Care Coordination for AHCCCS Members Releasing from Incarceration: Justice System Reach-In
Arizona has the distinction of being the first state to create a mandatory Managed Care model, meaning that with the exception of the American Indian/Alaskan Native (AI/AN) population* all Medicaid members must be enrolled with one of AHCCCS’ contracted Managed Care Organization (MCO) Health Plans.
AHCCCS health plans are contractually required to have Justice System Reach-In Care Coordination policies and processes in place to conduct pre-release care coordination activities for incarcerated members. The health plans are required to identify members with chronic and/or complex physical or behavioral health care needs, including substance use disorder and those who meet medical necessity criteria to receive Medication Assisted Treatment (MAT).
Designated Justice System Liaisons from each health plan serve as the single point of contact for justice system stakeholders. The liaisons are responsible for ensuring members transitioning from a correctional setting have immediate appointments and access to AHCCCS covered medical services following release from incarceration. For additional information please see Resources for Justice System Stakeholders
*American Indian/Alaskan Native (AI/AN) members can enroll in any AHCCCS Health Plan; the American Indian Health Program (AIHP); or receive medical services through an Indian Health Service Facility, Tribally Operated Facilities, or Urban Clinics (ITUs)