Division of Business and Finance (DBF)
The Division of Business and Finance (DBF) is responsible for providing all the resources that AHCCCS employees need to perform their jobs; paying managed care organizations, FFS providers, administrative vendors and AHCCCS employees; generating internal and external financial reports; preparing and monitoring the AHCCCS budget; approving and overseeing all contractual activities for the agency; 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. Budget accountants maintain the agency’s cost allocation plan which is submitted to the Centers for Medicare & Medicaid Services (CMS) for eligible Medicaid expenses.
The Procurement Office issues all solicitations for goods and services, 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 staff who process nearly $15.0 billion in annual payment transactions. Various teams are responsible for accounting operations, including preparing annual and monthly state and federal financial statements. The Financial Reporting Unit, assisted by a data warehouse system, processes payment transactions through automated operating systems at both the agency and statewide levels. The Operations Unit, uses sophisticated front-end split cost accounting processes and reconciles various interfaces between agency payment, billing, and receivable systems. All finance units use the Arizona Management System to track results-driven standard work and continually improve.
Third Party Liability
The Third Party Liability unit ensures agency compliance with state and federal third party liability requirements. With a TPL contractor, the unit makes 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.
The Facilities Unit manages and maintains the agency’s motor pool, oversees the office and warehouse maintenance, and manages security operations.