Arizona Mental Health Rights Documents
Knowing your RIGHTS is powerful for you and helps your providers meet your individual needs. These documents are provided by AHCCCS’ Office Of Individual and Family Affairs (OIFA), the Center for Disability Law, and AHCCCS’ Office of Human Rights. We are providing these documents because we believe that self-advocacy is powerful. Print and take these flyers to your clinic to remind them of your rights.
Category
Organization/Link Document Description Enity
Everyone Are You Seeking Substance Use Treatment? If you have used substances like prescriptions, alcohol, marijuana, opiates/heroin, and all other illicit/synthetic drugs in the last 12 months or are currently actively using these substances, treatment options are available, even if you are underinsured or uninsured. OIFA
Everyone No Medication Copays for Members With A SMI Individuals with a Serious Mental Illness determination do NOT have to pay any copays or cost sharing for behavioral health medications (when dispensed by an AHCCCS-registered provider) even if you do not have Medicaid coverage (AHCCCS). OIFA
Adult How To File A Grievance For Arizona Long Term Care Services (ALTCS) Members with a Serious Mental Illness (SMI) Determination Members enrolled in the Arizona Long Term Care System (ALTCS) who are determined to have a serious mental illness (SMI) are entitled to extensive rights. OIFA
Everyone ALTCS Services & Benefits The Arizona Long Term Care System (ALTCS) is the State of Arizona’s Medicaid program that provides long term care services, at little or no cost, to financially and medically eligible Arizona residents who are aged, blind, disabled, or have a developmental, and/or physical disability. OIFA
Everyone How to File a Grievance as a Person with Serious Mental Illness and a RBHA Member A grievance is a way for a person to complain about something related to his or her mental health services. By filing a grievance, you are officially asking for someone to look into your complaint. Center for Disability Law
Everyone Substance Use Treatment Options
Video If you have used substances like prescriptions, alcohol, marijuana, opiates/heroin, and all other illicit/synthetic drugs in the last 12 months or are currently actively using these substances, treatment options are available, even if you are underinsured or uninsured. OIFA
Adult Employment Services Employment services are available for Medicaid-eligible individuals, of all ages, receiving Behavioral Health or Division of Developmental Disabilities (DDD) services. These are services that can help members prepare for employment or maintain employment OIFA
Everyone How A Hospital Discharge Plan Helps AHCCCS Members Return To Good Health Discharge planning begins as soon as you are admitted to the hospital. It helps your health care providers coordinate your treatment and helps you make a smooth return to your community and your regular routine. OIFA
Adult OHR SMI Complaints Appeals and Grievance Education If you have been determined to have a Serious Mental Illness (SMI) and have concerns about the treatment you receive from Arizona’s public behavioral health care system, you have access to several options to help you address your concerns. Deciding which option to use depends on the nature of the issue, what result you want, and how much time you can spend on the issue. This educational document provides basic information about what options are available to you and how to use them. Office of Human Rights
Children Family-Run Organizations Providing Children’s Services As the caregiver of a biological, foster, kinship or adopted child, you have covered services available at no cost to you from many different agencies. Some of these agencies are family-run organizations. OIFA
Children Behavioral Health Respite in the Children’s System Respite is a covered service meant to prevent a crisis or any negative physical or emotional effects for the family caregiver and child. It is designed to ensure the well-being of the family by providing a time for rest and relief for the family caregiver while engaging the child in meaningful activities. OIFA
Adult How to Become a Peer Recovery Support Specialist A Peer and Recovery Support Specialist (PRSS) is someone with lived experience of behavioral health and/or substance use recovery who has received specialized training on how to use their experience to help others. A PRSS works with individuals during their recovery journey, sharing skills, coaching, and providing support. OIFA
Children AHCCCS Members Under 21 Years Of Age Have Eyeglass Coverage Did you know AHCCCS covers eyeglasses and replacements for AHCCCS members who are under the age of 21? Vision services for all AHCCCS members under the age of 21 include regular eye exams and vision screenings, prescription eyeglasses, and repairs or replacements of broken or lost eyeglasses. OIFA
Children Behavioral Health Services for Children in Foster, Kinship & Adoptive Care AHCCCS is committed to ensuring the availability of timely, quality health care for children in out of home placement and adopted children. AHCCCS has behavioral health appointment standards in contract to ensure access to services are delivered in a timely fashion. OIFA
Everyone How to Update Your Mailing Address AHCCCS sometimes sends information to your mailing address. It is YOUR responsibility to notify AHCCCS when your address changes. OIFA
Everyone What is the Office of Human Rights Office? Power Point Power Point explanation of the AHCCCS Office of Human Rights. Office of Human Rights
Everyone OHR Educational Handout Providing advocacy to individuals determined to have a Serious Mental Illness (SMI) to help them understand, protect and exercise their rights, facilitate self-advocacy through education and obtain access to behavioral health services in the public behavioral health system in Arizona. Office of Human Rights
