PPT-AHCCCS Update

30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System AHCCCS Coverage In her State of the State Governor Brewer called for the legislature to restore Proposition 204 coverage and provide coverage up to 133. AHCCCS Dental Director Announcement: Dr. Michael Recuber. CMS Guidance on Autism Spectrum Disorder: next steps. Arizona Initiative on Prescription Drug Misuse and Abuse: AHCCCS Role . Superutilizer. terminology. Improve . Population Heath Management. Rene Q. Lizarraga, B.S.. Thomas M. Ball, . M.D., M.P.H.. The University of Arizona Health Plans. Population Health Management. 1. Data . P. rovided by AHCCCS to Support . Who is Impacted. AHCCCS or Marketplace. Do . It . Yourself. Enrollment Assistance. Employer sponsored . Insurance: 46. Uninsured: 18 (1.2 million). Medicaid (AHCCCS): 18. Medicare. : . 13. Private. . IMD Waiver Request:. Focus on Substance Use Disorders. On April . 12, . AHCCCS . submitted a waiver requesting that Arizona be exempt from the 15 day limit on federal funding for IMD stays, both for managed care and FFS populations. RBHA Provider Survey 2016. 1. Reaching across Arizona to provide comprehensive . quality health care for those in need. RBHA Provider Survey. 2. Reaching across Arizona to provide comprehensive . quality health care for those in need. Shelli Silver. Assistant Director . AHCCCS. September . 10, . 2014. New Inpatient Rate Methodology. AHCCCS is implementing initiatives to improve patient safety and health outcomes of members, thereby reducing costs. Rev 5/26/21Page 1Referring Ordering Prescribing Attending ROPA Providers Q1What types of providers are affectedQ2WhichMedicaid programs are affectedQ3What services are affectedQ4As a rendering/service RI Contract Year 39. Presented by Tracy Thomas – Friday, October 23. rd. , 2020. Agenda. Welcome and Introductions. Review Reinsurance Manual Changes for 10/01/2020. Transplant Contract Changes. Miscellaneous Issues. Fee-For-Service Training. Introduction. This document is intended as a reference for those responsible for billing TPL services to AHCCCS’ Division of Fee for Service Management (DFSM)..  . NOTE: The services described in this Document are global in nature and are listed here to offer general guidance. The . Successfully registered BCBAs as independent AHCCCS provider type. 108 BCBAs AHCCCS registered as of 4-4-17. Researched and determined appropriate code set to be linked to BCBA Provider Type . Dual code set—HCPCS and CPT. Uninsured rate for adults below 138% went from 32.4% to 14%. 88% of 700,000 were uninsured. 51% age 45 and older. 27% diagnosed with chronic condition after eligibility. 38.8% had a chronic condition and 59.1% reported easier to manage . November 2015. Topics:. ICD10 Project Close-out. Greater . AZ SMI . Integration and GMH/SA . Duals Integration . Wrap-up. PCP Rate Parity Project Updates. AHCCCS CRN Expansion Project (999 Lines) Updates. Overview, Results . and Next Steps. December 2014. Background. Registered AHCCCS providers elected to participate in the Primary Care Services Program for increased payments. This program, described in Sections 1902(a) (13), 1902 (jj), 1905 (dd)... 1. November . 16, . 2016. Melissa Kotrys, MPH. Chief Executive Officer. Arizona Health-e Connection (AzHeC). Agenda. EHR Incentive Program. E-Prescribing. Health information exchange. Practice Innovation Institute .