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AHCCCS Update. Hospital Assessment & Litigation. Assessment Collaborating with stakeholders – model no negative system Assessed $75 m in FY 2014 - $233 m in FY 2015 FY 15 estimates - Will wait for several more data points – collaborate Litigation
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Hospital Assessment & Litigation Assessment • Collaborating with stakeholders – model no negative system • Assessed $75 m in FY 2014 - $233 m in FY 2015 • FY 15 estimates - Will wait for several more data points – collaborate Litigation • Lawsuit brought by 36 Republican Legislators • Won at Superior Court – Standing • Court of Appeals - 4-22-14 rules legislature has standing • November 6th – State Supreme Court oral arguments
Medicaid Restoration Reaching across Arizona to provide comprehensive quality health care for those in need
AHCCCS Enrollment Growth Reaching across Arizona to provide comprehensive quality health care for those in need
Prop 204 Adult Restoration Reaching across Arizona to provide comprehensive quality health care for those in need
AHCCCS Adult Expansion Reaching across Arizona to provide comprehensive quality health care for those in need
Prop 204 Parents Reaching across Arizona to provide comprehensive quality health care for those in need
Prop 204 Combined Populations Reaching across Arizona to provide comprehensive quality health care for those in need
Hospital Assessment Funding Levels • JLBC had estimated $204 m for FY 2015 • AHCCCS levied $233 m for FY 2015 • Current Estimate is $272 m for FY 2015 and $250 m for FY 2016 • Many variables-options • Enrollment • Health Plan Reconciliations • Payment Timing Reaching across Arizona to provide comprehensive quality health care for those in need
Budget Update • FY 14 State revenues were ($113) m below forecast – growth rate 2.8% • K-12 Superior Court ruling for $317 m in FY 2015 Reaching across Arizona to provide comprehensive quality health care for those in need
Budget Reduction Options • Eligibility – Freezes not an option – savings accrue to assessment • Optional Services – None left • Rate Reductions – • Administration – still one-third less staff Reaching across Arizona to provide comprehensive quality health care for those in need
AHCCCS Spending 2001-2015 Reaching across Arizona to provide comprehensive quality health care for those in need
General Fund for AHCCCS Programs Reaching across Arizona to provide comprehensive quality health care for those in need