Children Coverage for Youth Transitioning out of Foster Care When a member in foster care turns age 18, AHCCCS will automatically assess whether the member qualifies for health care coverage under a different program. Coverage will change from Mercy Care DCS CHP to an AHCCCS Complete Care (ACC) Plan. OIFA
Everyone OIFA at AHCCCS
Video Since 2007, OIFA’s mission has been to ensure the voices of those who receive behavioral health services and their families are heard at every level of Arizona’s public behavioral health system. Each OIFA Team Member brings their unique lived experiences to their role as peers and/or family members involved with mental health, justice, substance use and foster care. OIFA
Everyone Serious Mental Illness (SMI) Decertification
Video Serious Mental Illness (SMI) is a chronic and long term mental health condition which impacts a person’s ability to perform dayto-day activities or interactions. When an individual meets criteria for an SMI, it is called an SMI designation. An SMI designation will remain in place unless an individual requests to have it removed. The individual requesting removal could be the person with an SMI designation, his or her legal guardian, or a member of the individual’s clinical team. If an individual does not agree with an SMI designation, he or she can ask for an assessment to see whether they still meet criteria for an SMI designation. This process is called “decertification.” OIFA
Everyone Court-Ordered Mental Health Evaluation and Treatment in Arizona: Rights and Procedures The purpose of this guide is to describe the court-ordered evaluation and treatment process. This guide will also explain the legal rights people have who are going through that process. Center for Disability Law
Children AHCCCS Members Under 21 Years of Age Have Dental Coverage All AHCCCS members under the age of 21 are assigned to a Dental Home by their health plan. A Dental Home is a dental office. OIFA
Everyone OHR SMI Individual Service Planning What is an Individual Service Plan (ISP)? The SMI Rules provide individuals in Arizona with a Serious Mental Illness the right to an assessment and an Individual Service Plan (ISP). Office of Human Rights
Children Getting Transportation to and from Your AHCCCS Covered Services Non Emergency Medical Transportation (NEMT) is a covered service for Medicaid members who do not have their own transportation or means to arrange for their own transportation. OIFA
Adult Non-Title XIX SMI
Video Adults with a Serious Mental Illness (SMI) designation, and children designated with a Serious Emotional Disturbance (SED), are eligible to receive a number of medically necessary mental health and/or substance use services, even if they are not eligible for AHCCCS. T OIFA
Everyone Your Rights as a Patient of a Behavioral Health Facility Knowledge is Power Your Life Your Treatment Center for Disability Law
Adult OHR SMI Appeals Process The SMI appeal process is available to individuals determined to have a Serious Mental Illness (SMI) and to individuals disputing a SMI eligibility determination. This educational document covers who can file an appeal, what issues can be appealed and the steps involved in the process. Office of Human Rights
Adult Your Rights as a Person with Serious Mental Illness — A Self-Advocacy Guide The purpose of this guide is to provide general information to individuals regarding their rights and protections under the law. It is not intended as a substitute for legal advice. You may wish to contact the Arizona Center for Disability Law or consult with a lawyer in your community if you require further information. Center for Disability Law
Everyone Dual Eligible Members AHCCCS is Arizona’s State Medicaid Program. AHCCCS Members who also have Medicare are called Dual Eligible Members. Being enrolled in the same health plan for Medicare and Medicaid is called “alignment.” OIFA
Everyone Standards Appointment Availability For All AHCCCS Members
Video Your AHCCCS health plan is required to ensure that you can see medical professionals in a timely manner. The following standards apply to Primary Care Providers (PCP), Specialist, Dental, Maternity, and Behavioral Health providers. OIFA
Everyone Wait lists for AHCCCS Covered Behavioral Health Services are PROHIBITED
NO Wait Lists
Video
You have a right to receive the services you need, delivered within AHCCCS Policy established timelines. If an agency or specialist is unable to serve you, the agency or specialist should refer you to your AHCCCS Health Plan to locate a provider near you. OIFA
Everyone How to Keep Yourself and Others Safe When Calling 9-1-1
Video Calling 9-1-1 for help during a mental health emergency can be very stressful. Law enforcement and other responders need to have all the right information in order to help you quickly and safely. Ask the 9-1-1 operator if a CIT (Crisis Intervention Team) officer, who specializes in responding to mental illness emergency situations, is available. Alternatively, you may consider calling the Crisis Line where an operator can assist with a Crisis Mobile Team if one is required. OIFA
Everyone The Serious Mental Illness (SMI) Determination Process
Video
The SMI determination is the process individuals go through to receive an SMI designation. An individual can request to be evaluated/considered for services. OIFA
Everyone How to File an Appeal of a Health Care Coverage Decision An appeal is a request from an applicant, member, provider, health plan, or other approved entity to reconsider or change an adverse decision, also known as an action.
