Successfully registered BCBAs as independent AHCCCS provider type 108 BCBAs AHCCCS registered as of 4417 Researched and determined appropriate code set to be linked to BCBA Provider Type Dual code setHCPCS and CPT ID: 935243
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Summary of Accomplishments since Report Finalized
Successfully registered BCBAs as independent AHCCCS provider type108 BCBAs AHCCCS registered as of 4-4-17Researched and determined appropriate code set to be linked to BCBA Provider Type Dual code set—HCPCS and CPTServices provided by BCBAs not limited to autism
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Reaching across Arizona to provide comprehensive
quality health care for those in need
Slide2BCBA Penetration Rate compared to other similar AHCCCS PTs
AHCCCS Provider Type*
AHCCCCSDistinct Providers
State Wide
Actively Licensed
Medicaid Penetration Rate11-PSYCHOLOGIST4051,71223.7%85-LICENSED CLINICAL SOCIAL WORKER (LCSW)4984,20511.8%86-LICENSED MARRIAGE & FAMILY THERAPIST (LMFT)545459.9%87-LICENSED PROFESSIONAL COUNSELOR (LPC)5243,95113.3%Total1,48110,41314.2%
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Reaching across Arizona to provide comprehensive quality health care for those in need
*Data current as of April 2016
AHCCCS Provider Type**AHCCCCSDistinct ProvidersState Wide Actively LicensedMedicaid Penetration RateBC-BCBA10824544%
**Data current as of April 4, 2017
Slide3Summary of Accomplishments
Designated websites at AHCCCS and each RBHAAHCCCS Website Dedicated to Autism http://www.azahcccs.gov/shared/asd.htmlCIChttps://www.cenpaticointegratedcareaz.com/inthecommunity/community-resources/autism-spectrum-resources.htmlMMIC
https://www.mercymaricopa.org/health-and-wellness/conditions/autismHCIChttp
://www.healthchoiceintegratedcare.com/members/childrens-services
/
3Reaching across Arizona to provide comprehensive quality health care for those in need
Slide4Summary of Accomplishments
4. Identified Specialized ASD Diagnosing Providers by RBHACIChttp://www.cenpaticointegratedcareaz.com/content/dam/centene/cenpaticoaz/Provider%20Forms%2C%20Attachments%2C%20and%20Deliverables/PMA_3-3-2.pdfCRShttp://www.uhccommunityplan.com/content/dam/communityplan/plandocuments/findaprovider/AZ_Autism_Spectrum_Disorder.pdfHCIC
http://www.healthchoiceintegratedcare.com/wp-content/uploads/2015/07/HCIC-ASD-Providers.pdfMMIC
http://www.mercymaricopa.org/assets/pdf/members/directories-guides/AutismSpectrumDisorderProviders.pdf
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Reaching across Arizona to provide comprehensive quality health care for those in need
Slide5Summary of Accomplishments
5. Network expansionMMIC started Centers of Excellence for Autism Touchstone and SWBH6. DDD updating Article 3 to address ASD specialized diagnosing providers recommendations7. AHCCCS Awarded TI from CMS: $300 million over 5 years8
. AHCCCS RFI for 10/1/18 integrated contracts
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Reaching across Arizona to provide comprehensive
quality health care for those in need
Slide6Summary 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 coding11. ASD Advisory Committee continues to be actively engaged and provide constructive feedback
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Reaching across Arizona to provide comprehensive
quality health care for those in need
Slide7Summary 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 coding12. ASD Advisory Committee continues to be actively engaged and provide constructive feedback
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Reaching across Arizona to provide comprehensive
quality health care for those in need
Slide8QUESTIONS
8Reaching across Arizona to provide comprehensive quality health care for those in need