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Division of Behavioral Health Services

ADHS/DBHS Provider Manual: Table of Contents

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

Note: Information provided in PDF files, unless otherwise indicated.