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Integrated CRS Contract – Update

This document provides an update on the Integrated CRS Contract as of May 16, 2012. It outlines major decisions to date regarding the inclusion of various populations and services, specifically American Indian children who will have multiple options under the contract. It highlights plans for AHCCCS to contract with one statewide contractor and allows CRS children to remain enrolled past their 21st birthday. Additionally, the timeline for stakeholder engagement, waiver amendment requests, RFP releases, and implementation details are discussed. Visit the AHCCCS website for ongoing updates.

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Integrated CRS Contract – Update

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  1. Integrated CRS Contract –Update May 16, 2012

  2. CRS Expenditures & EnrollmentFFY 10 *Enrollment is a proxy using MMs/12 Above data is not intended to be used for rate setting purposes. RFP data could differ from above due to timing of data extract

  3. Major Decisions To Date • Populations/services to be included under Integrated CRS contract: American Indian children will have multiple options

  4. Major Decisions To Date • AHCCCS intends to contract with one statewide Contractor – pending CMS approval(See Waiver Amendment Request on AHCCCS website at: http://www.azahcccs.gov/reporting/Downloads/Integration/CRS_WaiverProposal_4-18-12.pdf) • CRS children will have option to remain enrolled with Integrated CRS Contractor after 21st birthday • AHCCCS will be responsible for medical determinations for CRS eligibility

  5. Major Decisions To Date • Preserve the MSIC model • Expand provider network to deliver services throughout local communities • AHCCCS will seek statutory amendment to allow contract term of 5 years from current 4 • AHCCCS will promulgate Rule revision

  6. Timeline(Subject to Change) • September 2011: Commence stakeholder engagement • April 2012: Submit Waiver Amendment Request • November 2012: Release Acute Care RFP incorporating CRS Integrated Model • January 2013: Proposals Due • March 2013: Announce contract award • October 2013: Implement fully integrated CRS model

  7. AHCCCS Website • Watch the AHCCCS Website for updates on the Integrated CRS model at:http://www.azahcccs.gov/reporting/legislation/integration/CRS.aspx • And for updates on the Acute/CRS RFP at:http://www.azahcccs.gov/commercial/Purchasing/RFPInfo.aspx • Subscribe to an RSS Feed to keep up-to-date • Look later today for a stakeholder survey and provide feedback on policy issues of interest to entities considering bidding on Acute/CRS RFP

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