AzHHA Priority Bills Advance as Budget Work Continues by AzHHA

Greg Ensell, Vice President of Government Relations

Today marks the 67th day of legislative session. Yesterday, three of AzHHA’s priority bills passed the Senate Health and Human Service Committee with unanimous votes. The bills include proposals to: require insurers to credential physicians within 100 days; require insurers to cover urology, pain medicine and substance abuse services provided by telemedicine; and, codify in statute an exemption for Native Americans from certain requirements included in a section in the 1115 waiver application.

  • Physician credentialing - House Bill 2322 will help address the problem of significant delays in the process of insurers credentialing and loading new doctors into their billing systems. AzHHA helped craft and supported the bill. If passed, it will: require insurers to approve a physician’s credentials and load them into their billing system within 100 days; require insurers reimburse for services provided to their members retroactive to the date a physician’s credentials were approved; and, create a financial penalty for insurers when they exceed the time limits.
  • Telemedicine - As amended, House Bill 2042 will require insurers cover urology, pain medicine and substance abuse services provided through telemedicine.
  • Section 1115 wavier - House Bill 2228 will exclude American Indians or Alaska Natives eligible for AHCCCS services through the Indian Health Service or through a Tribal or Urban Indian Health Program from work requirements, lifetime limits on AHCCCS coverage, and cost-sharing requirements otherwise contained in a section 1115 waiver submitted by AHCCCS to CMS.


ADHS Files Final Opioid Rules by AzHHA

Debbie Johnston, Senior Vice President of Policy Development 

The Arizona Department of Health Services (ADHS) last week filed a Notice of Final Rulemaking on the opioid treatment and prescribing regulations. AzHHA is pleased that the final rule gives hospitals some additional flexibility in obtaining informed consent and when patients are transferred to different levels of care. ADHS is seeking an immediate effective date to the rule, but has signaled there will be a transition period to allow providers time to develop and implement policies and procedures. They will also provide technical assistance during this time period.

AzHHA will work with legal counsel to incorporate the new requirements into the 2018 Edition of the Consent and Health Information Resource Manual, which will be released this fall. Anyone interested in purchasing the manual should contact Whitney Jackson.

Webinar: The Group Subsidiary Model by AzHHA

Karen Fallquist, Education Coordinator

Registration is now open for the Webinar: A Win-Win Option in Hospital-Physician Integration: The Group Subsidiary Model, taking place on Wednesday, April 4th from 10:00am – 11:30am. Hospitals and physicians have struggled to find a mutually beneficial integration strategy that balances the goals and objectives of both parties. Most hospitals have resorted to traditional practice purchases and employment models, or contractual arrangements whereby the hospital simply purchases services from physicians through a professional services arrangement. These models rarely result in an alignment of strategies and often result in large economic losses for the hospital. This webinar will provide information about the GPS Model Structure and how it is different than traditional integration strategies. For more information and to register for this webinar, click here.

AzHHA APP Offers New Credentialing and Health Plan Enrollment Service by AzHHA

John Koeneke, Vice President of Business Development 

AzHHA is proud to announce its new affiliated partner 3WON, a credentialing verification organization. 3WON is an innovative firm that offers provider data management services to hospitals, physicians and payers. They focus on data integrity, update their data in near-real time and reduce the time it takes to get medical professionals credentialed and enrolled. If you would like more information about our new affiliated partner or would like to schedule a demo, please contact John Koeneke.

Point of Pride: Maricopa Ambulance by AzHHA

Maricopa Ambulance is leading the way in accident prevention for their new fleet of 14 ambulances. Recently our member announced that their ambulances are equipped with Safe Drive System’s unique RD-140 collision avoidance system. It is the only one available in the U.S. that incorporates both radar and cameras to prevent or reduce the severity of an accident by monitoring both the distance between you and the vehicle in front and how close your vehicle is to an unintended lane departure. The use if this technology will ensure that drivers, paramedics and patients will be protected on the road.