Provider Resources
Arizona Complete Health provides the tools and support you need to deliver the best quality of care. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training.
Are you a Medicare Provider?
Find the Medicare Medical Necessity Criteria on the One Healthcare ID website.
Choosing Wisely
Arizona Complete Health is pleased to introduce the Choosing Wisely initiative. The American Board of Internal Medicine (ABIM) Foundation encourages practitioners and patients to "Choose Wisely." This initiative seeks to advance a national dialogue on avoiding unnecessary medical tests, treatments and procedures.
Please visit choosingwisely.org to download informational resources for your patients and clinicians to promote shared-decision making.
Additional Info
Schools and Behavioral Health Providers: The Benefits of Partnership
Children spend much of their day at school and what takes place within the school community has a tremendous impact on children. Ensuring a safe and healthy school environment is critical to student success. That healthy environment includes providing our schools with the tools and supports they need to address mental health issues, behavioral health needs and substance use concerns. Arizona is home to many outstanding providers that already support schools and students with behavioral health care services.
The Youth Engagement Specialist (YES) Program
The Youth Engagement Specialist (YES) program serves children in elementary, middle, and high schools throughout northern, central and southern Arizona. Arizona Complete Health-Complete Care Plan funds the YES program through Mental Health Block Grant dollars
Parents, teachers, and school staff can make referrals to the YES program by identifying qualifying students. An eligible student would be identified as needing behavioral health services to better function in school and in their community.
The following providers are utilizing the YES progam to deliver behavioral health services in schools:
- Casa de los Niños
- Community Partners of Southern Arizona
- COPE Community Services
- Horizon Health and Wellness
- Intermountain
- Pinal Hispanic Council
- Southwest Behavioral & Health Services
These providers work in over two hundred schools throughout Arizona in Cochise, Coconino, Mohave, Pima, Santa Cruz, Yavapai, and Yuma counties.
Available Funding for School-Based Services
When a child is referred to a behavioral health provider from a school, they may be eligible for Title 19/21 funding through AHCCCS. In addition, if the child is uninsured or underinsured they may be eligible for Non-Title 19 Medicaid funds (eligibility is determined by Solari). Schools can refer students to any behavioral health provider within the Arizona Complete Health-Complete Care Plan network of providers for counseling for anxiety, depression, social isolation, stress, behavioral issues, or any other mental health services. If the child is underinsured or uninsured families will not receive a bill for these services; they may be eligible for Non-Title 19 Medicaid funding.
Arizona Complete Health-Complete Care Plan Providers with both Title 19/21 and Non-Title 19/21 Funding:
- Casa de los Niños
- Caring Connections
- Community Health Associates
- Community Partners Integrated Healthcare Arizona
- COPE Community Services
- Clarvida
- Easter Seals Balke Foundation
- Horizon Health and Wellness
- Intermountain
- La Frontera
- South Easter Behavioral Health Services
- Pinal Hispanic Council
- Touchstone
- Change Point Integrated Health
- Encompass Health Services (Community Bridges Inc.)
- Little Colorado Behavioral Health Centers (Community Bridges Inc.)
- Mohave Mental Health Clinic
- Southwest Behavioral & Health Services
- Spectrum Healthcare
- The Guidance Center
- Polara Health
For more information
If a school, school district, or behavioral health provider would like more information on obtaining a behavioral health partnership in their community or if there are any questions about any of the programs above, please contact us.
You can also visit AHCCCS to find out more about Accessing Behavioral Services in Schools.
Arizona Health Care Cost Containment System is collaborating with Health Current for Arizona’s Health Information Exchange (HIE). The HIE connects electronic health record systems of providers, allowing the exchange of patient information.
Arizona Complete Health-Complete Care plan is requesting our providers to participate in this initiative and become part of the HIE.
What are the benefits for providers to participate in the HIE?
- Provides real-time access to critical patient data during the COVID-19 pandemic
- Improves coordination of care and transitions of care
- Saves time be eliminating calls anf axes to other providers
- Reduces costs and improves health outcomes
- Helps avoid costly mistakes and improves patient safety
Health Current HIE Services
Alerts
Notifications sent to designated clinicians or individuals based upon patient panel. A patient panel is a practice or payer provided list of patients members they wish to track. Alerts include:
- Inpatient Alerts
- Emergency Department Alerts
- Ambulatory Alerts
- Patient Centered Date Home Alerts
- Clinical Results Alerts
- COVID-19 Alerts
Direct Email
Secure email accounts that provide the means for registered users to exchange patient protected health information with other DirectTrust-certified email accounts. Direct Email is often used to receive Alerts.
Portal
Secure web-based access that allows selected patient data to be viewed online.
PMP Data
Access to Arizona’s controlled substance prescription monitoring program (PMP) database is available through the HIE Portal.
Data Exchange
Electronic interfaces between patient tracking systems and the HIE. Exchanges include Unidirectional and Bidirectional.
Clinical Summary
A comprehensive Continuity of Care Document containing up to 90 days of the patient’s most recent clinical and encounter information.
HIE Onboarding Program
Through funding available from the Arizona Health Care Cost Containment System (AHCCCS), Health Current offers the HIE Onboarding Program to support the participation of eligible AHCCCS hospitals and providers in statewide health information exchange (HIE).
The program provides an administrative offset in recognition of the costs the eligible HIE participant has incurred to complete bidirectional HIE connectivity. Due to limited funding, this program is available on a first come, first served basis.
The financial payments are as followed:
- Community Provider (1-25 providers) - $5,000
- Community Provider (26+ providers) - $10,000
- FQHC, FQHC Look-Alike & RHC - $10,000
- Hospital $20,000
For more information on Health Current HIE Services, visit www.healthcurrent.org
AAC evaluations and devices are covered services for all integrated AHCCCS members.
The process we follow is outlined below:
- When a provider determines an AAC evaluation is needed, the provider writes a referral/prescription for an AAC assessment to be performed by a speech language pathologist (SLP)
- We work with the provider to identify a SLP who will conduct the AAC evaluation. For help locating a SLP, please contact us at 1-888-788-4408 (TTY/TDD 711).
- The SLP completes the AAC evaluation and determines if an AAC device is needed
- If an AAC device is needed, the SLP submits a prior authorization request to us for the appropriate AAC Device
If approved SLP works with our contracted Durable Medical Equipment provider to provide you with the ACC and works with you and/or your family to schedule training on the device
Helpful Links
National Programs
- Social Security Administration
- Centers for Medicare & Medicaid Services
- Department of Health and Human Services
Arizona Programs
- Arizona Department of Child Safety
- Arizona Department of Economic Security
- Arizona Department of Health Services
- Arizona Health Care Cost Containment System (AHCCCS)
- Health-e-Arizona Plus
- Arizona 2-1-1 Assistance
- Arizona Women, Infants & Children (WIC)
- Arizona Early Intervention Program (AzEIP)
- AZ Links
- Arizona Suicide Prevention Coalition