Review cadence
- Source date
- 2026-07-16
- Claim review
- 2026-07-16 · 20/20
- Proven sweep
- 2026-07-15
- Target
- T2 · biweekly
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Arizona has 24 community health centers across 299 sites serving 814,560 patients — the #9 FQHC state by patients in the national-breadth layer. As an expansion state, Medicaid anchors the safety net, and H.R. 1 work requirements plus the December 2026 funding cliff are the key risks.
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We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
129,045 reported patients
Actual values: 12/12 · source-backed: 12/12
All 12 fields have an actual value.
Hash-pinned review: 2026-07-19 · next 2026-10-17
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-16 · addition
New tracked AZ development added to the state intelligence feed.
2026-07-16 · addition
New tracked AZ development added to the state intelligence feed.
2026-07-16 · addition
New tracked AZ development added to the state intelligence feed.
2026-07-16 · addition
New tracked AZ development added to the state intelligence feed.
2026-07-16 · addition
New tracked AZ development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this AZ record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
Send a correction or new source to improve this state page.
Arizona's 24 federally qualified community health centers operate nearly 240 sites and serve about 870,000 patients; AZCIR reported that 43% of their patients used AHCCCS and Medicaid paid 54% of health-center operations as of 2023. AHCCCS says H.R. 1 will require certain expansion adults to meet community-engagement and twice-yearly renewal rules beginning in January 2027, while specified humanitarian immigrant groups lose full AHCCCS or KidsCare coverage in October 2026. A September 2025 agency request estimated $71.4 million in FY2027 implementation costs, including $18.78 million from the state general fund if approved. The cited final-budget article confirms that Governor Hobbs signed an $18.3 billion FY2027 budget on June 13, 2026, but it does not identify the final AHCCCS implementation appropriation.
Patient-weighted across the 23 centers with UDS 2024 data.
Arizona Revised Statutes § 32-1601 defines a registered nurse practitioner's expanded specialty scope to include independent clinical decision-making, diagnosis, diagnostic and therapeutic procedures, and prescribing, administering and dispensing therapeutic measures after meeting Board of Nursing requirements. Prescribing and dispensing authority is separately contingent on Board approval and applicable state and federal requirements; authority remains specialty- and credential-specific rather than a blanket authorization to deliver every FQHC service.
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten Arizona's expansion population and FQHC Medicaid revenue.
Role implications
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Arizona ranks #9 by FQHC patients, with 24 organizations and 299 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
44.1% Medicaid/CHIP, 16.8% uninsured, and 0.1 points above the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
290 public ATS snapshot rows across 6 sources; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
Arizona combines 814,560 FQHC patients with full practice NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
AACHC, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
Arizona has 24 FQHC employers in the directory and 290 public ATS snapshot rows across 6 sources to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
290 live FQHC job postings in Arizona on the national board right now.29 include employer-posted pay.6 verified employer sources; newest review 2026-07-20.
The official Arizona Department of Economic Security / AZ Job Connection source was checked 2026-07-15, and the artifact contained 756 official rows. We publish only human-confirmed FQHC directory matches: 0 confirmed and 0 pending.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
Gov. Hobbs signed an $18.3B bipartisan budget with $14.4M for AHCCCS staff and systems required by the new federal Medicaid mandates.
AHCCCS requested more than $71M, so the appropriation funds only part of the eligibility and work-reporting build health centers will depend on.
Primary source · as of 2026-07-14
20 primary-sourced findings on Arizona FQHC policy and financing.Newest item: 2026-07-16
Directory-listed Sun Life Family Health Center Inc. says patients in Pinal and Maricopa counties can request same-day video or phone-chat telehealth, with posted hours of 8 a.m.–7 p.m. Monday–Friday and 8 a.m.–noon Saturday. The service page says most appointments occur soon after calling 520-381-0392 but explicitly allows for a short wait or callback; listed visit types include primary and sick care, pediatrics, urgent dental, OB/GYN, integrated behavioral health and chronic-condition management.
