Molina Healthcare of Arizona, Inc. at Arizona Health Care Cost Containment System

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This Medicare Advantage Organization Agreement, effective from January 1, 2026, to December 31, 2026, is between the Arizona Health Care Cost Containment System (AHCCCS) and Health Choice Arizona, Inc. (MAO). Its purpose is to coordinate care for 'Full Benefit Dual Eligible Members' in Arizona, who are enrolled in Medicare and receive Medicaid assistance. The agreement outlines MAO's responsibilities for integrating and coordinating Medicare and Medicaid benefits, financial reporting, compliance with state and federal regulations, and participation in various initiatives to improve care and health outcomes for dual-eligible beneficiaries, funded through monthly capitated rates.

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This agreement is between the Arizona Health Care Cost Containment System (AHCCCS) and Mercy Care, operating as a Medicare Advantage Organization (MAO). Its purpose is to coordinate care for "Full Benefit Dual Eligible Members" in Arizona, who are eligible for both Medicare and Medicaid. The agreement details MAO responsibilities for care coordination, Medicaid benefits coverage, cost-sharing protections, information sharing, financial standards, marketing, grievances, member transitions, Medicare Star Ratings, and requirements for Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs) and Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs). The term of the agreement is from January 1, 2026, to December 31, 2026.

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This document is a status report, dated January 2, 2026, from AHCCCS (Arizona Health Care Cost Containment System) to Arizona legislative leaders concerning its intergovernmental agreement with the State of Hawaii's Med-QUEST Division/Department of Human Services. The report details financial and operational activities for State Fiscal Year 2025 related to data processing using AHCCCS's Prepaid Medicaid Management Information System (PMMIS). Key activities include ongoing operations and maintenance support for Hawaii's PMMIS and Data Warehouse, implementation of MACBIS, development of a MES Roadmap, and a significant MES Modernization project (mainframe refactoring) with an anticipated 30-month timeline from an August start. The report highlights cost and knowledge sharing benefits from this joint venture and includes financial summaries for HAPA Savings (Fund 2439) and ISA #3 (Fund 2442) for SFY 2025.

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This Medicare Advantage Organization (MAO) Agreement between AHCCCS and Bridgeway Health Solutions of Arizona, Inc. outlines the coordination of care for Full Benefit Dual Eligible Members in Arizona. The agreement details program requirements, including MAO responsibilities for coordinating Medicare and Medicaid benefits, financial standards, marketing, grievances, member transition, and Medicare Star Ratings. It also specifies requirements for Highly Integrated Dual Eligible Special Needs Plan (HIDE SNP) and Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP) statuses, and lists covered services. The contract is effective from January 1, 2026, to December 31, 2026.