Division of Behavioral Health Services

ADHS/DBHS Provider Manual: Table of Contents

Section		Effective Date
1. 0 Scope
1.0	Scope	3/1/10
2.0 Introduction
2.0	Introduction	3/1/10
3.0 Clinical Operations
3.1	Eligibility Screening for AHCCCS Health Insurance, Medicare Part D Prescription Drug Coverage, and the Limited Income Subsidy Program	5/4/10
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	08/01/11
3.10	SMI Eligibility Determination	7/1/5
3.11	General and Informed Consent to Treatment	10/15/11
3.12	Advance Directives	12/01/11
3.13	Covered Behavioral Health Services	04/01/11
3.14	Securing Services and Prior Authorization	8/1/7
3.15	Psychotropic Medication: Prescribing and Monitoring	3/1/10
3.16	Medication Formularies	7/1/10
3.17	Transition of Persons	1/15/10
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	7/15/10
3.21	Service Package for Non-Title XIX/XXI Persons Determined to Have a Serious Mental Illness (SMI)	7/14/10
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)	01/01/11
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	7/15/10
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	04/01/11
5.2	Member Complaints	1/15/10
5.3	Grievance and Requests for Investigations for Persons Determined to have a Serious Mental Illness	5/14/10
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)	5/14/10
5.6	Provider Claims Disputes	9/15/9
6.0 Data and Billing Requirements
6.1	Submitting Tribal Fee-for-Service Claims to AHCCCS	9/1/10
6.2	Submitting Claims and Encounters to the RBHA	9/1/10
7.0 Reporting Requirements
7.1	Fraud and Program Abuse Reporting	12/01/10
7.2	Medical Institution Reporting for Medicare Part D	12/01/10
7.3	Seclusion and Restraint Reporting	9/15/9
7.4	Reporting of Incidents, Accidents and Deaths	1/15/10
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	3/1/10
7.8	Reporting Discovered Violations of Immigration Status	06/15/11
8.0 Periodic Audits and Surveys
8.1	Encounter Validation Studies	7/1/9
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	7/15/10
9.0 Training and Development
9.1	Training Requirements	7/15/10
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.