Ari­zona pro­poses cut­ting $40 mil­lion from Med­i­caid re­im­burse­ment

Modern Healthcare - - Regional News -

Ari­zona has asked the CMS to al­low it to end retroac­tive cov­er­age for Med­i­caid ben­e­fi­cia­ries, a move ex­pected to save the state $40 mil­lion in the first year it goes into ef­fect.

If granted, the waiver would pre­vent providers from billing for ser­vices given in the three months be­fore a ben­e­fi­ciary ap­plies for Med­i­caid cov­er­age, as­sum­ing the pa­tient was el­i­gi­ble dur­ing that time. Providers in the state warn that they could face in­creased un­com­pen­sated-care costs if the waiver is ap­proved. Ari­zona Med­i­caid of­fi­cials have said they would mon­i­tor the sta­bil­ity of provider net­works fol­low­ing im­ple­men­ta­tion.

To date, Ar­kan­sas, In­di­ana, Iowa, Ken­tucky and New Hamp­shire have ei­ther won per­mis­sion to waive retroac­tive eli­gi­bil­ity or have a pend­ing re­quest with the CMS to do so.

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