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Advocacy
AZ State Capitol

 

Purpose

Per A.R.S. 36-2902.01 the AACIHC is established…to give tribal governments, tribal organizations and urban Indian health care organizations in this state, representation in shaping Medicaid and health care policies and laws that impact the populations they serve.

2024 Legislative Priorities & Updates

Every year, the Arizona Advisory Council on Indian Health Care (AACIHC) creates a legislative agenda comprising of priorities that will positively impact the Indian healthcare system. This year two legislative priorities are being advocated for and tracked, and one administrative priority has been identified. Ensure you stay updated with our weekly updates and by signing up on the Request to Speak (RTS) System.

2024 Legislative Priorities

Oral Health for Adults: Lifting Medicaid Caps for Tribal and Indian Health Services (IHS) Health Care Facilities

 

Support Solutions to Address Missing and Murdered Indigenous Peoples in Arizona

  • Multiple Bills to be Assigned

 

Currently Introduced MMIP Bills (more to come):

HB2597 - Adult Protective Services; Reporting; Records

HB2560 - Sober Living; Behavioral Health; Licensure

 

2024 Administrative Priorities

Continuous Glucose Monitoring (CGM) for Medicaid Members with Type 2 Diabetes

AHCCCS Pharmacy/OptumRx Prior Authorization Guide

Pharmacy Item of Interest: Continuous Glucose Monitors (CGMs)

Link:

Summary: Pages 357 to 364 list current AHCCCS prior authorization guidelines for Continuous Glucose Monitors (CGMs). CGMs are covered for both Type 1 and Type 2 Diabetics, so long as the criteria listed within the PA Guide for OptumRx is met. While there is no requirement for CGMs to be covered by Medicaid agencies nationally, AHCCCS has implemented coverage under certain circumstances, as outlined in the PA guide.

  • Guidelines apply to both Fee-for-Service (FFS) populations and Managed Care Organizations (MCOs) / AHCCCS Complete Care (ACC) Health Plans.
  • Please note that ACC Health Plans will have separate PA submission requirements, and may, in some cases, have more relaxed PA requirements. However, MCOs are not permitted to have more restrictive PA requirements than FFS programs in the same state, so they will not have more restrictive PA requirements.