AHCCCS; enrollment verification; presumptive eligibility.

SB 1236 updates Arizona's AHCCCS (Medicaid) eligibility verification rules. It requires monthly checks of lottery/gambling winnings ($3,000+), death records, and residency via out-of-state card transactions, and quarterly reviews of tax records, employment, and income changes. The bill bans self-attestation for income/residency without verification and restricts temporary emergency coverage (presumptive eligibility) to only children and pregnant women - ending broader hospital-based temporary coverage. These changes directly affect AHCCCS members and hospitals providing emergency care, ensuring eligibility is verified through state data systems rather than applicant claims.