This is a standing access pathway observed July 16, not a documented launch or expansion. Same-day and “right away” language does not guarantee immediate treatment, an appointment, eligibility or availability of every service throughout every posted hour, and the pages report no visits, staffing or FTE, patient capacity, actual waits, costs, utilization or outcomes.
Directory-listed Circle the City says it serves people facing homelessness in Maricopa County through two 50-bed medical-respite programs for adults recovering from acute illness or injury, two outpatient clinics offering primary and preventive care through walk-in and scheduled appointments, mobile primary and preventive care throughout the county, and street medicine for unsheltered people.
Its hospital health navigator program connects patients to support during and after hospital discharge; Circle the City is the health-center operator, not a hospital. This is a standing service configuration observed July 16, not a documented launch or expansion.
The 100 respite spaces are medical-respite beds, not inpatient hospital beds or guaranteed availability, and the page reports no current occupancy, admissions, visits, staffing or FTE, service capacity, wait times, costs, utilization or outcomes.
NATIVE HEALTH's current NHW Community Health Center page lists its Phoenix location at 8800 North 22nd Avenue as open Monday through Friday, 8 a.m.–7 p.m., with medical walk-ins, virtual care until 7 p.m. and advertised same-day appointments. Emergency dental walk-ins are listed Monday through Friday, 8–10 a.m. and 1–3 p.m.; behavioral health operates 8 a.m.–6 p.m. with intake by appointment or walk-in.
The page also lists Health Start for pregnant women and mothers with children up to age two, Home Visiting for pregnant families or families with children through age five, and scheduled WIC access. These are current published services observed July 16, 2026, not guaranteed appointments, emergency response, program enrollment, completed home visits, complete staffing or FTE, capacity, utilization, wait-time change, funding or outcomes; emergencies are directed to 911 and users should confirm availability and eligibility.
Desert Senita's current dental page says its clinics in Ajo and Arizona City provide routine, emergency and restorative care. The operator welcomes emergency walk-ins, offers transportation assistance to and from appointments, and says it accepts all insurance plans and offers an income-based discount program for uninsured patients.
This is a current service-access observation dated July 16, 2026, not a launch or expansion date. The page does not publish dental hours or establish guaranteed immediate treatment, real-time slots, transportation eligibility, service area or scheduling, complete staffing or FTE, capacity, utilization, wait times, funding or outcomes; patients should confirm access and coverage.
AHCCCS told members on July 13 that Arizona work requirements were not yet in effect and that no action on the federal advertising was required at that time. The agency said it was reviewing federal guidance, developing Arizona-specific policies and support materials, and would begin an education campaign in September.
It asked members to keep their mailing address, phone number and email current and to watch for official AHCCCS and Department of Economic Security communications.
AHCCCS's current Rural Health Transformation Program page identifies a first-year federal award of nearly $167 million within a program running from December 2025 through October 2030. It lists community health centers among potential organizational recipients, sets an October 30, 2026 target for committing Year 1 funds, advertises regional public meetings on July 27, 30 and 31, and lists an opioid-antagonist distribution solicitation released July 10.
The current page does not list a $25 million infrastructure-grant round.
Governor Katie Hobbs signed Arizona's $18.3 billion FY2027 budget on June 13, 2026 after the package won broad bipartisan support. The cited article reports $1.4 billion in tax cuts over three years, no state tax on tips and overtime beginning July 1, a three-year pause on new data-center tax-break certificates, and negotiated agency reductions of 2.5% rather than the earlier proposed 5%.
The article does not itemize a final AHCCCS H.R. 1 implementation appropriation.
AHCCCS says that beginning in October 2026 H.R. 1 limits full Medicaid eligibility to lawful permanent residents, certain Cuban and Haitian entrants, and people from Compact of Free Association nations.
