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Mercy Care Single Case Agreement

2020/12/13 05:52

On April 1, 2014, approximately 17,000 members with severe mental illnesses in Maricopa District were transferred to a single plan, Mercy Maricopa Integrated Care, to meet their behavioural and physical needs. On October 1, 2015, this model will be launched across the country through contracts with Health Choice Integrated Care in Northern Arizona and Cenpatico Integrated Care in southern Arizona. For more information, see the resource links below. To address these issues, AHCCCS has worked with behavioural partners to develop a more flexible system that will reduce barriers to member care and also increase RBHA`s responsibility for managing the “whole health” of people with IMS. To implement this new approach, RBHAs manage the provision of physical health services, in addition to behavioural medicine services, to increase members` commitment to obtaining medically necessary physical health services. In Arizona, behavioural health has been an advantage in the past, which has been managed separately by regional public health authorities (RBHAs). This structure may require up to four different health systems for a person with a severe mental illness (IMS) to receive health care: the OHCHCC Acute Health Plan for Physical Health Services; RBHAs for behavioural health services; Medicare for people with an SMI eligible for Medicaid and Medicare; and Medicare Part D for drugs. AHCCCS engages stakeholders in important system design issues and decisions that need to be made for Indian U.S. members who are served by RBHAs and TRBHAs. Decisions must be made as to whether Indian members in the United States should continue to choose registration, with some of their services provided through Managed Care, AIHP, RBHAs and TRBHAs. The alternative is to introduce a selection amendment for individuals wishing to sMI in order to comply with the choices of adult members and children who are not determined to have IMS, so that integrated options can be listed as follows: Today, Indian U.S. members have unique opportunities to provide Medicaid services.

The American Indian Health Program (AIHP) is a fee for a service program provided through AHCCCS that is responsible for the integrated care of American Indian children and adult members who select AIHP and who have not been defined as SMI. Integrated care services include both physical and behavioural health services, including services related to an IRS condition. American Indians who are not determined to have THE MIS can register as follows: navigating the complex health care system is one of the main barriers to obtaining medically necessary health care. For Arizona with SMI, getting the necessary health care has been a challenge and has been made even more difficult by concerns about drug mismanagement and stigma, which has sometimes led many people to give up health care. As many people with MIS also have comorbidities, the management of chronic diseases such as diabetes or hypertension has also been poor. To improve coordination of care and improve access to health care through THE CHSA, members determined to have a serious mental illness (IMS) who do not reside in Maricopa County will be included in a health plan starting October 1, 2015, which addresses both their physical and behavioural health needs. These members are assigned to one of the Integrated Health Plans (RBHAs) listed below, depending on where they live. Letters have been sent to members whose registration for one of the integrated health plans is being amended to inform them of their new registration. The AHCCCS believes that the timing of the extension of competitions/RFP may be as follows: Indian U.S.

members who have IMS will be assigned to the RBHA for all services, but will also have the choice of staying at the RBHA or having an AIHP for physical health services and RBHA or TRBHA (if available) for the provision of

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