Arizona State and Local Government Documents Collection

This document provides information on the types of activities supported and the categories or characteristics of individuals served under the provisions of the Omnibus Budget Reconciliation Act of 1981, Public Law 97-35, Subtitle C - Block Grants for Social Services, which amends Title XX of the Social Security Act. The Arizona Department of Economic Security under the statutory provisions of the law administers the Arizona Social Services Block Grant Plan. The program period covered corresponds to the State Fiscal Year, which begins on July 1, and ends June 30. State Fiscal Year overlaps portions of previous Federal Fiscal Year, which runs from October 1 through September 30.

While the economic environment in Arizona has gradually improved, vulnerable individuals and families rely on the Department for life-saving protective services and essential economic support. The Department has made important improvements in how we deliver benefits, goods and services to vulnerable individuals and families. The Plan outlines several of these on-going improvement efforts including cost-saving process improvements, expanded community collaborations, enhanced transparency and increased accountability.

The Arizona State Legislature established the Department of Economic Security in 1972 by consolidating the authority, power, and duties of seven separate state entities, followed by an eighth in 1974. The intent was to provide an integrated approach to human services. On May 29, 2014, the Legislature established the Department of Child Safety, separate from the Department of Economic Security, to provide oversight, transparency, and independence for the state’s child welfare function.

The vision of the Arizona Department of Economic Security (DES) is for every child, adult and family in the State of Arizona to be safe and economically secure. The mission of the Department is to promote the safety, well-being and self-sufficiency of children, adults and families. The Department continues a strong commitment to working with all of Arizona’s 22 tribes. The DES Tribal Consultation Policy demonstrates a fundamental respect for tribal sovereignty and self-determination. DES commits to working in consultation with Tribal Nations to improve the quality, availability and accessibility of human services to children, youth, adults and elders. This report provides an overview of DES actions and activities related to tribal consultations (both formal and informal) conducted over the past state fiscal year to achieve these goals. Our process is one which jointly involves Tribal and Department leadership and staff.

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.