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.

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.

This document embraces two components. First, a Conservation Assessment describes the current status of the jaguar in the United States, and identifies and assesses risks to the jaguar in Arizona and New Mexico. The Assessment focuses the second component, the Conservation Strategy, on reducing or eliminating these threats in Arizona and New Mexico, which might allow for expansion of the range currently occupied by the Arizona subspecies, and thus contribute to promoting recovery of the species.
Information in this document comes primarily from the state level, an approach that considers regional variation and provides a complete habitat and species assessment.

In March 1997, the Arizona Game and Fish Department and New Mexico Department of Game and Fish entered into a Conservation Agreement with other state, local, and federal cooperators, with voluntary participation by many private individuals, to conserve the jaguar (Panthera onca) along borderlands of Arizona and New Mexico and to stimulate parallel efforts in Mexico. The agencies believed that if strong partnerships could be developed under this approach, it would be a significant step forward in bringing local governments, private landowners, and nongovernmental organizations directly into jaguar management.

The southwestern United States and Sonora, Mexico are the extreme northern limits of the jaguar’s (Panthera onca) range, which primarily extends from central Mexico south through Central and South America to northern Argentina. Recently, the jaguar ranged as far north as Arizona, New Mexico, and Texas. Over the last century, the jaguar’s range has been reduced to approximately 46% of its historic range due to hunting pressure and habitat loss. The greatest loss of occupied range has occurred in the southern United States, northern Mexico, northern Brazil, and southern Argentina. Since 1900, jaguars have been documented occasionally in the southwestern United States, but the number of sightings per decade has declined over the last 100 years with only 4 verified sightings between 1970 and 2000. The objectives of our analysis were twofold: (1) characterize potential jaguar habitat in Arizona from historic sighting records, and (2) create a statewide habitat suitability map.

This is the sixth annual assessment of influenza immunizations and pneumococcal vaccinations. This report analyzes Arizona Long Term Care System (ALTCS) Contractor performance.

Results of this study were based on measurements of a select group of members who were continuously enrolled from September 1, 2001, through April 30, 2002. The results did not include members who were not eligible to receive Medicare, those who received acute care services only, those who enrolled into ALTCS after December 1, 2001, or those who expired during the measurement period.

Results for the current measurement period are reported as relative changes from the previous measurement period, where applicable. The report also indicates whether this change is statistically significant, that is, whether the change is probably true and not merely due to chance.