The proposed bill would update current statutes governing the Arizona Health Care Cost Containment System (AHCCCS) by introducing new requirements for enrollment verification and presumptive eligibility determinations. Specifically, it would establish data matching agreements with the Department of Revenue to identify members with lottery or gambling winnings of $3,000 or more, requiring monthly reviews of this information. Additionally, the bill mandates independent verification of eligibility using various data sources, including death records and employment changes, while prohibiting self-attestation without such verification. Moreover, the bill would set forth new standards for qualified hospitals regarding presumptive eligibility determinations, including timely notification to AHCCCS and assistance for individuals in completing full applications. It also requires AHCCCS to submit waiver requests to the Centers for Medicare and Medicaid Services (CMS) to implement these changes and restrict presumptive eligibility determinations to specific groups. Overall, these updates aim to enhance the integrity and accuracy of the eligibility verification process within the Arizona health care system.

Statutes affected:
Introduced Version: 36-2903.17, 36-2903.18
House Engrossed Version: 36-2903.17, 36-2903.18
Senate Engrossed Version: 36-2903.17, 36-2903.18