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Background on Arizona Expansion


Arizona will expand Medicaid.
Arizona is fully participating in Medicaid Expansion under provisions of the Affordable Care Act (ACA).

The ACA contained a provision expanding Medicaid in every state to 133% of the Federal Poverty Level (FPL) with no eligibility criteria. The Medicaid Expansion provision became optional for states after the Supreme Court's ruling on the Affordable Care Act (ACA).
The federal government pays for 100% of the cost of the expansion in a state for the first two years of the program. Funding levels reduce each year of the program until they reach 90%.
Recent Developments:
Below is a summary of Medicaid expansion developments in Arizona since the ACA’s passage:
  • Following the federal government's announcement that it will not provide funding for smaller, or 'leaner' versions of the Medicaid expansion, Governor Jan Brewer urged Arizona state lawmakers to move forward on her expansion proposal and the expansion was approved by the state legislature at the end of the 2013 legislative session.
  • Stakeholders and community members provided input before regular policymaking process. The ADOI sought to advise Governor Brewer throughout the legislative process.
  • Presentations and meetings have been held with stakeholders and community members. Several publications also indicate which options AHCCCS will and will not pursue but most options are still under study.
  • Governor Brewer also wrote to Director Gary Cohen and Secretary Sebelius to say that Arizona would not accept a plan selected by the federal government that violated the values of the people of Arizona.
  • Governor Brewer has approved the State Employee Benefit-United Healthcare EPO with pediatric dental and vision coverage supplemented by the Fed-VIP program. ADOI requested a study by Mercer to determine EHB requirements under the ACA, findings are published here-
  • Arizona  has received an 1115 Waiver to expand coverage for individuals not otherwise eligible for Medicaid up to 100% FPL.
  • AHCCCS has held a number of public meetings designed to engage stakeholders in the healthcare and business sectors and the community in general. The public has the opportunity to participate at the presentations, submit comments online, and were able to participate in a survey.
Additional Information: