| Section |
Effective Date |
| 1. 0 Scope |
| 1.0 |
Scope |
03/01/10 |
| 2.0 Introduction |
| 2.0 |
Introduction |
03/01/10 |
| 3.0 Clinical Operations |
| 3.1 |
Eligibility Screening for AHCCCS Health Insurance, Medicare Part D
Prescription Drug Coverage, and the Limited Income Subsidy Program |
05/04/10 |
| 3.2 |
Appointment Standards and Timeliness of Service |
09/01/11 |
| 3.3 |
Referral and Intake Process |
04/01/11 |
| 3.4 |
Co-payments |
02/01/11 |
| 3.5 |
Third Party Liability and Coordination of Benefits |
07/01/10 |
| 3.6 |
Member Handbooks |
09/01/11 |
| 3.7 |
Reserved |
|
| 3.8 |
Outreach, Engagement, Re-Engagement and Closure |
04/01/11 |
| 3.9 |
Assessment and Service Planning |
10/01/12 |
| 3.10 |
SMI Eligibility Determination |
07/01/05 |
| 3.11 |
General and Informed Consent to Treatment |
10/15/11 |
| 3.12 |
Advance Directives |
06/15/13 |
| 3.13 |
Covered Behavioral Health Services |
07/01/12 |
| 3.14 |
Securing Services and Prior Authorization |
08/01/07 |
| 3.15 |
Psychotropic Medication: Prescribing and Monitoring |
03/01/10 |
| 3.16 |
Medication List |
07/01/12 |
| 3.17 |
Transition of Persons |
01/15/10 |
| 3.18 |
Pre-Petition screening, Court-Ordered Evaluation and Court Ordered Treatment |
04/01/11 |
| 3.19 |
Special Populations |
04/01/11 |
| 3.20 |
Credentialing and Recredentialing |
10/01/12 |
| 3.21 |
Reserved |
|
| 3.22 |
Out-of-State Placements for Children and Young Adults |
12/01/11 |
| 3.23 |
Cultural Competence |
02/01/11 |
| 3.24 |
Reserved |
|
| 3.25 |
Crisis Intervention Services |
01/01/11 |
| 3.26 |
Housing for Individuals determined to have a Serious Mental Illness (SMI) |
03/01/13 |
| 3.27 |
Verification of U.S. Citizenship or Lawful Presence for Public Behavioral Health Benefits |
06/15/11 |
| 4.0 Communication and Care Coordination |
| 4.1 |
Disclosure of Behavioral Health Information |
12/01/10 |
| 4.2 |
Behavioral Health Medical Record Standards |
07/01/12 |
| 4.3 |
Coordination of Care with AHCCCS Health Plans, Primary Care Providers
and Medicare Providers |
06/15/11 |
| 4.4 |
Coordination of Care with Other Governmental Entities |
09/01/11 |
| 4.5 |
Partnerships with Families and Family-Run Organizations in the Children's Behavioral Health System |
11/15/10 |
| 5.0 Member Rights and Provider Claims Disputes |
| 5.1 |
Notice Requirements and Appeal Process for Title XIX and Title XXI
Eligible Persons |
07/01/12 |
| 5.2 |
Member Complaints |
10/15/12 |
| 5.3 |
Grievance and Requests for Investigations for Persons Determined to have
a Serious Mental Illness |
05/14/10 |
| 5.4 |
Special Assistance for Persons Determined to have a Serious Mental Illness |
12/01/10 |
| 5.5 |
Notice and Appeal Requirements (SMI and Non-SMI/Non-Title XIX/XXI) |
05/14/10 |
| 5.6 |
Provider Claims Disputes |
07/01/12 |
| 6.0 Data and Billing Requirements |
| 6.1 |
Submitting Tribal Fee-for-Service Claims to AHCCCS |
09/01/10 |
| 6.2 |
Submitting Claims and Encounters to the RBHA |
09/01/10 |
| 7.0 Reporting Requirements |
| 7.1 |
Fraud and Program Abuse Reporting |
06/15/10 |
| 7.2 |
Medical Institution Reporting for Medicare Part D |
12/01/10 |
| 7.3 |
Seclusion and Restraint Reporting |
09/15/09 |
| 7.4 |
Reporting of Incidents, Accidents and Deaths |
01/15/10 |
| 7.5 |
Enrollment, Disenrollment and Other Data Submission |
02/01/11 |
| 7.6 |
Duty to Report Abuse, Neglect or Exploitation |
06/15/11 |
| 7.7 |
Duty to Warn |
10/01/12 |
| 7.8 |
Reporting Discovered Violations of Immigration Status |
06/15/11 |
| 8.0 Periodic Audits and Surveys |
| 8.1 |
Encounter Validation Studies |
07/01/09 |
| 8.2 |
Reserved |
|
| 8.3 |
Behavioral Health Recipient Satisfaction Survey |
06/15/11 |
| 8.4 |
Performance Improvement Projects |
12/01/11 |
| 8.5 |
Medical Care Evaluation Studies |
10/15/12 |
| 9.0 Training and Development |
| 9.1 |
Training Requirements |
03/01/13 |
| 9.2 |
Peer Support/Recovery Support Training, Certification and Supervision Requirements |
10/01/12 |
| 10.0 T/RBHA Specific Requirements |
| 11.0 Definitions |
| 12.0 Fact Sheets (under construction) |
| 13.0 Forms and Attachments |
| 14.0 Index |
| 14.0 |
Index |
09/01/11 |