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AOTI, INC. (AOTI): Arizona Medicaid reimbursement dispute

What is happening

AOTI, INC.: Arizona Medicaid reimbursement dispute – Treatment ceased; recovery actions ongoing; covenants revised. ['Treatment ceased; recovery actions ongoing; covenants revised']

In short
Since 30 March 2026 AOTI has stopped treating new Arizona Medicaid patients (from 1 April) over a reimbursement dispute, with $15.6m of receivables outstanding at end-2025. The interims say actions to obtain coverage policy and recover historical claims continue, timing is uncertain, and the Board is confident of collecting. In September the lender agreed revised revenue and EBITDA covenants. Ceasing new patients improved working capital.
Announced
30 Mar 2026 · Talks ongoing; new patient enrolment stops 1 April
Latest
30 Sep 2026 · Treatment ceased; recovery actions ongoing; covenants revised
Treatment
New Arizona Medicaid patients ceased from 1 April 2026
Receivables
$15.6m of $21.8m group receivables at 31 December 2025
Board view
Confident of collecting historical debt; timing uncertain
Lender
Runway (acquired SWK) agreed revised revenue and EBITDA covenants in September
Reported impact
Medicaid reported growth 2.4% against 21.5% underlying in H1 2026

What comes next

update on Arizona coverage policy and recovery of historical claims.

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