MedicaidAdministrativeMedium impact
AHCCCS Seeks Public Comment on HCBS Needs Tool (HNT) and Extraordinary Care Review (ECR) Rulemaking
Arizona Medicaid - AHCCCS·AZ · Geriatrics, Pediatrics, Physical Therapy +1 more·Managed Care
We identified it
Sep 15, 2026
Summary
AHCCCS is seeking public comment (through October 12, 2026) on proposed exempt rulemaking that will strengthen the Home and Community Based Services (HCBS) Needs Tool assessment process and implement an Extraordinary Care Review (ECR) process for ALTCS members under age 18. The rulemaking will establish MCO obligations, require specialized ECR clinician training, and affect service hour determinations for pediatric long-term care members in Arizona.
Action Required
By October 12, 2026: Billing and clinical teams should monitor AHCCCS's proposed rules webpage for final rulemaking outcomes. Once final rules are published, the practice must: (1) Identify if any ALTCS members under age 18 are served; (2) Coordinate with MCOs to understand updated ECR process requirements and timelines; (3) Review MCO obligations regarding prior and post-implementation ECR procedures; (4) Plan staff training on person-centered service planning if ECR clinician involvement is required. No immediate billing system changes are needed during the public comment period, but ensure compliance review occurs before final rule implementation. Failure to comply with final ECR and assessment requirements could result in service authorization denials or claim rejections for affected ALTCS pediatric members.