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ARIZONA STATE SENATE
Fifty-Seventh Legislature, First Regular Session
traditional healing services; AHCCCS
Purpose
Includes traditional healing services in the list of services covered by the Arizona Health Care Cost Containment System (AHCCCS) and services provided by the Arizona Long Term Care System (ALTCS), subject to approval by the Centers for Medicare and Medicaid Services (CMS) and available funding. Appropriates $1,300,000 from the state General Fund (GF) and $_____ from Medicaid Expenditure Authority in FY 2026 to AHCCCS to provide traditional healing services.
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, program contractors and providers, together with federal participation under Title XIX of the Social Security Act. ALTCS program contractors must provide certain services to ALTCS members who are determined to need institutional services, including: 1) nursing facility services, other than services in an institution for tuberculosis or mental disease; 2) behavioral health services that are not duplicative of prescribed long-term care services and that are authorized by the program contractor through the long-term care case management system; 3) hospice services; 4) case management services; 5) health and medical services covered by AHCCCS; and 6) dental services (A.R.S. §§ 36-2932 and 36-2939).
Traditional health care practices are described as the sum total of the knowledge, skill, and practices based on the theories, beliefs, and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness (CMS). A tribal facility is a facility that is operated by an Indian tribe and is authorized to provide health care services under federal law (A.R.S. § 36-2981).
S.B. 1671 appropriates $1,300,000 from the state GF in FY 2026 to AHCCCS.
Provisions
a) member qualifies for services through the Indian Health Service or a tribal facility; and
b) traditional healing services are delivered by or through the Indian Health Service or a tribal facility.
2. Appropriates $1,300,000 from the state GF and $_____ from Medicaid Expenditure Authority in FY 2026 to AHCCCS to provide traditional healing services, as outlined.
3. Modifies the definition of tribal facility to include a facility that is operated by a tribal organization, rather than only an Indian tribe.
4. Makes technical changes.
5. Becomes effective on the general effective date.
Prepared by Senate Research
February 17, 2025
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