AZ · Medicaid jurisdiction

Arizona Medicaid audit evidence

Review reports connected to Arizona Medicaid oversight, ordered by publication date.

Evidence register

3 reports

Published: Aug 2026
Jurisdiction: Arizona

Publishing agency: U.S. Department of Health and Human Services Office of Inspector General
Report ID: REPORT 180

Arizona Did Not Ensure That Selected Medicaid Managed Care Organizations Complied With Mental Health and Substance Use Disorder Parity Requirements Related to Prior Authorization

The State agency did not ensure that all selected MCOs conducted annual parity analyses and adequately oversight; as a result, parity compliance could not be confirmed, potentially delaying or obstructing MH/SUD treatment for Medicaid enrollees.

Findings: 2
Recommendations: 3

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Source status: Library record

Published: Jul 2026
Jurisdiction: Arizona

Publishing agency: Centers for Medicare and Medicaid Services
Report ID: REPORT 169

Arizona Medicaid Managed Care Medical Loss Ratio Audit

While the audit identified areas for improvement in reporting consistency and oversight, Arizona’s Medicaid Managed Care Plans demonstrated MLR performance above the federal minimum threshold during the audit period. Implementing the recommendations will improve data integrity…

Findings: 8
Recommendations: 10

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Source status: Original source

Published: Sep 29, 2022
Jurisdiction: Arizona

Publishing agency: Arizona Auditor General
Report ID: REPORT 110

Arizona Health Care Cost Containment System—Review of Selected Behavioral Health Services

AHCCCS did not ensure all peer specialists met qualification and supervision requirements; some peer specialists were not supervised, potentially jeopardizing the quality of peer support services. The agency should enhance oversight and monitoring of contracted health plans to…

Findings: 8
Recommendations: 1

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Source status: Original source