AHCCCS is committed to providing comprehensive, quality health care for children in foster/kinship/adoptive care. Foster children are eligible for medical and dental care, inpatient, outpatient, behavioral health, and other services through the Comprehensive Medical and Dental Program (CMDP) and the Regional Behavioral Health Authorities (RBHAs). Adoptive children are typically AHCCCS eligible and enroll in a health plan/RBHA or CRS similar to any Medicaid eligible child.
How to Access Services
Foster/kinship children are eligible for Medical and Dental services through the CMDP program. When the Department of Child Safety places a child into a foster care placement, the caregiver should receive the Notice to Provider form (FC-069) in the placement packet. This form can be used as a temporary ID card until a permanent card is provided. Use the member’s CMDP ID card or provide the member ID number to the provider to access medical and dental services.
Foster/kinship/adoptive children are eligible to receive behavioral health services through a RBHA. For children in foster/kinship care, the CMDP ID card has the phone number of the RBHA which will provide behavioral health services to each member. For adoptive children, the AHCCCS health plan ID card has the RBHA’s phone number. You can also use the map below to find your RBHA and its contact information.
Adoptive children follow the same enrollment process as other Medicaid eligible children. For physical health, adoptive parents choose from a range of health plans that cover all medical and dental services.
For more information about what benefits AHCCCS offers, see:
AHCCCS Programs and Covered Services
For a list of available health plans, see:
Available Health Plans
For behavioral health, children are assigned to a RBHA based on where they live; the RBHA manages the behavioral health benefits. (Go to the Behavioral Health Services section above for more information on how to access your behavioral health benefits.)
Adoptive children with special health care needs may be enrolled in Children’s Rehabilitative Services (CRS). (See Children’s Rehabilitative Services section above for more information.)
Foster/Kinship/Adoptive Family Rights and Information
Foster/kinship families can consent to most services. Arizona law (A.R.S. 8-514.05(C)) allows foster parents, group home staff, relatives or other people or agencies where a child is placed to give consent for (a) evaluation and treatment for emergency conditions that are not life threatening and (b) routine medical and dental procedures, including early periodic screening diagnosis and treatment services, and services by health care providers to relieve pain or treat symptoms of common childhood illnesses or conditions.
Children and youth who enter the child welfare system bring with them a unique set of behaviors, problems and issues that can arise from abuse, neglect and/or removal from their home. According to a national study by the Urban Institute, foster children had higher levels of emotional and behavior problems, more often had physical, learning, or mental health conditions that limited their psychosocial functioning, and were less engaged in school and more likely to have been expelled than children living with in parent care. This guide is intended for use by Arizona Department of Child Safety Specialists, licensed resource parents and The Department of Economic Security, Division of Children, Youth and Families (DES/DCYF) group home staff to provide information and tools to help improve their awareness of the use of psychotropic medication.
When children in foster/kinship/adoptive care are enrolled in Arizona’s behavioral health system, a Child and Family Team is developed. Each child is unique and has different needs. However, an overwhelming amount of information is discussed at the evaluation and medication monitoring appointments. It is important to be prepared and remember to ask questions during your appointment. Below is more information for caregivers and providers about preparing for a CFT appointment.
The Division of Behavioral Health Services (DBHS) and AHCCCS have been partners in an effort to improve care for Arizona’s foster/kinship/adoptive families receiving behavioral health services. Governor Ducey recommended formalizing the partnership by bringing DBHS and AHCCCS together. This administrative simplification does not change services foster children can receive, nor does it change how foster children receive services. It also will not disrupt the important services DBHS provides to foster/kinship/adoptive families. Instead, the merger is an opportunity to increase focus on whole-person health, reduce stigma, and enhance service delivery for all members. The merger will become effective July 1, 2016.
For more information, please see the presentation below regarding Governor Ducey’s administrative simplification initiative as presented in the Joint Health and Human Services Committee:
On March 24th, 2016 Governor Ducey signed Jacob’s Law, a crucial step forward in addressing the needs of foster/kinship/adoptive families in our system. AHCCCS is committed to simplify accessing needed behavioral health care services for children in foster care. Below are the first of many steps we are taking to help in this effort.
- Requiring all of the RBHAs and CRS to have a designated point of contact for all families involved in the DCS system
- Clarifying families can contact RBHAs, CRS or AHCCCS directly anytime for help scheduling an appointment or navigating the healthcare system
- Issuing a statement signed by AHCCCS Director Betlach and DCS Director McKay to clarify that foster parents can consent to behavioral health services for foster children in their care
- Requiring the RBHAs and CRS to form committees within their own organizations designed to create a pathway for regular communication and feedback from foster, adoptive and kinship families
- Enforcing greater access to care and encouraging families to report providers who indicate they are unable to provide timely access to covered behavioral health services
- Holding ongoing meetings to ensure we hear from stakeholders about how to improve the foster care system
As part of the requirements for obtaining inpatient assessment and/or treatment for a child in out-of-home care, DCS staff must receive specific written reports from the inpatient psychiatrist, psychologist, or physician. We respectfully request that you share a reminder with your providers of their requirements to complete the attached documents and the timelines in which policy and statute outlines.
These forms are designed to ensure the provider and DCS meet the statutory burden for the court to approve continued inpatient treatment for DCS youth (ARS 8-272 and 8-273).
The following forms need to be completed and returned to the assigned DCS Specialist at key points in the process:
Foster Care Specific Reports & Data
AHCCCS hired Mercer Government Human Services Consulting (Mercer) to perform an analysis on Home Care Training to Home Care Client (HCTC) also known as Therapeutic Foster Care.Therapeutic Foster Care/Home Care Training to Home Care Client - Analysis and Recommendations
AHCCCS hired Mercer Government Human Services Consulting (Mercer) to perform an analysis of implementing an integrated health plan for children in foster care. The analysis was designed to identify the operational and ongoing infrastructure requirements of an integrated health plan administered through the Arizona Department of Child Safety (DCS)/Comprehensive Medical and Dental Program (CMDP).AHCCCS Analysis of an Integrated Health Plan - Revised with ACO Model
Children involved with the foster care system have unique health care needs often characterized by significant risk of experiencing behavioral health conditions and concomitant chronic medical issues.
This report summarizes the recommendations of the state agency collaborative including data analyzed to arrive at these conclusions.
This section offers historical data regarding behavioral health service delivery for individuals in Department of Child Safety (DCS) custody.
- March 18, 2016
- April 15, 2016
- May 20, 2016
- June 17, 2016
- July 15, 2016
- December 5, 2016
If you have any questions or comments regarding services for foster/kinship/adoptive families you can contact AHCCCS via email at DCS@azahcccs.gov or by phone at 602-364-4558.