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.

The objective of this study was to evaluate the effect of typical chemical winter maintenance practices on Arizona Department of Transportation pavements. A review of previous studies on the effect of deicing/anti‐icing chemicals did not yield definitive recommendations, especially for DIAICs typically used by ADOT. Researchers conducted a laboratory study evaluating the effects of magnesium chloride, potassium chloride, sodium chloride, and distilled water on eight different open‐graded rubber‐modified asphalt concrete mixes using the boiling test. All experimental factors were found to be statistically significant, and the researchers provide recommendations on which DIAICs should be used for different binder and aggregate types.

Land Use and Traffic Congestion is an investigation into the links among land use, travel behavior, and traffic congestion. Researchers focused on four transportation corridors in the Phoenix area: three older neighborhoods with relatively mixed, higher density land use, and one suburban area with lower density but high traffic volumes. The analysis suggested that the higher density corridors exhibited less congestion due to the greater mix of uses, shorter trip lengths, more travel by transit and non-motorized modes, and the presence of a secondary street grid system.

As part of the Long Term Pavement Performance (LTPP) Program, the Arizona Department of Transportation constructed eight Specific Pavement Studies 9 (SPS‐9) test sections on Interstate 10 near Phoenix is an overlay project and is accordingly given independent analysis and documentation in this report separate from Arizona SPS‐9B projects located on US 93, which were new construction and are documented in a separate report. The SPS‐9A project studied the effect of asphalt specification and mix designs on flexible pavements, specifically comparing Superpave binders with commonly used agency binders. Opened to traffic in 1995, the project was monitored at regular intervals until it was rehabilitated in 2005. Surface distress, profile, and deflection data collected throughout the life of the pavement were used to evaluate the performance of various flexible pavement design features, layer configurations, and thickness. This report documents the analyses conducted as well as practical findings and lessons learned that will be of interest to ADOT.

This study investigated whether highways acted as barriers to gene flow for pronghorn in northern Arizona. DNA samples from 132 pronghorn were analyzed using eight polymorphic microsatellite loci. Samples represented animals living on opposite sides of US Route 89 (US 89) and State Route 64 (SR 64). Two different modeling approaches indicated that both US 89 and SR 64, and to a lesser extent US Route 180 (US 180), acted as barriers to gene flow. The genetic structuring caused by highways, especially across US 89, is consistent with behavioral data that demonstrated pronghorn rarely cross this highway. This study found no evidence of inbreeding or reduced genetic variation in any of the populations examined, but those effects may take longer to appear. Based on these results, the researchers recommend future genetic monitoring of these populations or assessment of genetic variation across highways with larger traffic volumes or longer histories to determine whether the barrier effects documented here lead to loss of genetic diversity.