An action includes any denial, reduction, suspension, or termination of a service or benefit, or a failure to act in a timely manner. OIFA
Everyone Peer-Run Organizations Peer-run organizations are service providers owned, operated and administrated by persons with lived experiences of mental health and/ or substance use disorders. These organizations are based in the community and provide support services. AHCCCS members have the right to request services provided by and/or participate in programs at a peer-run organization. OIFA
Children Crisis Services for Children in Foster, Kinship & Adoptive Care A crisis is any situation in which a person’s behaviors puts them at risk of hurting themselves or others and/or when they are not able to resolve the situation with the skills and resources available. OIFA
Everyone AHCCCS Housing Program Safe, stable, secure housing is a basic need that impacts every aspect of physical and mental health. Although the federal Medicaid program does not pay for housing, the State of Arizona allocates limited funding to AHCCCS to provide housing subsidies to members with a Serious Mental Illness (SMI) designation, and a limited number of members with General Mental Health/Substance Use (GMH/SU) behavioral health needs. OIFA
Everyone OHR Special Assistance Determination The criteria for Special Assistance designation are: · The Member must be determined to have a Serious Mental Illness (SMI); and, · The Member is unable to communicate preferences and/or participate effectively in ISP, ITDP, grievance and/or appeal processes; and, · The Members’ inability described above is due to a specific condition: a) cognitive ability/intellectual capacity; b) language barrier that cannot be addressed by a translator/interpreter; c) a medical condition (including severe psychiatric symptoms); and/or, d) an Arizona Court has determined Full and Permanent Legal Guardianship for the Member. Office of Human Rights
Everyone What is Special Assistance? Special Assistance is a term used to describe additional supports reserved for those with a Serious Mental Illness who are determined by the Clinical or Inpatient Team and meet specific criteria. OIFA
Children Medical Coverage for Youth Transitioning from Foster Care Youth in foster care receive health care coverage from the Comprehensive Medical and Dental Program (CMDP) health plan. When a member in foster care turns age 18, AHCCCS will automatically assess whether the member qualifies for health care coverage under a different program. Members with a non-qualified immigration status will be approved for Federal Emergency Services coverage. OIFA
Adult SMI Designation – Frequently Asked Questions SMI Designation – Frequently Asked Questions Center for Disability Law
Everyone Case Management Services for AHCCCS Complete Care (ACC) and Regional Behavioral Health Authority (RBHA) Members Case Management Services for AHCCCS Complete Care (ACC) and Regional Behavioral Health Authority (RBHA) Members. Behavioral health case management services are available to all AHCCCS members as medically necessary.
case management is a supportive behavioral health service that uses communication and resource coordination to improve treatment outcomes and achieve long term recovery goals. OIFA
Everyone Be Your Own Advocate
Video You Have Voice and Choice In Your Health Care Decisions. You are your best advocate. Speak up to ensure that you receive the medical and behavioral health services that you need. You are a vital part of a service delivery team and an equal partner in the planning and delivery of services. OIFA
Adult Adult Family Support is Key to Recovery Do you support someone with a mental health or substance use disorder? We can help you understand what a behavioral health diagnosis means and how the behavioral health care system works. OIFA
Children Tip Sheet: Youth with Intellectual/Developmental Disabilities (I/DD) Transitioning to Adulthood The transition from the children’s health care system to the adult health care system can be difficult. It is important to have support, direction and information so you are prepared for adulthood. Proper support, direction,and information can help to best prepare youth for the responsibilities in adulthood upon turning 18 years old. OIFA
Adult SMI Benefits
Video Individuals with a Serious Mental Illness (SMI) designation have access to additional support and resources. OIFA
Everyone Services for AHCCCS Members Without a Serious Mental Illness Covered behavioral health services include, but are not limited to: Counseling and Therapy, Skills Training, Supported Employment, Case Management, Personal Care Services, Family Support, and Peer Support. OIFA
Adult Your Rights as an Individual with an SMI Designation
Video
ndividuals with a SMI (Serious Mental Illness) designation have all the rights of every other citizen plus they have additional rights. These specific additional rights are in the Arizona Revised Statues (A.R.S.) chapter 5, article 2, section 36-504 through 36-514. OIFA
Everyone Non Emergency Medical Transportation (NEMT) Non Emergency Medical Transportation (NEMT) is a covered service for Medicaid members who do not have their own transportation or means to arrange for their own transportation. OIFA
