Overview of CYE 2014 Contract Amendments
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“Reaching across Arizona to provide comprehensive quality health care for those in need” “Reaching across Arizona to provide comprehensive quality health care for those in need” Overview of CYE 2014 Contract Amendments AHCCCS Contractor Update Meeting June 26, 2013 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System
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Overview of CYE 2014 Contract Amendments. AHCCCS Contractor Update Meeting June 26, 2013. Upcoming Contract Changes All Contracts. Acute Care RFP amendments Language revision A s appropriate by contractor S taffing requirements for Key Staff working across multiple lines of business - PowerPoint PPT Presentation
Transcript of Overview of CYE 2014 Contract Amendments
“Reaching across Arizona to provide comprehensive quality health care for those in need”
“Reaching across Arizona to provide comprehensive quality health care for those in need”
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
“Reaching across Arizona to provide comprehensive quality health care for those in need”
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
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
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
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
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
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
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
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
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
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
“Reaching across Arizona to provide comprehensive quality health care for those in need”
Questions
30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System
