Update on Prior Quarter Elimination

Attention all Arizona Skilled Nursing Facilities – It has recently been announced by AHCCCS that the waiver of Retroactive Coverage will be effective July 1, 2019 for all AHCCCS members (except for children under the age of 19 and women who are pregnant, including post-partum).   This elimination could have a negative financial impact on… Read More

Elimination of Prior Quarter Coverage

  Attn: All Arizona Skilled Nursing Facilities: Centers for Medicare & Medicaid Services (CMS) has approved Arizona’s requests to amend its section 1115 demonstration project to eliminate the Prior Quarter Coverage for benefits. “Under this amendment, beginning no sooner than April 1, 2019, Arizona will test whether waiving retroactive coverage for certain groups of Medicaid… Read More

2019 ALTCS Eligibility Limits

Benefit Results is proud to provide education and support with all things benefit related!!!   Please find the newly released 2019 Eligibility Limits for the ALTCS ( Arizona’s Medicaid Program for those at right of nursing  home placement) program.   Any questions?  Please feel free to call us!  These eligibility limits can also be found… Read More

AHCCCS Public Comment Period

Prior Quarter Coverage Waiver Open for Public Comments AHCCCS seeks comments from members, families, stakeholders and the public PRIOR TO FEB. 25 on a request to waive the requirement to provide three months of retroactive coverage for new AHCCCS members. Limiting retroactive coverage to the beginning of the month of application is consistent with Arizona’s… Read More

2018 Arizona Eligibility Limits

     Every year there are changes to the eligibility standards for Medicaid (ALTCS is Arizona’s Medicaid for chronically ill and disabled).  These standards mirror the changes in the federal programs such as Social Security and Medicare.  Providing new ALTCS applicants correct and current information is crucial to the success of application approval as well… Read More

Top Reasons facilities see Medicaid Revenue Loss

Improperly managed Medicaid applications Share of Cost (Patient Liability) not being paid No secondary payer and no plan in place to secure one Limited staff time to manage this process until crisis or bad debt occurs Misunderstanding of Medicaid rules and regulations Not being able to discharge a resident due to funding challenges Poor coordination… Read More

Medicaid

Cost of care in a nursing home averages nationally to about $7500/month. Most families need assistance paying for this level of care. Medicaid is our country’s safety net that helps with these costs. Medicaid is part federal and part state mandated. This means that a person needing Medicaid must apply in the state in which… Read More