Children 12 Guiding Principles in the Children’s System of Care The “Arizona Vision,” for children is built on twelve principles to which ADHS and AHCCCS are both obligated and committed. The Arizona Vision States: In collaboration with the child and family and others, Arizona will provide accessible behavioral health services designed to aid children to achieve success in school, live with their families, avoid delinquency, and become stable and productive adults. Services will be tailored to the child and family and provided in the most appropriate setting, in a timely fashion and in accordance with best practices, while respecting the child’s family’s cultural heritage. OIFA
Adult Sharing Health Information With Family And Friends Of Adult Members The Health Insurance Portability and Accountability Act (HIPAA) is the Federal law that protects your personal health information (PHI). HIPAA allows you to access health care with the assurance that your personal information will be kept confidential. OIFA
Everyone AHCCCS Oversight There are several layers of oversight for the Medicaid program to fulfill its purpose. Each of these layers does its part and ultimately supports the end goal: Providing comprehensive, quality health care to those in need. OIFA
Children Foster and Kinship Caregivers Resources Ten page booklet providing information on rescources for Foster and Kinship Caregivers. OIFA
Everyone OHR SMI Rights Education The intent of this brochure is to provide general information to individuals determined to have a Serious Mental Illness in Arizona’s public behavioral health system regarding their rights. It is not intended as a substitute for individual guidance or advice. Additionally, the AHCCCS/DCAIR, Office of Human Rights is not a law firm. Office of Human Rights
Everyone How to Access Behavioral Health Services All AHCCCS members are eligible to receive medically necessary behavioral health services. These services include, but are not limited to: Behavioral health screenings and assessments, case management, psychotropic medications, crisis services (free of charge for everyone), counseling and therapy, substance use treatment, peer support services, and family support services. OIFA
Everyone Jacob’s Law Training Arizona House Bill 2442 was passed into law in 2016, and helped to correct many issues facing foster, kinship and adopted children who receive behavioral health services. OIFA
Adult OHR SMI Inpatient Rights Education As a person determined to have a SMI, you have a number of rights. The Office of Human Rights educational document “Your Rights” outlines these and the Arizona Administrative Code Title 9, Chapter 21 lists them in full. Office of Human Rights
Adult SMI Grievance Process AHCCCS members who have a Serious Mental Illness (SMI) designation have specific rights when it comes to behavioral health services. As stated in Arizona Administrative Code, individuals with an SMI designation have the right to: OIFA
Everyone Appeal Process for Persons with A Serious Mental Illness – A Self Advocacy Guide The purpose of this guide is to provide general informaiton to indivuals regarding their rights and protections under the law. Center for Disability Law
Adult Guiding Principles for Recovery-Oriented Adult Behavioral Health Services and Systems The Nine Guiding Principles below were developed to provide a shared understanding of the key ingredients needed for an adult behavioral health system to promote recovery. System development efforts, programs, service provision, and stakeholder collaboration must be guided by these principles. We must utilize these principles to guide our decision making process and our interactions with each other. OIFA
Adult Filing a Complaint Regarding Services for Adults with a Serious Mental Illness (SMI) When you file a complaint, you are saying that you are not satisfied with the services being provided or the way an AHCCCS member is being treated. Filing a complaint brings attention to the problem so that it can be resolved. OIFA
Children Appeal Rights for Title 19/AHCCCS Children’s Behavioral Health Services The purpose of this guide is to provide general information to individuals regarding their rights and protections under the law. It is not intended as a substitute for legal advice. You may wish to contact the Arizona Center for Disability Law or consult with a lawyer in your community if you require further information. Center for Disability Law
Everyone What is the HIE? The Health Information Exchange (HIE) connects the Electronic Health Record (EHR) systems of providers and clinicians allowing them to securely share health information with other providers and better coordinate care. In the past, doctors used paper medical records. Now, doctors are keeping your medical records electronically. The HIE allows doctors, nurses, pharmacists, and other health care providers to access and share patient medical information electronically. Patients include all AHCCCS members. OIFA
Children WIC Benefits for Foster & Adopted Children Children in Arizona foster care and adopted out of Arizona foster care who elected to receive Arizona Health Care Cost Containment System, State Medicaid insurance post-adoption, are automatically eligible for WIC benefits from birth to age five. OIFA
Everyone Special Assistance FAQ Special Assistance is the support provided by a designated representative, to a member who is unable, due to a specific condition, to communicate his/her preferences and/or to participate effectively in the development of his/her service plan, discharge plan, the Serious Mental Illness (SMI) appeal process and/or SMI grievance/investigation process. Office of Human Rights
| Enity | |||
|---|---|---|---|
| Everyone | Are You Seeking Substance Use Treatment? | If you have used substances like prescriptions, alcohol, marijuana, opiates/heroin, and all other illicit/synthetic drugs in the last 12 months or are currently actively using these substances, treatment options are available, even if you are underinsured or uninsured. | OIFA |
