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Arizona Health Care Cost Containment System

State: Arizona
Waiver Authority:
1115
Status: Pending

Waiver Dates

Approval: 10/21/2011
Effective: 10/22/2011
Expiration: 09/30/2021

Supporting Documents

Pending Application(s) and Related Documents

Approved Application(s) and Related Documents

Date Title
Date 09/13/2019 Title Demonstration Approval (PDF, 1.32 MB)
Date 01/04/2018 Title Fact Sheet (PDF, 79.57 KB)

Administrative Record

Date Title
Date 04/06/2020 Title CMS Appendix K Approval (PDF, 886.82 KB)
Date 10/17/2019 Title Arizona Works Implementation Postponement Letter (PDF, 95.85 KB)
Date 10/15/2019 Title Summative Evaluation Report 2011-2016 (PDF, 1.14 MB)
Date 08/30/2019 Title Quarterly Report April-June 2019 (PDF, 7.75 MB)
Date 08/12/2019 Title AHCCCS Targeted Investments Sustainability Plan (PDF, 810.18 KB)
Date 07/17/2019 Title Draft Evaluation Design - AHCCCS Works (PDF, 1.42 MB)
Date 07/17/2019 Title Draft Evaluation Design - Prior Quarter Coverage (PDF, 1.4 MB)
Date 06/06/2019 Title Quarterly Report January-March 2019 (PDF, 596.82 KB)
Date 05/15/2019 Title Quarterly Report October-December 2018 (PDF, 906.01 KB)
Date 01/18/2019 Title Approved Demonstration (1/18/19) (PDF, 1.95 MB)
Date 12/24/2018 Title Annual Report FFY 2018 (October 2017-September 2018) (PDF, 2.41 MB)
Date 09/10/2018 Title Annual Report FFY 2017 (October 2016-September 2017) (PDF, 2.31 MB)
Date 08/31/2018 Title Quarterly Report April-June 2018 (PDF, 900.42 KB)
Date 05/31/2018 Title Quarterly Report January-March 2018 (PDF, 781.29 KB)
Date 04/20/2018 Title CMS Completeness Letter – Amendment Request (PDF, 110.44 KB)
Date 04/06/2018 Title State Application - Retroactive Eligibility Amendment Request (PDF, 4.87 MB) View Comments
Date 03/30/2018 Title Safety Net Care Pool (SNCP) Independent Evaluation Report (PDF, 649.63 KB)
Date 03/29/2018 Title HCBS Annual Report – 2017 (PDF, 1.03 MB)
Date 03/01/2018 Title Quarterly Report October–December 2017 (PDF, 928.59 KB)
Date 01/04/2018 Title AZ AHCCCS Works Amendment Complete Letter (PDF, 86.14 KB)
Date 01/04/2018 Title State Application - AZ AHCCCS Works (PDF, 22.02 MB) View Comments
Date 12/29/2017 Title CMS Approval – December 2017 Amendment (PDF, 814.83 KB)
Date 10/05/2017 Title AHCCCS Designated State Health Programs (DSHP) Protocol (PDF, 45.32 KB)
Date 10/05/2017 Title AHCCCS Designated State Health Programs (DSHP) Protocol Approval Letter (PDF, 92.6 KB)
Date 09/01/2017 Title Quarterly Report April-June 2017 (PDF, 1.03 MB)
Date 09/01/2017 Title Quarterly Report January–March 2017 (PDF, 612.89 KB)
Date 08/24/2017 Title Phoenix Children’s Hospital Safety Net Care Pool Amendment Application (PDF, 527.12 KB) View Comments
Date 08/08/2017 Title CMS Completeness Letter (8/08/17) (PDF, 92.82 KB)
Date 04/28/2017 Title CMS Completeness Letter (4/28/17) (PDF, 72.41 KB)
Date 03/30/2017 Title Annual Report FFY 2016 (October 2015-September 2016) (PDF, 848.83 KB)
Date 03/30/2017 Title Quarterly Report October-December 2016 (PDF, 584.3 KB)
Date 02/17/2017 Title Arizona 1115 Extension Acceptance and Technical Corrections Request (2/17/2017) (PDF, 309.18 KB)
Date 01/18/2017 Title AHCCCS Targeted Investments Program Approval (PDF, 775.53 KB)
Date 11/11/2016 Title Revised American Indian Medical Home-Traditional Healing Proposal (11/11/16) (PDF, 2.34 MB)
Date 10/31/2016 Title 1115 Interim Evaluation Report (10/31/16) (PDF, 450.56 KB)
Date 10/05/2016 Title 1115 Interim Evaluation: Mandatory Cost Sharing for Childless Adults 2011-2013 (10/05/2016) (PDF, 362.58 KB)
Date 09/30/2016 Title AHCCCS 1115 Demonstration Extension (9/30/2016) (PDF, 789.64 KB)
Date 08/31/2016 Title Quarterly Report Apr-June 2016 (8/31/16) (PDF, 636.59 KB)
Date 07/26/2016 Title Delivery System Incentive Payment (DSRIP) Amendment Request (07/26/2016) (PDF, 15.46 MB) View Comments
