AHCCCS Integration Projects

Overview

As part of Arizona's Medicaid Reform Plan, AHCCCS is reviewing opportunities to further integrate care for the following populations:

Children with special health care needs;
Individuals with Serious Mental Illness;
Members Enrolled in Both Medicare and Medicaid (Duals)

Children with Special Health Care Needs

AHCCCS is working with various stakeholders, including families who receive services from the Children’s Rehabilitative Services (CRS) program, to create a specialty health plan that would manage care for medical and CRS conditions. Click on the link below for additional information.

• Children with Special Health Care Needs

Individuals with Serious Mental Illness

AHCCCS is working with the Arizona Department of Health Services/ Division of Behavioral Health to explore the creation of a specialty Regional Behavioral Health Authority (RBHA) model with expanded responsibility for Medicaid members determined to have a Serious Mental Illness (SMI). The "Specialty RBHA with SMI Health Homes" model would be fully responsible for the delivery and payment of providing coordinated and integrated behavioral and physical health care through the use of SMI health homes.

For more information on the Specialty RBHA concept, along with background information on integration of care and how consumers and stakeholders can participate, click on the link below. AHCCCS will also post updates as information becomes available.

• ADHS/DBHS Website
• 2013 RFP Timeline (Tentative)

Individuals Covered By Both Medicare and Medicaid (Duals)

AHCCCS is working to increase alignment and improve service delivery for people covered by both Medicare and Medicaid. These individuals, commonly referred to as “duals,” are currently navigating multiple systems to receive care. More information is provided in the link below:

Individuals Covered By Both Medicare and Medicaid (Duals)

Coordination of Care Survey

June 1, 2012
AHCCCS is seeking input from physical and behavioral health care providers regarding care coordination for the non-Seriously Mentally Ill population. If you are a physical or behavioral health care provider, please take a moment to complete the following survey at the link below:

Coordination of Care Survey – 6/1/12

Please note that this survey was closed on August 6, 2012.