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Section 1135 Waiver Flexibilities - Arizona Coronavirus Disease 2019 (Tenth Request)

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Arizona for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communication to CMS on July 8, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Arizona and requested a waiver or modification of those additional requirements.

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MO-20-0007

SPA was submitted to request a waiver of the regulatory requirement at 42 CFR 455, Subpart F to enter into a contract with a Medicaid Recovery AuditContractor (RAC) vendor to identify overpayments and underpayments and to recoup overpayments.

UT-20-0002

Updates the reimbursement methodology for capital improvement incentive payments
for intermediate care facilities for individuals with intellectual disabilities (ICF/IID).

IA-20-0005

This SPA seeks an exception to 42 CFR § 455.502, which requires each state to establish a Recovery Audit Contractor (RAC) program. The state seeks this exception because it is unable to procure a RAC vendor due to the small fee-for-service claims volume in the state.

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