AHCCCS Released Draft CYE 2019 Differential Payment Adjustments / by AzHHA

Debbie Johnston, Senior Vice President of Policy Development 

The Arizona Health Care Cost Containment System (AHCCCS) has posted proposed CYE 2019 Differential Payment Adjustments, effective October 1, 2018, through September 30, 2019.

Under the proposal, hospitals will qualify for 0.5% rate increase by participating in the state’s health information exchange, or by increasing participation if certain information is not currently transmitted. Hospitals paid under the APR-DRG system can qualify for two additional adjustments:

  • A 0.5% increase if the hospital holds a Pediatric-Prepared Emergency Care certification
  • A 0.5% if the hospital collaborates with the AHCCCS Administration to improve care to American Indian/Alaska Native members by entering into a care coordination agreement with an IHS or Tribal 638 facility

The proposal also includes differential adjustments for other provider types, including physicians and integrated clinics. Comments on the proposal must be submitted to FFSRates@azahcccs.gov by 5:00 p.m. on April 16th.