Arizona Audit Finds AHCCCS Failed to Implement Parent Caregiver Payment Limits
A state audit found that Arizona's Medicaid agency (AHCCCS) has not implemented legally required payment limits for parents who serve as paid caregivers for their developmentally disabled children, more than a year after the regulations became law. Auditors estimate the delay has cost the state hundreds of millions of dollars as program costs continue to escalate. The audit flags ongoing failure to enforce standardized payment guardrails designed to control expenditures in the state's long-term services and supports program for individuals with developmental disabilities.
The audit exposes significant compliance and fiscal management failures in Arizona's LTSS program that likely invite federal oversight and could affect other states using parent-as-paid-caregiver models.
LTSS · Finance
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