CYE 2014 Transition Process Overview

1. CYE 2014 Transition Process Overview AHCCCS Contractor Update MeetingMay 1, 2013 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

2. Readiness assessment Acute care Children’s Rehabilitative Services (CRS) Integrated RBHA – Mercy Maricopa Integrated Care (MMIC; conducted by ADHS/DBHS) Transition of member data Other planning issues and efforts Key Components 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

3. Readiness Assessment • Initial meetings held with Acute Care Contractors and UnitedHealthcare Community Plan/CRS (UHC/CRS) in April • Assessing all new Contractors (Health Net), incumbent Contractors assuming new geographic service areas and UHC/CRS • Monthly reports due to AHCCCS containing documentation demonstrating Health Plan readiness in 10 areas • On site visits will occur, as necessary, in July 2013 • Focusing on attestation elements from the RFP and areas critical to Contractor readiness ****ADHS/DBHS conducting readiness assessment of Mercy Maricopa Integrated Care with support from AHCCCS, as needed**** 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

4. Readiness Assessment • Programmatic areas under review • Administration and management, delivery system, medical management, quality – management and improvement, quality – EPSDT, maternal and child health, behavioral health, financial reporting, claims processing and provider support, encounter reporting, management information systems, member services • Particular areas of focus • Staffing enhancements • Network enhancements/build up • Policy/procedure development/revision • Systems capabilities • Care coordination processes 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

5. Transition of Member Data • Approximately 170,000 members will be transitioned on 10/01/13 • Transition of member data will begin on 07/05/13 and continue through December 2013 • File format for the transition of member data from Acute Care Contractors to “receiving” Acute Care Contractors, CRS and MMIC sent to Contractors for review and comment on 04/26/13 • Input is due by 05/03/13; file format will be finalized by 05/31/13 • File format for transition of member data from RBHAs/DBHS to UHC/CRS and from UHC/CRS to ALTCS E/PD Contractors will be sent out by 05/15/13 for review and comment and finalized by 06/15/13 • AHCCCS will initiate meetings in June 2013 with all relinquishing and receiving Contractors to assist in transition of member information • Meetings will be held monthly, at a minimum, through 10/01/13 • Separate meetings will be held for the transition of member data to MMIC, CRS, ALTCS E/PD 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

6. Transition of Member Data 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

7. Other Planning Issues and Efforts • ALTCS E/PD Contractor readiness to serve CRS members for CRS-related conditions • Outstanding CRS issues/efforts • Transition of eligibility determination process • Systems challenges related to 4 coverage types • Policy revisions • Community outreach and engagement • Community forums in Phoenix on 05/07/13 and in Tucson on 05/09/13 • Monitoring for adherence to requirements related to continuation of member services post 10/01/13 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System