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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: 09/30/2022

Supporting Documents

Pending Application(s) and Related Documents

Date Title
Date   05/27/2021 Title   Pending Amendment Application - Housing and Health Opportunities Amendment (PDF, 22.43 MB) View/Submit Comments
Date   01/04/2021 Title   Pending Application - Extension Request (PDF, 27.6 MB) View/Submit Comments
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   09/30/2021 Title   Demonstration Approval (PDF, 7.44 MB)
Date   01/04/2018 Title   Fact Sheet (PDF, 79.57 KB)

Administrative Record

Date Title
Date   06/01/2022 Title   State Quarterly Report – January 1, 2022 – March 31, 2022 (PDF, 735.96 KB)
Date   04/05/2022 Title   Fee-for-Service Upper Payment Limit Report 2021 (PDF, 170.99 KB)
Date   02/28/2022 Title   State Quarterly Report – October 1, 2021 – December 31 (PDF, 2.7 MB)
Date   02/01/2022 Title   Approved COVID-19 PHE Amendment Evaluation Design (PDF, 605.2 KB)
Date   01/11/2022 Title   Quarterly Budget Neutrality Report July-September 2021 (XLSM, 624.83 KB)
Date   12/30/2021 Title   State Annual Report – October 1, 2020 – September 30, 2021 (PDF, 9.34 MB)
Date   11/01/2021 Title   Funding Flows Report 2020 (PDF, 798.09 KB)
Date   10/20/2021 Title   Fee-for-Service Upper Payment Limit Report 2020 (PDF, 265.6 KB)
Date   10/12/2021 Title   Quarterly Budget Neutrality Report April-June 2021 (XLSM, 628.43 KB)
Date   09/28/2021 Title   State Quarterly Report – April 2021 – June 2021 (PDF, 661.26 KB)
Date   07/30/2021 Title   State Quarterly Report – January 2021 – March 2021 (PDF, 657.64 KB)
Date   06/24/2021 Title   CMS Letter to State (PDF, 1.48 MB)
Date   06/07/2021 Title   CMS Complete Letter (PDF, 251.98 KB)
Date   05/24/2021 Title   State Budget Neutrality Workbook – January 2021 – March 2021 (XLS, 3.32 MB)
Date   04/16/2021 Title   CMS COVID-19 Appendix K Approval (PDF, 1.37 MB)
Date   04/15/2021 Title   State Quarterly Report – October 2020 – December 2020 (PDF, 741.04 KB)
Date   02/24/2021 Title   State Budget Neutrality Workbook – October 2020 – December 2020 (XLSM, 621.26 KB)
Date   02/12/2021 Title   CMS Letter to State (PDF, 38.61 KB)
Date   02/12/2021 Title   CMS Letter to State about Demonstration (PDF, 312.85 KB)
Date   02/12/2021 Title   State Annual Report – October 2019 – September 2020 (PDF, 9.48 MB)
Date   01/26/2021 Title   State Acceptance Letter- COVID-19 Amendment (PDF, 514.5 KB)
Date   01/19/2021 Title   CMS Approval - COVID-19 PHE Amendment (PDF, 6.38 MB)
Date   01/04/2021 Title   CMS Completeness Letter-AHCCCS Extension Application (PDF, 398.71 KB)
Date   01/04/2021 Title   Letter from State - Rescinded (PDF, 840.98 KB)
Date   11/23/2020 Title   State Budget Neutrality Workbook – July 2020 – September 2020 (XLSM, 660.76 KB)
Date   11/19/2020 Title   Approved Evaluation Design 2016-2021 (PDF, 6.09 MB)
Date   08/31/2020 Title   CMS Appendix K Approval (PDF, 1.06 MB)
Date   08/28/2020 Title   Quarterly Report April–June 2020 (PDF, 622.3 KB)
Date   08/25/2020 Title   Quarterly Budget Neutrality Workbook April-June 2020 (XLSM, 661.44 KB)
Date   06/30/2020 Title   Quarterly Budget Neutrality Report Jan-March 2020 (XLSM, 612.96 KB)
Date   06/30/2020 Title   Quarterly Report Jan-March 2020 (PDF, 830.31 KB)
Date   05/14/2020 Title   Funding Flows Report 2019 (PDF, 303.05 KB)
Date   04/29/2020 Title   Annual HCBS Report 2019 (PDF, 769.38 KB)
Date   04/17/2020 Title   State COVID-19 Request (PDF, 200.41 KB)
Date   04/06/2020 Title   CMS Appendix K Approval (PDF, 886.82 KB)
Date   02/28/2020 Title   Quarterly Budget Neutrality Report October-December 2019 (XLSM, 614.22 KB)
Date   02/28/2020 Title   Quarterly Report October-December 2019 (PDF, 743.23 KB)
Date   12/31/2019 Title   Annual Report 2019 (PDF, 9.55 MB)
Date   12/31/2019 Title   Revised Targeted Investment Program Baseline Measures (PDF, 438.85 KB)
Date   12/31/2019 Title   Targeted Investment Program- Year 3 (2018-2019) Reporting (XLSX, 20.41 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   09/13/2019 Title   CMS Technical Corrections (PDF, 1.32 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   07/08/2019 Title   Fee for Service Upper Payment Limit Exemption Report 2018 (PDF, 371.87 KB)
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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