ahcccs-participating mental health and addiction care

Understanding AHCCCS Behavioral Health Services

Overview of AHCCCS Programs

The Arizona Health Care Cost Containment System (AHCCCS) offers a range of Behavioral Health Services as part of its coverage for members seeking mental health and addiction care. This program is integral to Arizona’s Medicaid system, which is valued at approximately $21 billion and serves over 2.2 million residents. The program operates under an integrated managed care model, allowing members to access both physical and behavioral health services through contracted health plans and a wide network of healthcare providers [1].

Most AHCCCS members utilize their chosen AHCCCS Complete Care plan to access behavioral health services, including the Regional Behavioral Health Agreements (ACC-RBHAs) and Tribal Regional Behavioral Health Authorities (TRBHAs), which became the primary providers of these services as of October 1, 2022.

Services Offered by AHCCCS

AHCCCS provides an extensive array of behavioral health services designed to address various mental health and substance use disorders. The covered services include:

Service Type Description
Day Programs Structured programming for individuals requiring ongoing support and treatment.
Crisis Services Immediate assistance for individuals experiencing mental health crises.
Inpatient Services Hospital-based care for severe mental health conditions requiring intensive treatment.
Rehabilitation Services Programs focused on restoring functional ability and quality of life.
Health Promotion Educational and preventive services aimed at improving overall community health.
Residential Behavioral Health Long-term facilities providing comprehensive care for individuals needing sustained help.
Support Services Community-based resources aimed at assisting with everyday needs and fostering recovery.
Treatment Services Various therapeutic options including individual and group therapy sessions.

AHCCCS aims to ensure quality services by issuing Health Plan Report Cards to monitor and maintain care standards [1].

If you are seeking integrated mental health and substance use disorder treatment, AHCCCS offers numerous programs and support to assist you. For more information on different programs available, you can refer to our guides on ahcccs-covered dual diagnosis program and insurance-verified integrated mental health rehab.

Accessing AHCCCS Covered Programs

If you are seeking integrated mental health and addiction care, understanding how to access AHCCCS covered programs is essential. The Arizona Health Care Cost Containment System (AHCCCS) offers a variety of services specifically designed for individuals with mental health and substance use disorders.

Eligibility and Requirements

To qualify for AHCCCS services, you must meet specific income and residency requirements. Generally, eligibility is determined based on the federal poverty level, which may vary depending on your household size. Below is a simplified guideline regarding eligibility for AHCCCS programs:

Household Size Income Limit (Monthly)
1 $1,073
2 $1,452
3 $1,831
4 $2,210
5 $2,589

For more detailed information, it’s recommended to check the official AHCCCS website. Once you’re aware of the requirements, you can explore what services align with your needs, including options under the ahcccs-covered dual diagnosis program.

Enrollment in AHCCCS

Enrolling in AHCCCS is your first step toward accessing essential behavioral health services. You can complete the enrollment process online, by phone, or in person.

  1. Online Enrollment: You can begin your enrollment by visiting the AHCCCS website and submitting an application through the Health-e-Arizona Plus Portal.

  2. Phone Enrollment: You can also call the AHCCCS helpline for assistance with the enrollment process at 1-855-432-7587.

  3. In-Person Enrollment: You may visit your local AHCCCS office for personalized assistance in completing your application.

Once enrolled, members generally receive all behavioral health services through their selected AHCCCS Complete Care plan. It is important to frequently check for updates on eligibility criteria and processes as regulations can change. You can learn more about the related programs by visiting our resources on bcbs in-network co-occurring disorder treatment, tricare dual diagnosis treatment center, and other insurance options.

By ensuring you meet the eligibility requirements and completing the enrollment process, you gain access to crucial mental health and addiction support through AHCCCS.

AHCCCS Behavioral Health Care Providers

Accessing quality care is essential for individuals dealing with dual diagnosis treatment. AHCCCS offers a range of behavioral health services through a network of participating care providers. Understanding these networks and how to find in-network providers can help ensure you receive the support you need.

Provider Networks and Benefits

AHCCCS incorporates various networks of behavioral health care providers dedicated to the treatment of mental health and addiction issues. These networks include a variety of treatment options and services, allowing you to choose the level of care that best suits your needs. Benefits of being part of the AHCCCS network include:

  • Access to comprehensive behavioral health services, including inpatient and outpatient treatment.
  • Availability of specialized programs for co-occurring disorders, ensuring integrated care for mental health and substance use disorders.
  • Supportive housing programs to assist in the recovery process.
Service Type Description
Inpatient Services 24/7 medical and therapeutic treatment
Outpatient Rehabilitation Structured programs for recovery without full day attendance
Crisis Services Immediate support for urgent situations
Day Programs Structured activities and therapy sessions
Support Services Assistance and resources for ongoing care

AHCCCS ensures members can access a broad spectrum of behavioral health services, showing a commitment to both mental health and addiction care needs. For more information, you can explore the details provided in the AHCCCS Provider Listings.

Finding In-Network Providers

Locating in-network providers is vital for maximizing your insurance benefits. To find an AHCCCS-participating mental health and addiction care provider, you can follow these steps:

  1. Visit the AHCCCS Provider Listings: This online resource provides a comprehensive list of behavioral health providers participating in AHCCCS programs. Access it here.

  2. Search by Location and Specialty: Use filters to narrow down your search based on your needs and location. This will help you find providers that specialize in dual diagnosis treatment or other specific care requirements.

