Reg,
To follow-up on our discussion from Friday, here are the specifics of the waiver conversation with Christina:
The waiver will create a new program called AHCCCS CARE, which stands for Choice, Accountability, Responsibility and Engagement. AHCCCS CARE will apply to all able bodied adults. AHCCCS estimates this to be between 250,000 and 350,000 members and touches all of the current eligibility categories, e.g. Proposition 204, Restoration, Expansion, and traditional Medicaid. Also, members in the GMH/SA group will be included but AHCCCS CARE will be optional for the SMI population. Some exclusions do exist for DD, ALTCS, KidsCare, and eligible caregivers.
Each member will have an HSA-like account, a “CARE account”, which will be funded …show more content…
If a member doesn’t meet these three criteria, they would still have to pay into the account but not have access to the money. If a member over 100% FPL doesn’t pay into the account, they will be removed from coverage for 6 months. Members participating in the CARE account will also have access to a suite of benefits not currently provided, like dental, chiropractic care, and …show more content…
The health plan has the best understanding of its medical spend and the Governor’s Office wants to provide each plan the flexibility to target cost centers. The AHCCCS Works program will be run by DES and will require each member to be actively looking for a job. The member will have to create an account, post a resume, and apply to jobs through the DES portal. The AHCCCS Works requirement will be waived if the member has a job, attends school or participates in a job training program. The requirement to have a job will include jobs less than 40 hours a
To follow-up on our discussion from Friday, here are the specifics of the waiver conversation with Christina:
The waiver will create a new program called AHCCCS CARE, which stands for Choice, Accountability, Responsibility and Engagement. AHCCCS CARE will apply to all able bodied adults. AHCCCS estimates this to be between 250,000 and 350,000 members and touches all of the current eligibility categories, e.g. Proposition 204, Restoration, Expansion, and traditional Medicaid. Also, members in the GMH/SA group will be included but AHCCCS CARE will be optional for the SMI population. Some exclusions do exist for DD, ALTCS, KidsCare, and eligible caregivers.
Each member will have an HSA-like account, a “CARE account”, which will be funded …show more content…
If a member doesn’t meet these three criteria, they would still have to pay into the account but not have access to the money. If a member over 100% FPL doesn’t pay into the account, they will be removed from coverage for 6 months. Members participating in the CARE account will also have access to a suite of benefits not currently provided, like dental, chiropractic care, and …show more content…
The health plan has the best understanding of its medical spend and the Governor’s Office wants to provide each plan the flexibility to target cost centers. The AHCCCS Works program will be run by DES and will require each member to be actively looking for a job. The member will have to create an account, post a resume, and apply to jobs through the DES portal. The AHCCCS Works requirement will be waived if the member has a job, attends school or participates in a job training program. The requirement to have a job will include jobs less than 40 hours a