AHCCCS Achievements and Initiatives
AHCCCS has achieved significant milestones since the previous report, including registering BCBAs as independent providers, researching appropriate code sets, developing dedicated websites for autism resources, identifying specialized ASD diagnosing providers, expanding their network with Centers of Excellence for Autism, updating policies to address ASD recommendations, receiving a substantial award from CMS, and more. These efforts aim to enhance healthcare services for individuals in need across Arizona.
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Presentation Transcript
Summary of Accomplishments since Report Finalized 1. Successfully registered BCBAs as independent AHCCCS provider type o 108 BCBAs AHCCCS registered as of 4-4-17 2. Researched and determined appropriate code set to be linked to BCBA Provider Type o Dual code set HCPCS and CPT o Services provided by BCBAs not limited to autism Reaching across Arizona to provide comprehensive quality health care for those in need 1
BCBA Penetration Rate compared to other similar AHCCCS PTs AHCCCS Provider Type* AHCCCCS Distinct Providers 405 498 State Wide Actively Licensed 1,712 4,205 Medicaid Penetration Rate 23.7% 11.8% 11-PSYCHOLOGIST 85-LICENSED CLINICAL SOCIAL WORKER (LCSW) 86-LICENSED MARRIAGE & FAMILY THERAPIST (LMFT) 87-LICENSED PROFESSIONAL COUNSELOR (LPC) Total 54 545 9.9% 524 3,951 13.3% 1,481 10,413 14.2% *Data current as of April 2016 AHCCCS Provider Type** AHCCCCS Distinct Providers 108 State Wide Actively Licensed 245 Medicaid Penetration Rate 44% BC-BCBA **Data current as of April 4, 2017 Reaching across Arizona to provide comprehensive quality health care for those in need 2
Summary of Accomplishments 3. Designated websites at AHCCCS and each RBHA AHCCCS Website Dedicated to Autism http://www.azahcccs.gov/shared/asd.html CIC https://www.cenpaticointegratedcareaz.com/inthecommunity/co mmunity-resources/autism-spectrum-resources.html MMIC https://www.mercymaricopa.org/health-and- wellness/conditions/autism HCIC http://www.healthchoiceintegratedcare.com/members/childrens- services/ o o o o Reaching across Arizona to provide comprehensive quality health care for those in need 3
Summary of Accomplishments 4. Identified Specialized ASD Diagnosing Providers by RBHA CIC http://www.cenpaticointegratedcareaz.com/content/dam/centene/cenpaticoaz/Provider%2 0Forms%2C%20Attachments%2C%20and%20Deliverables/PMA_3-3-2.pdf CRS http://www.uhccommunityplan.com/content/dam/communityplan/plandocuments/findapro vider/AZ_Autism_Spectrum_Disorder.pdf HCIC http://www.healthchoiceintegratedcare.com/wp-content/uploads/2015/07/HCIC-ASD- Providers.pdf MMIC http://www.mercymaricopa.org/assets/pdf/members/directories- guides/AutismSpectrumDisorderProviders.pdf Reaching across Arizona to provide comprehensive quality health care for those in need 4
Summary of Accomplishments 5. Network expansion MMIC started Centers of Excellence for Autism Touchstone and SWBH 6. DDD updating Article 3 to address ASD specialized diagnosing providers recommendations 7. AHCCCS Awarded TI from CMS: $300 million over 5 years 8. AHCCCS RFI for 10/1/18 integrated contracts Reaching across Arizona to provide comprehensive quality health care for those in need 5
Summary of Accomplishments 9. DDD implementing hab consultation 10. AHCCCS consulting with independent BCBA to update Covered Behavioral Health Services Guide and AMPM re: focused and comprehensive behavioral interventions including appropriate coding 11. ASD Advisory Committee continues to be actively engaged and provide constructive feedback Reaching across Arizona to provide comprehensive quality health care for those in need 6
Summary of Accomplishments 11. AHCCCS consulting with independent BCBA to update Covered Behavioral Health Services Guide and AMPM re: focused and comprehensive behavioral interventions including appropriate coding 12. ASD Advisory Committee continues to be actively engaged and provide constructive feedback Reaching across Arizona to provide comprehensive quality health care for those in need 7
QUESTIONS Reaching across Arizona to provide comprehensive quality health care for those in need 8
