A number of states have sought Section 1115 research and demonstration waiver authority to implement changes to eligibility and enrollment policies, benefit design, and cost-sharing requirements for low-income adults who are not eligible for Medicaid on the basis of disability.
This fact sheet summarizes the main design features of the Arizona waiver, including eligibility and enrollment policies, covered benefits, required premiums and cost sharing, and how services are delivered (i.e. by fee for service or managed care). The information in this issue brief is current as of October 2019. The Biden Administration has since granted the state a one-year extension of the AHCCCS demonstration, but did not extend the AHCCCS CARE program at the request of the state (CMS 2021). As a result, the policies described in this brief are no longer in effect, except the waiver of retroactive eligibility (described below).
