The proposed bill would update the Arizona Revised Statutes by introducing new enrollment verification requirements for the Arizona Health Care Cost Containment System (AHCCCS). Specifically, it would mandate AHCCCS to enter into data matching agreements with the Arizona Department of Revenue to identify members with lottery or gambling winnings exceeding $3,000, and to conduct monthly reviews of this information along with death records and other changes affecting eligibility. The bill would also prohibit self-attestation of various eligibility criteria without independent verification, unless required by federal law, and would require quarterly eligibility redeterminations for able-bodied adults.

Additionally, the bill would modify the process for presumptive eligibility determinations made by hospitals, limiting such determinations to children and pregnant women. It would require hospitals to notify AHCCCS of these determinations within five working days and assist individuals in completing full applications for eligibility. The bill establishes standards for hospitals to ensure accurate presumptive eligibility determinations and outlines a notification process for violations, including mandatory training for staff after repeated failures. Overall, these changes aim to enhance the integrity of the eligibility verification process and streamline the presumptive eligibility framework within AHCCCS.

Statutes affected:
Introduced Version: 36-2903.18, 36-2903.19
House Engrossed Version: 36-2903.18, 36-2903.19