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Integrated CRS Contract – Update

Integrated CRS Contract – Update. May 16, 2012. CRS Expenditures & Enrollment FFY 10. *Enrollment is a proxy using MMs/12 Above data is not intended to be used for rate setting purposes. RFP data could differ from above due to timing of data extract. Major Decisions To Date.

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Integrated CRS Contract – Update

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  1. Integrated CRS Contract –Update May 16, 2012

  2. CRS Expenditures & EnrollmentFFY 10 *Enrollment is a proxy using MMs/12 Above data is not intended to be used for rate setting purposes. RFP data could differ from above due to timing of data extract

  3. Major Decisions To Date • Populations/services to be included under Integrated CRS contract: American Indian children will have multiple options

  4. Major Decisions To Date • AHCCCS intends to contract with one statewide Contractor – pending CMS approval(See Waiver Amendment Request on AHCCCS website at: http://www.azahcccs.gov/reporting/Downloads/Integration/CRS_WaiverProposal_4-18-12.pdf) • CRS children will have option to remain enrolled with Integrated CRS Contractor after 21st birthday • AHCCCS will be responsible for medical determinations for CRS eligibility

  5. Major Decisions To Date • Preserve the MSIC model • Expand provider network to deliver services throughout local communities • AHCCCS will seek statutory amendment to allow contract term of 5 years from current 4 • AHCCCS will promulgate Rule revision

  6. Timeline(Subject to Change) • September 2011: Commence stakeholder engagement • April 2012: Submit Waiver Amendment Request • November 2012: Release Acute Care RFP incorporating CRS Integrated Model • January 2013: Proposals Due • March 2013: Announce contract award • October 2013: Implement fully integrated CRS model

  7. AHCCCS Website • Watch the AHCCCS Website for updates on the Integrated CRS model at:http://www.azahcccs.gov/reporting/legislation/integration/CRS.aspx • And for updates on the Acute/CRS RFP at:http://www.azahcccs.gov/commercial/Purchasing/RFPInfo.aspx • Subscribe to an RSS Feed to keep up-to-date • Look later today for a stakeholder survey and provide feedback on policy issues of interest to entities considering bidding on Acute/CRS RFP

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