| Everyone | No Medication Copays for Members With A SMI | Individuals with a Serious Mental Illness determination do NOT have to pay any copays or cost sharing for behavioral health medications (when dispensed by an AHCCCS-registered provider) even if you do not have Medicaid coverage (AHCCCS). | OIFA |
| Adult | How To File A Grievance For Arizona Long Term Care Services (ALTCS) Members with a Serious Mental Illness (SMI) Determination | Members enrolled in the Arizona Long Term Care System (ALTCS) who are determined to have a serious mental illness (SMI) are entitled to extensive rights. | OIFA |
| Everyone | ALTCS Services & Benefits | The Arizona Long Term Care System (ALTCS) is the State of Arizona’s Medicaid program that provides long term care services, at little or no cost, to financially and medically eligible Arizona residents who are aged, blind, disabled, or have a developmental, and/or physical disability. | OIFA |
| Everyone | How to File a Grievance as a Person with Serious Mental Illness and a RBHA Member | A grievance is a way for a person to complain about something related to his or her mental health services. By filing a grievance, you are officially asking for someone to look into your complaint. | Center for Disability Law |
| Everyone | Substance Use Treatment Options Video | If you have used substances like prescriptions, alcohol, marijuana, opiates/heroin, and all other illicit/synthetic drugs in the last 12 months or are currently actively using these substances, treatment options are available, even if you are underinsured or uninsured. | OIFA |
| Adult | Employment Services | Employment services are available for Medicaid-eligible individuals, of all ages, receiving Behavioral Health or Division of Developmental Disabilities (DDD) services. These are services that can help members prepare for employment or maintain employment | OIFA |
| Everyone | How A Hospital Discharge Plan Helps AHCCCS Members Return To Good Health | Discharge planning begins as soon as you are admitted to the hospital. It helps your health care providers coordinate your treatment and helps you make a smooth return to your community and your regular routine. | OIFA |
| Adult | OHR SMI Complaints Appeals and Grievance Education | If you have been determined to have a Serious Mental Illness (SMI) and have concerns about the treatment you receive from Arizona’s public behavioral health care system, you have access to several options to help you address your concerns. Deciding which option to use depends on the nature of the issue, what result you want, and how much time you can spend on the issue. This educational document provides basic information about what options are available to you and how to use them. | Office of Human Rights |
| Children | Family-Run Organizations Providing Children’s Services | As the caregiver of a biological, foster, kinship or adopted child, you have covered services available at no cost to you from many different agencies. Some of these agencies are family-run organizations. | OIFA |
| Children | Behavioral Health Respite in the Children’s System | Respite is a covered service meant to prevent a crisis or any negative physical or emotional effects for the family caregiver and child. It is designed to ensure the well-being of the family by providing a time for rest and relief for the family caregiver while engaging the child in meaningful activities. | OIFA |
| Adult | How to Become a Peer Recovery Support Specialist | A Peer and Recovery Support Specialist (PRSS) is someone with lived experience of behavioral health and/or substance use recovery who has received specialized training on how to use their experience to help others. A PRSS works with individuals during their recovery journey, sharing skills, coaching, and providing support. | OIFA |
| Children | AHCCCS Members Under 21 Years Of Age Have Eyeglass Coverage | Did you know AHCCCS covers eyeglasses and replacements for AHCCCS members who are under the age of 21? Vision services for all AHCCCS members under the age of 21 include regular eye exams and vision screenings, prescription eyeglasses, and repairs or replacements of broken or lost eyeglasses. | OIFA |
| Children | Behavioral Health Services for Children in Foster, Kinship & Adoptive Care | AHCCCS is committed to ensuring the availability of timely, quality health care for children in out of home placement and adopted children. AHCCCS has behavioral health appointment standards in contract to ensure access to services are delivered in a timely fashion. | OIFA |
| Everyone | How to Update Your Mailing Address | AHCCCS sometimes sends information to your mailing address. It is YOUR responsibility to notify AHCCCS when your address changes. | OIFA |
| Everyone | What is the Office of Human Rights Office? Power Point | Power Point explanation of the AHCCCS Office of Human Rights. | Office of Human Rights |
| Everyone | OHR Educational Handout | Providing advocacy to individuals determined to have a Serious Mental Illness (SMI) to help them understand, protect and exercise their rights, facilitate self-advocacy through education and obtain access to behavioral health services in the public behavioral health system in Arizona. | Office of Human Rights |
| Children | Coverage for Youth Transitioning out of Foster Care | When a member in foster care turns age 18, AHCCCS will automatically assess whether the member qualifies for health care coverage under a different program. Coverage will change from Mercy Care DCS CHP to an AHCCCS Complete Care (ACC) Plan. | OIFA |