Refugees, asylees and other humanitarian groups that previously qualified for full coverage will qualify only for emergency services, and AHCCCS says it will notify affected members. AHCCCS does not publish an affected-member total or an FQHC-specific payer-mix estimate on this page.
CMS published interim final rule CMS-2454-IFC on June 3, 2026. The rule is effective July 31, comments are due that day, and states covering the applicable adult group generally must implement community engagement no later than January 1, 2027.
It defines qualifying work, education and community-service pathways totaling at least 80 hours in a month, along with exclusions, exceptions, verification, notice and reporting requirements. The rule does not describe an Arizona waiver-reuse plan or publish an Arizona health-center patient estimate.
AHCCCS says that starting in January 2027 certain Medicaid expansion adults must complete 80 hours a month of qualifying activity or earn at least $580 for the month, and the same population must renew coverage twice a year instead of annually. The page lists exemptions for children, adults 65 and older, people with disabilities, Tribal members and other groups, and says AHCCCS will contact members if the requirements apply to them.
AHCCCS says certain immigrants will no longer qualify for full AHCCCS or KidsCare beginning in October 2026. Full eligibility is limited to lawful permanent residents, certain Cuban and Haitian entrants, and people from Compact of Free Association nations; refugees, asylees and other humanitarian groups will qualify only for emergency services.
Federal payments for Federal Emergency Services will also be lowered, shifting additional cost to Arizona. The source does not quantify an FQHC-specific financial effect.
Cronkite News reported that the exact Arizona population affected by new federal Medicaid provisions remained unsettled in May 2026. In a statement, AHCCCS said compliance requires policy, operational and system changes, including revised eligibility and renewal rules, verification logic, reporting and audit capabilities.
The article also describes an AHCCCS modernization effort focused on claims processing, data protection and system reliability; it publishes no implementation-budget or FQHC revenue amount.
KJZZ reports that Public Citizen classified eight Arizona hospitals as at risk using two years of net profit and the share of payer mix dependent on Medicaid and other government programs. Six are in the Phoenix metropolitan area, and the list also includes Carondelet St. Mary's in Tucson and Exceptional Community Hospital in Bullhead City.
Valleywise and HonorHealth said they were monitoring federal-policy effects and planning for sustainability. KJZZ does not attribute a specific FQHC referral effect to the modeled risk list.
The cited April 5 report says El Rio Health acquired most assets of bankrupt North Country HealthCare and assumed care at 12 remaining clinics in 10 northern Arizona communities, all renamed Elk Ridge Community Health. El Rio appointed David Rogers as on-site executive leader and offered employment to about 99% of the remaining workforce.
The clinics expected to complete their new records-system transition by April 6; the former organization served about 50,000 patients. The report describes continuity, staffing and pharmacy-transition challenges without assigning a cause to the bankruptcy.
The Arizona Legislature's current bill record identifies HB 2965 as a proposal to govern 340B-drug distribution. It was introduced January 28, received first and second readings on February 4 and 5, and was assigned to the House Health and Human Services and Rules committees.
The official final disposition is “Held in Committees,” with no committee action or vote recorded, so the proposal did not become law.
Chiricahua Community Health Centers officially opened its permanent Willcox Clinic on January 6, 2026, after serving the area through mobile medical and dental clinics since 2003. The new fixed site provides primary care for patients of all ages from Willcox and surrounding communities including Cochise, Bowie, San Simon and Sunsites.
Chiricahua says HRSA funding supported the property purchase, the Del E. Webb Foundation supported construction and development, and the Arizona Community Foundation and other philanthropic partners supported medical equipment. The 1,693 adults and more than 3,000 visits cited for 2024 describe the prior mobile-clinic baseline, not post-opening fixed-site volume.
The source does not establish that mobile service ended or quantify the new clinic’s staffing, hours, square footage, appointment capacity, operating cost, patients served or outcomes.
