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Overview of CYE 2014 Contract Amendments

Get the latest on upcoming contract amendments by AHCCCS for better healthcare in Arizona. Changes include staffing, eligibility determinations, network accessibility standards, and more. Stay informed to provide quality services.

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Overview of CYE 2014 Contract Amendments

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  1. Overview of CYE 2014 Contract Amendments AHCCCS Contractor Update MeetingJune 26, 2013 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  2. Upcoming Contract Changes All Contracts • Acute Care RFP amendments • Language revision • As appropriate by contractor • Staffing requirements for Key Staff working across multiple lines of business • Language addition and revision • All contracts • Performance measures • Specification of minimum performance standards • All contracts 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  3. Upcoming Contract ChangesAll Contracts • AHCCCS authority to make CRS eligibility determinations • Language addition • All contracts with the exception of ADHS • Well visits • Language addition/reintroduction • All contracts • Pending changes resulting from revision of licensure regulations • Language revision • All contracts 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  4. Upcoming Contract ChangesAll Contracts • Network accessibility standards in Maricopa and Pima counties (90% of members do not have to travel more than 10 miles or 15 minutes to visit a PCP or pharmacy) • Language addition • ALTCS E/PD, ADHS and CMDP contracts, already included in Acute, CRS, and DDD contracts • Contracting with Multi-Specialty Interdisciplinary Clinics (MSICs) • Language addition • ADHS, ALTCS E/PD, CMDP contracts, already incorporated into Acute, CRS and DDD contracts • Corporate compliance requirements • Language revision • All contracts 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  5. Upcoming Contract ChangesSelect Contracts • Regular meetings with CRS Contractor and T/RBHAs to address coordination of care issues • Language addition • CMDP contract, already incorporated into DDD contract • Dual demonstration • Language deletion • Acute, CRS, ALTCS E/PD, ADHS contracts • Responsibility for provision of services for members’ CRS qualifying conditions beginning on 10/01/13 • Language addition • ALTCS E/PD contracts 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  6. Upcoming Contract ChangesSelect Contracts • Behavioral services for members with CRS qualifying condition will now be provided by CRS Contractor; acute and long term care services remain with CMDP and DDD • Language addition • CMDP contract, already incorporated into DDD contract 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

  7. Questions 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System

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