April 10, 2013 - AHCCCS

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American Indian Care Coordination Strategies Care Management Coordinator Goal - Improve health outcomes by reducing readmissions and increase use of primary care services <strong>AHCCCS</strong> working with 3 populations Post IP stay Long Term Care – contacting tribal case manager (1,053 in non I.H.S/638 facility last year) Newborns – contacting moms to coordinate pediatric visit (1,213 born in 9 non I.H.S/638 facilities last year) Diabetic Patients – connecting member back to I.H.S & 638 system 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System 17 “Reaching across Arizona to provide comprehensive quality health care for those in need”
Jurassic Park Coverage Issue – Restore Prop 204 ACA Requirements Exchange Issue Duals Demo Payment Reform Systems Issues Triple Crown Procurement Agency Sunset Process 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System 18 “Reaching across Arizona to provide comprehensive quality health care for those in need”
Page 1 and 2:
State Medicaid Advisory Committee (
Page 3 and 4:
Janice K. Brewer, Governor Thomas J
Page 5 and 6: DISCUSSION X. Call to the Public Di
Page 7 and 8: CMS Update
Page 9 and 10: 2013 Amendments *SPA 13-004 Drug Co
Page 11 and 12: SPA 12-003A- Encounter/visit limit
Page 13 and 14: SPA 11-009C Rate Reductions Updates
Page 15 and 16: RFP Announcements
Page 17 and 18: • Statewide CRS Contract - United
Page 19 and 20: To access RFP award information, cl
Page 21 and 22: Mercy Maricopa Integrated Care RBHA
Page 23 and 24: What Does MMIC Bring Recognition of
Page 25 and 26: To address the concern that physica
Page 27 and 28: How the System Operates Today - Som
Page 29 and 30: MMIC Integrated Care Sites • Memb
Page 31 and 32: So what is Care Coordination Commun
Page 33 and 34: Member Transition Members • Over
Page 35 and 36: Health and Wellness for all Arizona
Page 37 and 38: Recovery through Whole Health: the
Page 39 and 40: AHCCCS Update
Page 41 and 42: AHCCCS Population as of July 1 1,40
Page 43 and 44: AHCCCS Growth of GF Since 2007 M
Page 45 and 46: 10% 8% 6% 4% 2% 0% -2% 15% Medicaid
Page 47 and 48: Regardless of ACA Decisions- Unsust
Page 49 and 50: Triple Crown Procurements October 1
Page 51 and 52: Acute Bids (S = submitted - * = inc
Page 53 and 54: AHCCCS Program Integrity Agency cr
Page 55: Health Information Technology What
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April 10, 2013 - AHCCCS

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