| Everyone | OIFA at AHCCCS Video | Since 2007, OIFA’s mission has been to ensure the voices of those who receive behavioral health services and their families are heard at every level of Arizona’s public behavioral health system. Each OIFA Team Member brings their unique lived experiences to their role as peers and/or family members involved with mental health, justice, substance use and foster care. | OIFA |
| Everyone | Serious Mental Illness (SMI) Decertification Video | Serious Mental Illness (SMI) is a chronic and long term mental health condition which impacts a person’s ability to perform dayto-day activities or interactions. When an individual meets criteria for an SMI, it is called an SMI designation. An SMI designation will remain in place unless an individual requests to have it removed. The individual requesting removal could be the person with an SMI designation, his or her legal guardian, or a member of the individual’s clinical team. If an individual does not agree with an SMI designation, he or she can ask for an assessment to see whether they still meet criteria for an SMI designation. This process is called “decertification.” | OIFA |
| Everyone | Court-Ordered Mental Health Evaluation and Treatment in Arizona: Rights and Procedures | The purpose of this guide is to describe the court-ordered evaluation and treatment process. This guide will also explain the legal rights people have who are going through that process. | Center for Disability Law |
| Children | AHCCCS Members Under 21 Years of Age Have Dental Coverage | All AHCCCS members under the age of 21 are assigned to a Dental Home by their health plan. A Dental Home is a dental office. | OIFA |
| Everyone | OHR SMI Individual Service Planning | What is an Individual Service Plan (ISP)? The SMI Rules provide individuals in Arizona with a Serious Mental Illness the right to an assessment and an Individual Service Plan (ISP). | Office of Human Rights |
| Children | Getting Transportation to and from Your AHCCCS Covered Services | Non Emergency Medical Transportation (NEMT) is a covered service for Medicaid members who do not have their own transportation or means to arrange for their own transportation. | OIFA |
| Adult | Non-Title XIX SMI Video | Adults with a Serious Mental Illness (SMI) designation, and children designated with a Serious Emotional Disturbance (SED), are eligible to receive a number of medically necessary mental health and/or substance use services, even if they are not eligible for AHCCCS. T | OIFA |
| Everyone | Your Rights as a Patient of a Behavioral Health Facility | Knowledge is Power Your Life Your Treatment | Center for Disability Law |
| Adult | OHR SMI Appeals Process | The SMI appeal process is available to individuals determined to have a Serious Mental Illness (SMI) and to individuals disputing a SMI eligibility determination. This educational document covers who can file an appeal, what issues can be appealed and the steps involved in the process. | Office of Human Rights |
| Adult | Your Rights as a Person with Serious Mental Illness — A Self-Advocacy Guide | The purpose of this guide is to provide general information to individuals regarding their rights and protections under the law. It is not intended as a substitute for legal advice. You may wish to contact the Arizona Center for Disability Law or consult with a lawyer in your community if you require further information. | Center for Disability Law |
| Everyone | Dual Eligible Members | AHCCCS is Arizona’s State Medicaid Program. AHCCCS Members who also have Medicare are called Dual Eligible Members. Being enrolled in the same health plan for Medicare and Medicaid is called “alignment.” | OIFA |
| Everyone | Standards Appointment Availability For All AHCCCS Members Video | Your AHCCCS health plan is required to ensure that you can see medical professionals in a timely manner. The following standards apply to Primary Care Providers (PCP), Specialist, Dental, Maternity, and Behavioral Health providers. | OIFA |
| Everyone | Wait lists for AHCCCS Covered Behavioral Health Services are PROHIBITED NO Wait Lists Video | You have a right to receive the services you need, delivered within AHCCCS Policy established timelines. If an agency or specialist is unable to serve you, the agency or specialist should refer you to your AHCCCS Health Plan to locate a provider near you. | OIFA |
| Everyone | How to Keep Yourself and Others Safe When Calling 9-1-1 Video | Calling 9-1-1 for help during a mental health emergency can be very stressful. Law enforcement and other responders need to have all the right information in order to help you quickly and safely. Ask the 9-1-1 operator if a CIT (Crisis Intervention Team) officer, who specializes in responding to mental illness emergency situations, is available. Alternatively, you may consider calling the Crisis Line where an operator can assist with a Crisis Mobile Team if one is required. | OIFA |
| Everyone | The Serious Mental Illness (SMI) Determination Process Video | The SMI determination is the process individuals go through to receive an SMI designation. An individual can request to be evaluated/considered for services. | OIFA |
| Everyone | How to File an Appeal of a Health Care Coverage Decision | An appeal is a request from an applicant, member, provider, health plan, or other approved entity to reconsider or change an adverse decision, also known as an action. An action includes any denial, reduction, suspension, or termination of a service or benefit, or a failure to act in a timely manner. | OIFA |
