Arizona Medicaid Income Eligibility 1 160% 140% 120%

Arizona Medicaid Income Eligibility 1 160% 140% 120%

Arizona Medicaid Income Eligibility 1 160% 140% 120% Funded Through Assessment 100% Funded Partially Through Tob. Tax and Tob. Settlement, Partially Through Assessment 80% Funded Through Tob. Tax and Tob. Settlement Funded Through State Funds 60% 40% 20% 0% Infants (0-1) Children (1-5) Children (6-18) Pregnant Women 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System Parents 2/ Aged or w/ disabilitiesChildless 3/ Adults

1 1/ Excluding ALTCS 2/ Under the Affordable Care Act (ACA), "Parents" with incomes between 100 and 138% qualify under the new "Adults" category, along with Childless Adults. Only those who are under age 65 and not eligible for Medicare qualify for the expansion. 3/ Individuals who have Medicare coverage do not qualify for expanded coverage under the ACA. Individuals with disabilities under age 65 may qualify for ACA expanded coverage in the new "Adults" category before they become eligible for Medicare. Reaching across Arizona to provide comprehensive quality health care for those in need Benefit Calculations Pulled FY 2011 IP and OP spend by hospital Prop 204 TANF Childless Adults TANF + CA between 19 and 64 w/o Medicare (to approximate Newly Eligibles) Total Spend converted to PMPM and adjusted for program changes, trended forward to State FY 14 and 15 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System 2

Reaching across Arizona to provide comprehensive quality health care for those in need Trend Analysis PMPM Trend from FFY11 to FFY14 IP OP FFY15 Trend IP OP Prop 204 TANF (8.82)% 2.38% 1.00% 3.00% Childless Adults (12.96)% 2.44% 1.00% 3.00% Newly Eligible (10.84)% 2.33% 1.00%

3.00% 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System 3 Reaching across Arizona to provide comprehensive quality health care for those in need Trend Analysis, ctd. Used budget assumptions for member months to apply monthly PMPM for: Prop 204 TANF CA Newly Eligibles Calculated estimated total IP & OP spend for FY 14 and FY 15 Applied per hospital proportions, by population 30 Years of Medicaid Innovation Our first care is your health care Arizona Health Care Cost Containment System 4 Reaching across Arizona to provide comprehensive quality health care for those in need

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