are required to provide services and supplies including but not limited to:1) inpatient and outpatient hospital services; 2) laboratory and X-ray services; 3) prescription medications; 4) medical supplies, durable medical equipment, insulin pumps and prosthetic devices, excluding cochlear implants; 5) treatment of medical conditions of the eye; 6) early and periodic health screening and diagnostic services; 7) family planning services; 8) podiatry services; 9) nonexperimental transplants; 10) emergency dental care; 11) ambulance and nonambulance transportation; 12) hospice care; 13) orthotics; and 14) diabetes outpatient self-management training services (A.R.S. § 36-2907).
ALTCS is
the management and delivery system of hospitalization, medical care,
institutional services and home and community-based services to members through
AHCCCS administration, program contractors and providers together with federal
participation (A.R.S.
§ 36-2932).
HCBSs are available
through AHCCCS to be provided in a member's home, group home, intermediate care
facility or behavioral health alternative residential facility and include: 1)
home health services; 2) licensed health aid; 3) homemaker services; 4)
personal care; 5) day care;
6) habilitation; 7) respite care; 8) transportation; and 9) other services
approved by the Director of AHCCCS.
Institutional
services include: 1) nursing facility services other than services in an
institution for tuberculosis or mental disease; 2) behavioral health services;
3) hospice services;
4) case management services; 5) health and medical services; and 6) dental
services, as prescribed (A.R.S.
§ 36-2939).
Program contractor means the Department of Economic Security or any other entity that contracts with AHCCCS to provide services to members with developmental disabilities (A.R.S. §§ 36-2931).
S.B. 1598 appropriates $5 million from the state GF to AHCCCS in FY 2025.
Provisions
2. Allows AHCCCS to provide services through a program contractor.
3. Allows AHCCCS administration to use up to 10 percent of the appropriation for administrative purposes.
4. Exempts the appropriation from lapsing.
5. Exempts AHCCCS from statutory rulemaking requirements for one year for purposes of implementing transitional ALTCS services.
6. Specifies that the appropriation and service requirements do not entitle any person to receive a particular service.
7. Specifies that AHCCCS is not required to provide services or spend monies exceeding the appropriation amount.
8. Becomes effective on the general effective date.
Prepared by Senate Research
February 9, 2024
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