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Division of Business and Finance (DBF)
DBF is responsible for providing AHCCCS employees the resources they need to perform their jobs; paying managed care organizations, FFS providers, administrative vendors and AHCCCS employees; internal and external financial reporting; preparation and monitoring of the AHCCCS budget; approves and oversees all contractual activities for the agency; and supporting the Agency’s cost avoidance processes; and making post-payment recoveries from liable third parties.
The Budget unit directs the submission of the agency's annual administrative and programmatic budget to the Governor's Office of Strategic Planning and Budgeting and the Joint Legislative Budget Committee staff. The unit monitors programmatic and administrative expenditures and projects the status of agency funds throughout the year. Budget analysts and economists work directly with the agency divisions to ensure accurate planning and forecasting of expenditures. In addition, budget accountants maintain the agency’s cost allocation plan submitted to Centers for Medicare & Medicaid Services (CMS) for eligible Medicaid expenses.
The Procurement Office issues all solicitations for goods and services to carry out the agency’s mission, develops and approves all contractual documents, monitors contracts and agreements, oversees all purchase orders and activity in the online procurement system, and ensures compliance with procurement rules and regulations for the agency.
The Finance Unit consists of 37 full-time, highly engaged and motivated staff all working together to process nearly $15.0 billion in annual payment transactions. The various teams are responsible for accounting operations including preparing annual audited financial statements, quarterly and annual Federal financial expenditure and annual and monthly State financial reporting. The Financial Reporting Unit efforts are assisted by a dynamic data warehouse system and payment transactions are processed through automated operating systems at both the agency and statewide levels. The Operations units responsible for payments utilize the most sophisticated front-end split cost accounting processes of the enterprise accounting system and along with the other units, coordinate; process and reconcile various interfaces between agency payment, billing and receivable systems. All Finance units regularly engage the Arizona Management System to utilize results-driven standard work to obtain ultimate performance valuing continuous improvement through innovation. AHCCCS Finance challenges any other State Agency Finance Team to say they do more with less than AHCCCS DBF Finance.
Third Party Liability
TPL ensures agency compliance with state and federal third party liability requirements. It works with a TPL contractor to make post-payment recoveries from casualty, estate, TEFRA, workers’ compensation, trusts/annuities, restitution, commercial insurance, and credit balance audit recovery programs. It also manages the collection of members’ other health insurance information, which is used in the coordination of benefits with primary payers.
Manages and maintains the agency’s motor pool and oversees the maintenance of offices throughout the state. They also oversee the warehouse and security operations.