The Arizona Legislature established ADEQ as the state’s environmental regulatory agency under the Environmental Quality Act of 1986. Its mission is to protect and enhance public health and the environment in Arizona. The department achieves this mission by administering our state’s environmental laws and delegated federal programs to prevent pollution of our air, water and land, and to clean up such pollution when it occurs. The department’s organizational structure is composed of four programmatic divisions that fulfill our environmental protection mission in the areas of air quality, water quality, waste programs, and tank programs.

The Upper Hassayampa groundwater basin covers approximately 787 square miles within Maricopa and Yavapai counties and is located about 60 miles northwest of Phoenix. The basin is characterized by mid-elevation mountains and had an estimated population of 10,479 in 2000. The largest population center is the Town of Wickenburg. Other communities include Congress and Groom Creek. Low-intensity livestock grazing is the predominant land use and most ranches have limited acreages of irrigated pasture to raise additional animal feed. There are no surface water diversions or impoundments besides small stock ponds within the basin. Groundwater is the only source for public water supply, domestic, irrigation and industrial purposes. Public water supply uses the most groundwater in the basin.

The Aravaipa Canyon groundwater basin covers approximately 517 square miles in southeastern Arizona within Graham and Pinal counties. Largely undeveloped, the remote basin has an estimated 135 residents and includes the community of Klondyke. Low-intensity livestock grazing is the predominant land use although there are some irrigated fields and orchards along Aravaipa Creek. Historic mining activity resulted in the creation of the Klondyke Tailings Water Quality Assurance Revolving Fund site in 1998. Groundwater is used for all domestic purposes within the basin as well as most irrigation and stock water supplies. Irrigation uses the most groundwater in the basin.

An update to the Flagstaff Regional Plan 2030 (FRP30), to bring its Road Network Illustration (Map 25) into compliance with Arizona Revised Statute requirements and to resolve inconsistencies between Map 25 and parts of the Flagstaff City Code. This update does not alter the intent of FRP30; it is only concerned with correcting errors, removing legal vulnerability, and improving the readability of FRP30.

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.