Bill > HB2449

This bill introduces new requirements for Arizona's Medicaid program (AHCCCS) to enhance enrollment verification and modify presumptive eligibility processes. The bill mandates that AHCCCS establish data matching agreements with various state departments to regularly review and verify member eligibility, including checking lottery winnings, death records, unemployment benefits, employment status, income, and residency information. The administration is prohibited from accepting self-attestation without independent verification and must review eligibility when changes in circumstances are identified. Regarding presumptive eligibility, the bill seeks a waiver to limit such determinations to children and pregnant women, and establishes strict standards for hospitals making these determinations. Hospitals must notify AHCCCS of presumptive eligibility determinations within five working days, help applicants complete full applications, and provide clear notifications about coverage periods. The bill also introduces a progressive enforcement mechanism for hospitals that fail to meet these standards, including mandatory training and potential disqualification from making presumptive eligibility determinations. The provisions will become effective on December 31, 2025, giving the administration time to implement the new requirements and seek necessary federal waivers.

Budget and Finance, Government Affairs, Health and Social Services

https://apps.azleg.gov/BillStatus/BillOverview/82249