Business Finance

The Division of Business and Finance (DBF) supports AHCCCS by managing financial operations, budgeting, procurement, reimbursements, and third-party recoveries. Their work ensures that AHCCCS employees and providers are paid accurately and on time, and that the agency remains financially compliant and efficient.

DBF is organized into nine specialized units:

Administration

Handles internal operations like personnel, policies, and the DBF web presence.

Budget

Prepares and monitors the agency’s budget, tracks expenditures, and ensures fiscal alignment with state and federal guidelines.

Finance

Manages payments to providers and employees, oversees cash flow, audits, and premium collections.

Procurement

Develops and manages contracts, solicitations, and purchasing activities.

Third Party Liability (TPL)

Ensures recovery of costs from other insurers and manages estate recovery efforts.

Actuarial

Calculates capitation rates, performs financial impact analyses, and supports value-based purchasing strategies.

Reimbursement

Sets FFS rates, calculates hospital payments and assessments, and performs fiscal impact analyses.

Finance & Reinsurance

Reviews contractor financials and processes reinsurance payments.

VBP & Incentive

Manages provider incentive programs like Promoting Interoperability and Targeted Investments.