AZ HB2796

AHCCCS must enter data matching agreements with the Department of Revenue to identify members with lottery or gambling winnings of $3,000 or more on a monthly basis, with failure to disclose considered a violation of eligibility terms.

The administration must conduct quarterly eligibility redeterminations for able-bodied adults (excluding American Indians and Alaska Natives) using tax records, unemployment benefits, and employment status information from state agencies.

Self-attestation of income, residency, age, household composition, or other health insurance coverage is prohibited without independent verification before enrollment.

AHCCCS must request a Section 1115 waiver to eliminate mandatory hospital presumptive eligibility and restrict presumptive eligibility to only children and pregnant women.

Qualified hospitals making presumptive eligibility determinations face a three-strike system: first violation triggers a warning, second requires mandatory staff training, and third permanently disqualifies the hospital from making such determinations.