Arizona State and Local Government Documents Collection

There are two distinct components to the economic development activities described in ADOH’s LIHTC program details. The first component is activity that strengthens the economy. This is the quantifiable activity that is the subject of this report. The second component is community building activity which can be both quantitative and qualitative. This is an area that should be considered in the debate but which is not addressed within this report.

The Arizona Health Care Cost Containment System has provided home and community-based services to long-term care beneficiaries through a waiver from the Centers for Medicare and Medicaid Services since 1989. Through its Arizona Long Term Care System, AHCCCS provides comprehensive coverage for members residing in their own homes or approved alternative residential settings, such as assisted living facilities or group homes. Covered services include care such as home health nursing, attendant or personal care, and home-delivered meals. Members may designate a family member or friend to provide attendant care; after completion of training, these caregivers can be paid by AHCCCS.

The potential impact of diabetes on the Arizona Long Term Care System is of significant concern to AHCCCS. Based on this and previous studies conducted by AHCCCS, the prevalence of diabetes among ALTCS members is approximately 20 percent. With the number of Arizonans age 65 and older increasing 40 percent in the last decade, the proportion of ALTCS members with diabetes is likely to increase as well.

This report includes data on preventive health and chronic disease management services provided to members enrolled with nine publicly and privately operated managed care organizations, referred to as Contractors, that contract with AHCCCS to provide services under the AHCCCS ACUTE-care program. Performance measure results for services provided through the Department of Economic Security’s Division of Developmental Disabilities are reported in a separate section of the report. Results should be viewed as indicators of utilization of services, rather than absolute rates. These data allow AHCCCS and its Contractors to identify areas for improvement and implement interventions to increase the use of preventive and evidence based chronic disease management services.

The Arizona Health Care Cost Containment System (AHCCCS) is the State's Medicaid and KidsCare program offering the following behavioral health services: Title XIX (Medicaid) Acute and Long Term Care, Acute Care, Arizona Long Term Care Services (ALTCS), Federal Emergency Services Program (FESP), and Title XXI (KidsCare).

For more information concerning comprehensive medical services and additional information regarding behavioral health services refer to the AHCCCS Medical Policy Manual.

While virtually all children have contact with the health care system at some point, many problems may not be detected until children enter school. By offering low-income families and children access to health care and a regular point of contact, the AHCCCS program is uniquely positioned to provide high-quality, comprehensive preventive services that help assure the healthy development of children.

This report analyzes Contractor Performance Indicators in three perinatal areas: 1) Low Birth Weight Deliveries; 2) Prenatal Care in the First Trimester; 3) Initiation of Prenatal Care. The results of this analysis should be viewed as indicators of access to services, rather than absolute rates for how well AHCCCS and/or its Contractors provide care.

This report includes results for the measurement period from October 1, 2000, through September 30, 2001. Results of the indicators are reported in aggregate by urban (Maricopa and Pima counties) and rural areas, and by individual Contractors that provide services to Medicaid recipients.