RBHAs
Contracted with Regional Behavioral Health Authorities — Mercy Care and Arizona Complete Health — for Title XIX and Non-Title XIX adults designated SMI.
Referrals
It Starts with a Phone Call
We are available 24 hours a day, 7 days a week to discuss your referral.
Plans We Work With
Insurance Company Contracts
Title XIX - Non-Title XIX - ALTCS - Private Pay
Mercy Care and Arizona Complete Health for Title XIX and Non-Title XIX adults designated SMI.
Mercy Care, UnitedHealthcare Optum and Health Choice Arizona for ALTCS members appropriate for Personal Care in a BHRF.
Blue Cross Blue Shield accepted as contracted.
Coverage
Lines of Service
We serve individuals from a wide variety of backgrounds and locations across Arizona.
ALTCS & Personal Care
Services for ALTCS members appropriate for Personal Care in a BHRF. All facilities hold additional Personal Care licenses.
ALTCS Plans
Contracts with Mercy Care, UnitedHealthcare (Optum) and Health Choice Arizona. Blue Cross Blue Shield accepted as contracted.
Process
Eligibility
A clinical team member reviews referral documents and schedules a screening with the individual (and guardian/advocate if applicable). When all parties agree, we conduct an initial screening to assess willingness and clinical appropriateness for treatment.
Admission
Admissions Checklist
If accepted, the following items are required upon admission or prior. Timing for the medical / nursing assessment and TB screening follows AAC Title 9, Chapter 10, Article 7 (R9-10-707 and R9-10-113). Court-ordered treatment and guardianship documents are required when applicable under ARS Title 36.
- Face sheet with correct contact information — PCP, payee, advocate, parents, guardian, emergency contacts, and other involved parties
- Photo identification and demographic / eligibility information
- AHCCCS eligibility verification — copy of card or printout (or other payer verification)
- Medical history and physical examination, or nursing assessment — completed within 30 days before admission or within 72 hours after admission (R9-10-707)
- If the physical or nursing assessment was completed before admission — an interval / progress note confirming accuracy within seven days after admission (R9-10-707)
- Evidence of freedom from infectious tuberculosis — before admission or within seven days after admission (R9-10-707 / R9-10-113); Alliance requests current negative TB documentation from within the last six months when available
- Current behavioral health / clinical assessment materials — presenting issue, behavioral health treatment history, substance use history, co-occurring disorders, and symptoms (supports the R9-10-707 behavioral health assessment)
- Part D / ISP — current signatures; less than six months old
- Part E / Comprehensive Assessment — current signatures; less than six months old
- Current medications, doctors’ orders / written prescriptions, and known allergies
- Current At-Risk / Crisis Plan — if applicable
- Advance directives / health care power of attorney — if applicable
- Copy of Court-Ordered Treatment paperwork — if applicable (ARS Title 36)
- Copy of guardianship / custody documentation — if applicable (ARS Title 36 / R9-10-707 legal history)
- Copy of probation and parole documentation — if applicable
- Copy of conditional release documentation — if applicable
- Criminal justice / pending litigation information — if applicable (R9-10-707)
- Copy of payee documentation and contact information — if applicable
- General consent for treatment — obtained before or at admission, except when receiving court-ordered evaluation or court-ordered treatment (R9-10-707)