Arizona Medicaid Spending On Attendant Care & Habilitation For Children With Developmental Disabilities Reached $615 Million, Up 696% Since 2019

Arizona Medicaid spending for attendant care and habilitation services for children with developmental disabilities reached nearly $615 million in fiscal year (FY) 2025, up 696% from approximately $77 million in FY 2019, according to a state-commissioned audit of Arizona's Parents as Paid Caregivers (PPCG) service delivery model. Between FY 2023 and FY 2025 alone, spending increased by nearly $371 million, or 152%.

The growth substantially outpaced spending across Arizona's broader Division of Developmental Disabilities (DDD) program. Total DDD program costs for children and adults with developmental disabilities increased 92% between FY 2019 and FY 2025, from approximately . . .