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AHCCCS Update. Hospital Assessment & Litigation Assessment Collaborating with stakeholders – model no negative system Assessed $75 m in FY 2014 - $233.

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Presentation on theme: "AHCCCS Update. Hospital Assessment & Litigation Assessment Collaborating with stakeholders – model no negative system Assessed $75 m in FY 2014 - $233."— Presentation transcript:

1 AHCCCS Update

2 Hospital Assessment & Litigation Assessment Collaborating with stakeholders – model no negative system Assessed $75 m in FY 2014 - $233 m in FY 2015 FY 15 estimates - Will wait for several more data points – collaborate Litigation Lawsuit brought by 36 Republican Legislators Won at Superior Court – Standing Court of Appeals - 4-22-14 rules legislature has standing November 6 th – State Supreme Court oral arguments 2

3 Medicaid Restoration Reaching across Arizona to provide comprehensive quality health care for those in need 3 12/1/201310/1/2014Change Prop 204 Restoration67,770266,514198,744 Adult Expansion030,014 KidsCare46,7611,945-44,816 Family Planning5,1050-5,105 AHCCCS for Families & Children (1931) 672,135746,71574,580 All Other505,379596,22890,849 Total Enrollment1,297,1501,641,416344,266

4 AHCCCS Enrollment Growth 4 Reaching across Arizona to provide comprehensive quality health care for those in need

5 Prop 204 Adult Restoration 5 Reaching across Arizona to provide comprehensive quality health care for those in need

6 AHCCCS Adult Expansion Reaching across Arizona to provide comprehensive quality health care for those in need 6

7 Prop 204 Parents 7 Reaching across Arizona to provide comprehensive quality health care for those in need

8 Prop 204 Combined Populations 8 Reaching across Arizona to provide comprehensive quality health care for those in need

9 Hospital Assessment Funding Levels JLBC had estimated $204 m for FY 2015 AHCCCS levied $233 m for FY 2015 Current Estimate is $272 m for FY 2015 and $250 m for FY 2016 Many variables-options o Enrollment o Health Plan Reconciliations o Payment Timing 9 Reaching across Arizona to provide comprehensive quality health care for those in need

10 Budget Update FY 14 State revenues were ($113) m below forecast – growth rate 2.8% K-12 Superior Court ruling for $317 m in FY 2015 Reaching across Arizona to provide comprehensive quality health care for those in need 10 In MillionsFY 2015FY 2016 Adopted Budget Projection130(237) Oct. JLBC Revenue Changes(189)(667) Revenue + K-12 Ruling(520)(1,002)

11 Budget Reduction Options 1.Eligibility – Freezes not an option – savings accrue to assessment 2.Optional Services – None left 3.Rate Reductions – 4.Administration – still one-third less staff 11 Reaching across Arizona to provide comprehensive quality health care for those in need

12 AHCCCS Spending 2001-2015 12 Reaching across Arizona to provide comprehensive quality health care for those in need

13 General Fund for AHCCCS Programs 13 Reaching across Arizona to provide comprehensive quality health care for those in need


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