  3. Check Insurance Compatibility: Ensure the provider accepts AHCCCS, Medicaid, BCBS, or other insurance options relevant to your coverage. This will help you avoid unexpected out-of-pocket costs.

  4. Contact the Provider Directly: Reach out to inquire about their services, availability, and whether they are accepting new patients.

By utilizing these resources, you can connect with in-network co-occurring disorder care providers that align with your treatment goals. Getting the right support is essential for making progress in your recovery journey.

Crisis Services and Immediate Assistance

In moments of crisis, immediate support is available for those experiencing mental health and substance use challenges. Understanding how to access these services can make all the difference.

Crisis Response Vendor Information

As of October 1, 2022, Arizona has implemented a single crisis response vendor that operates statewide. This system is designed to streamline access to crisis services for all individuals, including those covered by AHCCCS-participating mental health and addiction care. Existing crisis phone numbers will remain operational for at least one year, ensuring continuity of support.

For immediate assistance, you can call the national crisis hotline by dialing 988. This number connects you to trained professionals who can help manage crises related to mental health or substance use.

Service Description
Crisis Hotline Call 988 for immediate assistance. Available to all Arizonans, regardless of insurance.
Crisis Web Page Visit the Crisis web page for more resources and information.

How to Access Crisis Services

Accessing crisis services is straightforward. Individuals in distress can reach out directly to the crisis hotline at 988 for immediate help. If you prefer to learn more about the available services first, you can visit the Crisis web page.

If you are seeking specific resources or organizations that provide behavioral health services owned or operated by peers and family members, you can contact the Office of Individual and Family Affairs. They can provide guidance and support in locating these organizations. The contact information is as follows:

  • Email: oifa@azahcccs.gov
  • Phone: 1-800-654-8713

Utilizing these resources can enhance your understanding of what services are available and how to access them quickly and effectively. Whether you are in need of immediate crisis support or looking for integrated treatment options, knowing where to turn for help is essential.

AHCCCS Tribal/Regional Behavioral Health Authorities

Role of T/RBHAs

The Tribal/Regional Behavioral Health Authorities (T/RBHAs) play a critical role in delivering behavioral health services throughout Arizona. These organizations are responsible for managing and coordinating mental health and substance use treatment services for various groups, including American Indian populations. AHCCCS recognizes the unique needs of these communities and has tailored programs such as the Tribal Arizona Long Term Care System, American Indian Health Program, American Indian Medical Home, and American Indian Health Facilities to address them [1].

T/RBHAs facilitate access to vital behavioral health services and ensure that individuals receive appropriate support. They help connect you to resources like treatment programs for co-occurring disorders, including options that may be covered by AHCCCS, BCBS, and Medicaid. This integrated system aims to provide comprehensive care for those facing both mental health and substance use challenges.

Recent Changes and Updates

There have been significant updates regarding T/RBHAs, particularly as of October 1, 2022. A centralization effort led to the provision of crisis services across Arizona by a single crisis response vendor, enhancing the efficiency and effectiveness of these services. Previous crisis phone numbers will remain functional for at least one year, allowing for a smooth transition to the new system [2].

Furthermore, members in the North Geographic Service Area (GSA) have experienced changes aimed at improving service delivery and access to care. These adjustments seek to augment the support available for individuals with dual diagnosis and other mental health challenges, seeking integrated care through various insurers.

For further assistance or to explore behavioral health services, you can find organizations offering support operated by peers and family members by contacting the Office of Individual and Family Affairs at oifa@azahcccs.gov or by calling 1-800-654-8713. This resource focuses on enhancing community connection and support through shared experiences.

By staying informed about the T/RBHAs and their evolving roles, you can better understand the resources accessible to you and leverage AHCCCS-participating mental health and addiction care effectively. For more specific program information, consider reviewing options for AHCCCS-covered dual diagnosis programs and related services that best suit your needs.

AHCCCS Supportive Housing Program

Services Offered

The AHCCCS Supportive Housing Program (AHP) provides essential services aimed at improving the living conditions and overall well-being of individuals with behavioral health challenges. This program serves approximately 3,000 members across Arizona, focusing primarily on those designated with Serious Mental Illness (SMI). The key components of the AHP include:

  • Permanent Supportive Housing: Offers community-based housing options where individuals can reside with stability.
  • Supportive Services: Includes a range of supportive services that promote stability and enhance quality of life, funded by Medicaid and integrated through the managed care health plans’ provider network.

Housing under this program features renewable leases and subsidized rental units that comply with federal Housing Quality Standards. Participants contribute a maximum of 30% of their income towards rent, enabling individuals to secure affordable living arrangements while receiving the support they need.

Eligibility and Application Process

Eligibility for the AHCCCS Supportive Housing Program is determined by several factors, including the need for increased service utilization and receipt of specific behavioral health services, such as Assertive Community Treatment (ACT). The following are essential criteria for eligibility:

Criteria Description
Designation Individuals must have an SMI designation
Service Utilization Demonstrated need for crisis or emergency services
Behavioral Health Services Receipt of specific services like ACT

To apply, you should contact your AHCCCS case manager or local behavioral health agency, who will guide you through the process. It’s important to gather necessary documentation regarding your current housing situation, income level, and any relevant health records to facilitate a smooth application.

The program emphasizes the importance of supportive services within housing stability, with ongoing assessments to tailor services to your specific needs. For more details on qualified programs, refer to ahcccs-covered dual diagnosis program and related options like insurance-verified integrated mental health rehab.

References

  1. (AHCCCS)
  2. (AHCCCS)
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