Implementation of New Statutory Requirements Impacting AHCCCS

Although the 2020 legislative session ended abruptly due to the COVID-19 pandemic, a few bills which will impact the State’s Medicaid program successfully navigated their way to the Governor’s desk and were signed into law. These laws go into effect on August 25, 2020.

AHCCCS must take steps to implement these new laws, which often include updates to rules, contracts, policies, provider registration, claims processing, financial monitoring and reporting, the state plan, and in some instances even the Waiver.

Bills which were signed into law in the 2020 legislative session include:

SB1523, the Mental Health Omnibus, establishes the Children’s Behavioral Health Services Fund, and appropriates $8 million to be administered by AHCCCS. The Fund is to be used to enter into an agreement with one or more contractors for behavioral health (BH) services for children who are uninsured/underinsured, is referred for BH services by an educational institution, and has written parental consent to obtain the BH services. Under this legislation,  AHCCCS is also to conduct a survey of public schools to obtain information regarding the delivery of BH services on or off school grounds. The bill also creates the suicide mortality review team to review data around suicide and recommend changes to laws or rules to decrease the incidences of preventable suicide.

HB2668 creates the Health Care Investment Fund, for the purpose of funding the non-federal share of the cost for directed payments to hospitals, and for payments to physicians and dentists to restore provider rates to the rate levels in existence before FY2008-2009.

HB2244 will allow AHCCCS to reimburse for adult emergency dental services in excess of the $1,000 statutory limit for members receiving services through an IHS/638 facility, and qualify for 100 percent Federal match (contingent upon approval by the Centers for Medicare and Medicaid Services).

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