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

Date	Title
Date		05/03/2017	Title		Pending Amendment Application - Institutions for Mental Disease (IMD) (PDF, 7.3 MB)	View/Submit Comments

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
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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