AZCIR reported that Arizona's 24 federally qualified community health centers operated nearly 240 sites and served about 870,000 patients; 43% of patients had AHCCCS coverage. Medicaid generated more than $700 million annually, about two-thirds of patient revenue, and paid 54% of total operations as of 2023.
The article cited a projection that more than 300,000 Arizonans may ultimately lose coverage and reported that roughly 40% of health centers are outside metropolitan areas. An Arizona Alliance official estimated that a one-percentage-point Medicaid coverage drop paired with uncompensated care could produce a $1 million annual shortfall across clinics.
Arizona Capitol Times reported that AHCCCS's agency request estimated $71.4 million in FY2027 costs to implement H.R. 1 Medicaid changes, including $18.78 million from the state general fund if the request were approved.
AHCCCS also requested 92 full-time-equivalent positions and estimated another $5.3 million in FY2028, including $1.6 million from the general fund. These figures were agency requests, not enacted appropriations.
Adelante Healthcare announced that its Central Phoenix–Roosevelt health center had opened on the Arizona Center for the Blind and Visually Impaired campus and was booking Family Medicine and Behavioral Health appointments for ACBVI clients and patients throughout Maricopa County. Adelante also reported that its Peoria behavioral-health expansion was open with 14 private rooms for individual or couples therapy; both locations were accepting new patients.
A play-therapy room for children ages six and older and a donation closet were still described as coming soon. The source does not provide the Roosevelt opening day, staffing or FTEs, appointment or patient volume, wait times, construction cost or measured outcomes.
Fourteen rooms are physical infrastructure, not proof of 14 clinicians or 14 simultaneous appointments.
The cited Arizona House summary describes a 2025 strike-everything amendment to HB 2926, not enacted law. The proposal would have required AHCCCS to discontinue expansion eligibility for adults above 100% through 133% of the federal poverty level if the enhanced federal match fell below 90% instead of the then-current 80% threshold.
It also proposed work, improper-payment, lifetime-limit, renewal and presumptive-eligibility conditions. The bill was held pending House floor action and did not change Arizona's statutory threshold.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center Inc. Tucson | 129,045 | 18 | 10.79% | $272M | Strong | AZ-06 |
| Mountain Park Health Center Phoenix | 113,662 | 15 | 15.95% | $157M | Watch | AZ-03 |
| Maricopa County Special Health Care District Phoenix | 89,692 | 13 | 32.41% | — | Stable | AZ-03 |
| Adelante Healthcare Inc. Phoenix | 87,010 | 15 | 15.6% | $119M | Stable | AZ-03 |
| Marana Health Center, Inc. Marana | 57,349 | 13 | 17.83% | $89M | Strong | AZ-06 |
| Sun Life Family Health Center Inc. Casa Grande | 50,481 | 11 | 12.55% | $66M | Stable | AZ-06 |
| Neighborhood Outreach Access to Health Phoenix | 47,050 | 8 | 17.95% | $65M | Stable | AZ-01 |
| Chiricahua Community Health Centers Inc. Elfrida | 35,829 | 36 | 23.95% | $56M | Stable | AZ-06 |
| Terros Inc. Phoenix | 30,527 | 15 | 9.84% | $96M | Stable | AZ-03 |
| Sunset Community Health Center, Inc. Somerton | 29,024 | 10 | 8.96% | $47M | Stable | AZ-07 |
1 hospital/university/county-operated: 1 county.
| District | Representative | Sites |
|---|---|---|
| AZ-07 | Adelita S. Grijalva | 71 |
| AZ-03 | Yassamin Ansari | 66 |
| AZ-06 | Juan Ciscomani | 56 |
| AZ-02 | Elijah Crane | 39 |
| AZ-09 | Paul A. Gosar | 20 |
| AZ-04 | Greg Stanton | 14 |
Arizona ranks #9 by FQHC patients and #22 by organization count among the 57 national-breadth jurisdictions. All 24 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are Arizona-only. Updated 2026-06-30.