| Everyone | Peer-Run Organizations | Peer-run organizations are service providers owned, operated and administrated by persons with lived experiences of mental health and/ or substance use disorders. These organizations are based in the community and provide support services. AHCCCS members have the right to request services provided by and/or participate in programs at a peer-run organization. | OIFA |
| Children | Crisis Services for Children in Foster, Kinship & Adoptive Care | A crisis is any situation in which a person’s behaviors puts them at risk of hurting themselves or others and/or when they are not able to resolve the situation with the skills and resources available. | OIFA |
| Everyone | AHCCCS Housing Program | Safe, stable, secure housing is a basic need that impacts every aspect of physical and mental health. Although the federal Medicaid program does not pay for housing, the State of Arizona allocates limited funding to AHCCCS to provide housing subsidies to members with a Serious Mental Illness (SMI) designation, and a limited number of members with General Mental Health/Substance Use (GMH/SU) behavioral health needs. | OIFA |
| Everyone | OHR Special Assistance Determination | The criteria for Special Assistance designation are: · The Member must be determined to have a Serious Mental Illness (SMI); and, · The Member is unable to communicate preferences and/or participate effectively in ISP, ITDP, grievance and/or appeal processes; and, · The Members’ inability described above is due to a specific condition: a) cognitive ability/intellectual capacity; b) language barrier that cannot be addressed by a translator/interpreter; c) a medical condition (including severe psychiatric symptoms); and/or, d) an Arizona Court has determined Full and Permanent Legal Guardianship for the Member. | Office of Human Rights |
| Everyone | What is Special Assistance? | Special Assistance is a term used to describe additional supports reserved for those with a Serious Mental Illness who are determined by the Clinical or Inpatient Team and meet specific criteria. | OIFA |
| Children | Medical Coverage for Youth Transitioning from Foster Care | Youth in foster care receive health care coverage from the Comprehensive Medical and Dental Program (CMDP) health plan. When a member in foster care turns age 18, AHCCCS will automatically assess whether the member qualifies for health care coverage under a different program. Members with a non-qualified immigration status will be approved for Federal Emergency Services coverage. | OIFA |
| Adult | SMI Designation – Frequently Asked Questions | SMI Designation – Frequently Asked Questions | Center for Disability Law |
| Everyone | Case Management Services for AHCCCS Complete Care (ACC) and Regional Behavioral Health Authority (RBHA) Members | Case Management Services for AHCCCS Complete Care (ACC) and Regional Behavioral Health Authority (RBHA) Members. Behavioral health case management services are available to all AHCCCS members as medically necessary. case management is a supportive behavioral health service that uses communication and resource coordination to improve treatment outcomes and achieve long term recovery goals. | OIFA |
| Everyone | Be Your Own Advocate Video | You Have Voice and Choice In Your Health Care Decisions. You are your best advocate. Speak up to ensure that you receive the medical and behavioral health services that you need. You are a vital part of a service delivery team and an equal partner in the planning and delivery of services. | OIFA |
| Adult | Adult Family Support is Key to Recovery | Do you support someone with a mental health or substance use disorder? We can help you understand what a behavioral health diagnosis means and how the behavioral health care system works. | OIFA |
| Children | Tip Sheet: Youth with Intellectual/Developmental Disabilities (I/DD) Transitioning to Adulthood | The transition from the children’s health care system to the adult health care system can be difficult. It is important to have support, direction and information so you are prepared for adulthood. Proper support, direction,and information can help to best prepare youth for the responsibilities in adulthood upon turning 18 years old. | OIFA |
| Adult | SMI Benefits Video | Individuals with a Serious Mental Illness (SMI) designation have access to additional support and resources. | OIFA |
| Everyone | Services for AHCCCS Members Without a Serious Mental Illness | Covered behavioral health services include, but are not limited to: Counseling and Therapy, Skills Training, Supported Employment, Case Management, Personal Care Services, Family Support, and Peer Support. | OIFA |
| Adult | Your Rights as an Individual with an SMI Designation Video | ndividuals with a SMI (Serious Mental Illness) designation have all the rights of every other citizen plus they have additional rights. These specific additional rights are in the Arizona Revised Statues (A.R.S.) chapter 5, article 2, section 36-504 through 36-514. | OIFA |
| Everyone | Non Emergency Medical Transportation (NEMT) | Non Emergency Medical Transportation (NEMT) is a covered service for Medicaid members who do not have their own transportation or means to arrange for their own transportation. | OIFA |
