650 - Behavioral Health Provider Requirements for Assisting Individuals with Eligibility Verification and Screening/Application for Public Health Benefits Effective Date: XX/XX/XX Purpose This Policy applies to behavioral health providers. The purpose of this Policy is to ensure processes are in place to comply with A.R.S. §36-3408 (Eligibility for behavioral health for the provision of assistance to service system; screening process; required information) individuals requiring behavioral health services who are not currently Title XIX/XXI eligible/enrolled. Definitions Dual Eligible A member who is eligible for both Medicare and Medicaid. A system through which to apply for AHCCCS Health Health-e-Arizona PLUS Insurance, KidsCare, Nutrition Assistance and Cash (HEAPlus) Assistance benefits and to connect to the Federal Insurance Marketplace. Serious Mental Illness A designation as defined in A.R.S. §36-550 and determined in a person 18 years of age or older. (SMI) Policy Behavioral health providers are required to assist individuals with applying for Arizona Public Programs XIX/XXI, Medicare Savings Programs, Nutrition Assistance, and Cash Assistance), and Medicare Prescription Drug Program (Medicare Part D), including the Medicare Part D Help with Medicare Prescription Drug Plan Costs” low income “Extra subsidy program, as well as verification of U.S. citizenship/lawful presence prior to receiving Non-Title XIX/XXI covered behavioral health services, at the time of intake for behavioral health services. Refer also to AMPM Policy 580 for supporting documentation that may be needed during the behavioral health referral and intake process. Eligibility status is essential for identification of the types of behavioral health services an individual may be able to access. For individuals who are not currently Title XIX/XXI eligible, a financial and eligibility screening and application shall be completed to determine eligibility. Verification of an
650 - Behavioral Health Provider Requirements for Assisting Individuals with Eligibility Verification and Screening/Application for Public Health Benefits Effective Date: XX/XX/XX Purpose This Policy applies to behavioral health providers. The purpose of this Policy is to ensure processes are in place to comply with A.R.S. §36-3408 (Eligibility for behavioral health service system; screening process; required information) for the provision of assistance to individuals requiring behavioral health services who are not currently Title XIX/XXI eligible/enrolled. Definitions Dual Eligible A member who is eligible for both Medicare and Medicaid. Health-e-Arizona PLUS (HEAPlus) A system through which to apply for AHCCCS Health Insurance, KidsCare, Nutrition Assistance and Cash Assistance benefits and to connect to the Federal Insurance Marketplace. Serious Mental Illness (SMI) A designation as defined in A.R.S. §36-550 and determined in a person 18 years of age or older. Policy Behavioral health providers are required to assist individuals with applying for Arizona Public Programs XIX/XXI, Medicare Savings Programs, Nutrition Assistance, and Cash Assistance), and Medicare Prescription Drug Program (Medicare Part D), including the Medicare Part D “Extra Help with Medicare Prescription Drug Plan Costs” low income subsidy program, as well as verification of U.S. citizenship/lawful presence prior to receiving Non-Title XIX/XXI covered behavioral health services, at the time of intake for behavioral health services. Refer also to AMPM Policy 580 for supporting documentation that may be needed during the behavioral health referral and intake process. Eligibility status is essential for identification of the types of behavioral health services an individual may be able to access. For individuals who are not currently Title XIX/XXI eligible, a financial and eligibility screening and application shall be completed to determine eligibility. Verification of an
AMPM-650-BH-Prov-Reqs-Asst-Ind-with-Elig-Verif-Scrning-3.docx