Definitions
An approach to planning designed to assist the member to plan their life and supports. This model enables individuals to increase their personal self-determination and improve their own independence.
Person-Centered
Will covered services change with ACC?
Yes or No
No.
Members will still have access to the same AHCCCS covered services with ACC Plans as they do with current health plans and Regional Behavioral Health Authorities (RBHAs).
Who is responsible for coordinating and overseeing contractually required workforce development activities? Include title and name
Workforce Development Specialist/Administrator- Selena McDonald
BUFC completed a pilot with our GMH/SA population to provide a 9-week program for members with general mental health conditions (e.g., depression and anxiety disorders) and co-morbid pre-diabetes or diabetes. What is the name of pilot?
Camp Wellness
TRBHA
TRIBAL REGIONAL BEHAVIORAL HEALTH AUTHORITY
A facility and/or program that is recognized as providing the highest levels of leadership, quality, and service.
Centers of Excellence
Will RBHAs serve most adults and children after 10/1?
Yes or No
No.
RBHAs will no longer serve most adults and children. This is because behavioral health services will be provided by the ACC Plan. RBHAs will continue to serve:
RBHAs will continue to provide crisis, grant funded and state-only funded services.
Who is located in Arizona and who acts as the liaison with tribal nations and tribal providers, promoting services and programs to improve the health of American Indian members as outlined in Section D, Paragraph 23, Medical Management, Collaboration with Tribal Nations and Providers? Include title & name
Tribal Coordinator-Shawnell Damon
What Advisory Councils afford the opportunity for providers, members, family and stakeholders to build mutual understanding of system expectations, inform vision and goals, participate in strategic direction and definition of success, while promoting mutual accountability and standardization of demonstrated best practices?
Neighborhood Networks
ACOM
AHCCCS CONTRACTOR OPERATIONS MANUAL
A facility that is owned and/or operated by a Federally recognized American Indian/Alaskan Native Tribe and that is authorized to provide services.
638 Tribal Facility
Will the ACC Heath Plan offer a Medicare Advantage Plan?
Yes or No
Yes.
Each ACC Plan is required to have a Medicare Advantage Dual Special Needs Plan. This will allow members to align their Medicare and ACC Plans. Members should contact their new ACC Plan for more information.
Who is located in Arizona and who has lived experience receiving behavioral health services in and/or navigating a public behavioral health system; and who is experienced in working with individuals including members, families, youth, advocates and key stakeholders? Include title and name
Individual and Family Affairs Administrator-Colleen McGregor
PYX technology, to connect members with their chosen natural supports (family, friends, etc.) in a mobile-enabled platform that interacts with the member to monitor their physical and mental health status, provides proactive timely alerts to their care circle supports, allows for care circle members to support member self-care, and offers care managers analytics dashboards that show trends of activities, mood and care access (including geo location when accessing urgent/emergent/crisis services) across the individual member and groups of members. What is the name of this service?
Member Supported Care Circles
AMPM
AHCCCS MEDICAL POLICY MANUAL
The use of medications in combination with counseling and behavioral therapies for the treatment of substance use disorders.
Medication Assisted Treatment (MAT)
Name all the counties awarded to the Banner Health Plan-ACC Contract.
Who is located in Arizona and who acts as the liaison with ADES/RSA? Include title and name
Employment/Vocational Administrator-Jody Gardner
Leveraging the functionality of the BNA platform, _________ will be focused on connecting members with services and improving their ability to navigate the complexities of the health and social service delivery systems. _________ will include community members already working diligently to impact SDOH. Fill in the blank.
Neighborhood Navigators
SHCN
Special Health Care Needs
A designation as defined in A.R.S. §36-550 and determined in an individual 18 years of age or older.
Serious Mental Illness
Who is responsible for payment of Court Ordered Evaluation (COE) and Court Ordered Treatment (COT)?
The ACC Plan is required to collaborate with the counties to ensure coordination of care and information sharing. The cost of pre-petition screening and COE remains a county responsibility unless the county has an agreement with AHCCCS.
The ACC Plan is responsible for medically necessary, covered behavioral health treatment that is court ordered but not including services associated with the pre-petition screening and COE.
Who's primary functions are:
-Oversee the organization’s advocacy program for members with special healthcare needs involved in CRS and Veteran’s Affairs
-Communicate and disseminate information to members with special healthcare needs and families to identify concerns and remove barriers that affect service delivery or member satisfaction
What is the title?
Member Liaison Coordinator
BUFC will have ________ regularly scheduled on-site at MSICs to maximize care coordination between MSIC and BUFC. Fill in the blank.
Pediatric Care Managers
SOBRA
Sixth Omnibus Budget Reconciliation Act