Date 07/25/2016 Title CSM Completeness Letter (07/25/2016) (PDF, 134.27 KB)
Date 06/07/2016 Title Quarterly Report Jan-Mar 2016 (6/7/2016) (PDF, 468.16 KB)
Date 02/29/2016 Title Quarterly Report Oct-Dec 2015 (2/29/2016) (PDF, 397.53 KB)
Date 12/23/2015 Title CMS Demonstration Approval 2015 (PDF, 1.16 MB)
Date 11/20/2015 Title CMS Uncompensated Care Pool Letter (11/20/15) (PDF, 187.5 KB)
Date 10/22/2015 Title CMS Complete Letter (10/22/2015) (PDF, 48.84 KB)
Date 10/22/2015 Title Phoenix Children’s Hosp SNCP Amend Request (10/22/2015) (PDF, 373.48 KB) View Comments
Date 10/15/2015 Title Arizona Extension Application (10/15/2015) (PDF, 15.16 MB) View Comments
Date 10/14/2015 Title CMS Application Complete Letter (10/14/2015) (PDF, 72.21 KB)
Date 10/06/2015 Title SMI Integration Plan Approval (10/06/2015) (PDF, 144.4 KB)
Date 10/06/2015 Title Safety Net Care Pool Transition Rpt (10/06/2015) (PDF, 413.44 KB)
Date 06/22/2015 Title CMS Disapproval – ER Copay & Tuba City (PDF, 93.96 KB)
Date 05/28/2015 Title AHCCCS Quarterly Report Jan-Mar 2015 (05/28/2015) (PDF, 335.65 KB)
Date 05/20/2015 Title CMS Notification Letter - HCBS Settings (PDF, 51.21 KB)
Date 12/29/2014 Title Acceptance Letter (12/29/14) (PDF, 41.31 KB)
Date 12/15/2014 Title Fact Sheet (8 Amendments June 2015) (PDF, 27.7 KB)
Date 12/15/2014 Title Special Terms and Conditions (10/01/11-09/30/16 Amended 12/15/2014) (PDF, 656.9 KB)
Date 09/29/2014 Title Pending Application – Tuba City (09/25/14) (PDF, 116.59 KB) View Comments
Date 09/25/2014 Title Pending Application - Hospital Presumptive Eligibility for Pregnant Women Amendment (09/25/14) (PDF, 28.5 KB) View Comments
Date 09/25/2014 Title Pending Application - Safety Net Care Pool Amendment (09/25/14) (PDF, 878.83 KB) View Comments
Date 09/25/2014 Title Pending Application - Tribal Uncompensated Care Pool Amendment (09/25/14) (PDF, 324.4 KB) View Comments
Date 09/19/2014 Title Complete Letter (09/19/14) (PDF, 75.52 KB)
Date 07/11/2014 Title Acceptance Letter (07/11/14) (PDF, 39.49 KB)
Date 02/26/2014 Title Pending Application - Integration of Behavioral and Physical Health Services (02/26/14) (PDF, 176.12 KB) View Comments
Date 02/11/2014 Title Pending Application - Cost Sharing for Expansion Population (02/11/14) (PDF, 31.98 KB) View Comments
Date 12/26/2013 Title Approval Letter (12/26/13) (PDF, 92.49 KB)
Date 10/15/2013 Title Letter Regarding edited Transition Plan (10/15/13) (PDF, 163.97 KB)
Date 10/02/2013 Title Arizona 1115 Demo Transition Plan (10/02/13) (PDF, 163.77 KB)
Date 04/17/2013 Title Approval to Amend 1115 Demo Letter (04/17/13) (PDF, 139.43 KB)
Date 01/31/2013 Title Approval to Amend 1115 Demo Letter (01/31/13) (PDF, 110.35 KB)
Date 01/29/2013 Title Safety Net Care Pool and Coverage Expansions (01/29/13) (PDF, 229.71 KB)
Date 04/06/2012 Title Approval to Amend 1115 Demo Letter (04/06/12) (PDF, 100.19 KB)
Date 04/06/2012 Title Expenditure Authority (10/22/11-09/30/16 Amended 04/06/12) (PDF, 189.42 KB)
Date 01/23/2012 Title CMS Approved Evaluation Design (01/23/2012) (PDF, 498.46 KB)
Date 10/22/2011 Title Expenditure Authority (10/22/11-09/30/16 Amended April 2013) (PDF, 79.44 KB)
Date 10/22/2011 Title Expenditure Authority (10/22/11-09/30/16 Amended January 2013) (PDF, 143.28 KB)
Date 10/22/2011 Title Waiver List (10/22/11-09/30/16 Amended January 2013) (PDF, 124.89 KB)
Date 10/22/2011 Title Waiver List (10/22/11-09/30/16) (PDF, 187.22 KB)
Date 10/01/2011 Title Special Terms and Conditions (10/01/11-09/30/16 Amended 04/06/12) (PDF, 1.2 MB)
Date 10/01/2011 Title Special Terms and Conditions (10/01/11-09/30/16 Amended April 2013) (PDF, 993.21 KB)
Date 10/01/2011 Title Special Terms and Conditions (10/01/11-09/30/16 Amended January 2013) (PDF, 1.27 MB)
Date 07/31/2011 Title Arizona 1115 Demonstration Amendment for an American Indian Medical Homes (PDF, 53.59 KB)
Date Title Public Comments (PDF, 94.26 KB)
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