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ARIZONA HOUSE OF REPRESENTATIVES57th Legislature, 2nd Regular Session |
Senate: RAGE DP 6-0-1-0 | Third Read 24-6-0-0House: HHS DPA 11-0-0-1 |
SB 1164: ALTCS; providers; change of ownership
Sponsor: Senator Angius, LD 30
House Engrossed
Overview
Establishes change of ownership requirements for licensed skilled nursing facilities and assisted living facilities to continue processing claims for services rendered to members of the Arizona Long-Term Care System (ALTCS).
History
The Arizona Health Care Cost Containment System (AHCCCS) administers Arizona's Medicaid program and provides health care services to eligible low-income persons through a system of managed care and contracted providers. AHCCCS also administers the ALTCS, which provides long-term care services to eligible elderly individuals and persons with physical or developmental disabilities who require an institutional level of care. Covered services may include nursing facility services, home and community-based services and other long-term care supports necessary to meet a member's medical and personal care needs (A.R.S. §§ 36-2901, 36-2931, 36-2932).
A claim for an authorized service submitted by a licensed skilled nursing facility, an assisted living ALTCS provider, or a home and community-based ALTCS provider serving ALTCS members must be adjudicated by the program contractor within 30 calendar days of receipt. Any clean claim not paid within 30 calendar days accrues interest at a rate of 1% per month from the date of submission. Interest is calculated on a daily prorated basis and must be paid by the program contractor when the clean claim is submitted (A.R.S. § 36-2943).
1. Specifies that when a licensed skilled nursing or assisted living facility that is not in a suspension, termination or payment hold and has an active provider enrollment with the administration changes ownership, at the new facility owner’s request, AHCCCS and its program contractors must:
a. continue processing claims for services provided to ALTCS members; and
b. make payments under the previous owner’s AHCCCS number and subcontracts until the new owner completes enrollment and contracting. (Sec. 1)
2. Requires the new or current owner to provide a written notice to AHCCCS at least 60 days before a predicted change of ownership and provides AHCCCS must respond to all provider enrollment requests within 10 business days. (Sec. 1)
3. Makes technical changes. (Sec. 1)
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7. Initials AG SB 1164
8. 4/1/2026 Page 0 House Engrossed
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