The proposed bill would update the Arizona Revised Statutes by introducing new requirements for the Arizona Health Care Cost Containment System (AHCCCS) regarding enrollment verification and presumptive eligibility determinations. It mandates that AHCCCS enter into data matching agreements with the Department of Revenue and the Department of Health Services to monitor members' eligibility based on changes in circumstances, such as lottery winnings and employment status. The bill also prohibits self-attestation for eligibility without independent verification and outlines a process for reviewing eligibility when changes are reported. Additionally, the bill modifies the process for presumptive eligibility determinations by requiring qualified hospitals to notify AHCCCS of determinations within five working days and assist individuals in completing full applications. It establishes standards for these determinations and includes a framework for addressing violations, which may involve mandatory training for hospital staff after repeated failures to meet the standards. The updates aim to enhance the integrity of the eligibility verification process within AHCCCS, with an effective date of January 1, 2026.

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