| Children | 12 Guiding Principles in the Children’s System of Care | The “Arizona Vision,” for children is built on twelve principles to which ADHS and AHCCCS are both obligated and committed. The Arizona Vision States: In collaboration with the child and family and others, Arizona will provide accessible behavioral health services designed to aid children to achieve success in school, live with their families, avoid delinquency, and become stable and productive adults. Services will be tailored to the child and family and provided in the most appropriate setting, in a timely fashion and in accordance with best practices, while respecting the child’s family’s cultural heritage. | OIFA |
| Adult | Sharing Health Information With Family And Friends Of Adult Members | The Health Insurance Portability and Accountability Act (HIPAA) is the Federal law that protects your personal health information (PHI). HIPAA allows you to access health care with the assurance that your personal information will be kept confidential. | OIFA |
| Everyone | AHCCCS Oversight | There are several layers of oversight for the Medicaid program to fulfill its purpose. Each of these layers does its part and ultimately supports the end goal: Providing comprehensive, quality health care to those in need. | OIFA |
| Children | Foster and Kinship Caregivers Resources | Ten page booklet providing information on rescources for Foster and Kinship Caregivers. | OIFA |
| Everyone | OHR SMI Rights Education | The intent of this brochure is to provide general information to individuals determined to have a Serious Mental Illness in Arizona’s public behavioral health system regarding their rights. It is not intended as a substitute for individual guidance or advice. Additionally, the AHCCCS/DCAIR, Office of Human Rights is not a law firm. | Office of Human Rights |
| Everyone | How to Access Behavioral Health Services | All AHCCCS members are eligible to receive medically necessary behavioral health services. These services include, but are not limited to: Behavioral health screenings and assessments, case management, psychotropic medications, crisis services (free of charge for everyone), counseling and therapy, substance use treatment, peer support services, and family support services. | OIFA |
| Everyone | Jacob’s Law Training | Arizona House Bill 2442 was passed into law in 2016, and helped to correct many issues facing foster, kinship and adopted children who receive behavioral health services. | OIFA |
| Adult | OHR SMI Inpatient Rights Education | As a person determined to have a SMI, you have a number of rights. The Office of Human Rights educational document “Your Rights” outlines these and the Arizona Administrative Code Title 9, Chapter 21 lists them in full. | Office of Human Rights |
| Adult | SMI Grievance Process | AHCCCS members who have a Serious Mental Illness (SMI) designation have specific rights when it comes to behavioral health services. As stated in Arizona Administrative Code, individuals with an SMI designation have the right to: | OIFA |
| Everyone | Appeal Process for Persons with A Serious Mental Illness – A Self Advocacy Guide | The purpose of this guide is to provide general informaiton to indivuals regarding their rights and protections under the law. | Center for Disability Law |
| Adult | Guiding Principles for Recovery-Oriented Adult Behavioral Health Services and Systems | The Nine Guiding Principles below were developed to provide a shared understanding of the key ingredients needed for an adult behavioral health system to promote recovery. System development efforts, programs, service provision, and stakeholder collaboration must be guided by these principles. We must utilize these principles to guide our decision making process and our interactions with each other. | OIFA |
| Adult | Filing a Complaint Regarding Services for Adults with a Serious Mental Illness (SMI) | When you file a complaint, you are saying that you are not satisfied with the services being provided or the way an AHCCCS member is being treated. Filing a complaint brings attention to the problem so that it can be resolved. | OIFA |
| Children | Appeal Rights for Title 19/AHCCCS Children’s Behavioral Health Services | The purpose of this guide is to provide general information to individuals regarding their rights and protections under the law. It is not intended as a substitute for legal advice. You may wish to contact the Arizona Center for Disability Law or consult with a lawyer in your community if you require further information. | Center for Disability Law |
| Everyone | What is the HIE? | The Health Information Exchange (HIE) connects the Electronic Health Record (EHR) systems of providers and clinicians allowing them to securely share health information with other providers and better coordinate care. In the past, doctors used paper medical records. Now, doctors are keeping your medical records electronically. The HIE allows doctors, nurses, pharmacists, and other health care providers to access and share patient medical information electronically. Patients include all AHCCCS members. | OIFA |
| Children | WIC Benefits for Foster & Adopted Children | Children in Arizona foster care and adopted out of Arizona foster care who elected to receive Arizona Health Care Cost Containment System, State Medicaid insurance post-adoption, are automatically eligible for WIC benefits from birth to age five. | OIFA |
| Everyone | Special Assistance FAQ | Special Assistance is the support provided by a designated representative, to a member who is unable, due to a specific condition, to communicate his/her preferences and/or to participate effectively in the development of his/her service plan, discharge plan, the Serious Mental Illness (SMI) appeal process and/or SMI grievance/investigation process. | Office of Human Rights |
