Douglas A. Ducey, Governor Jami Snyder, Director

December 4, 2020

The Honorable Douglas A. Ducey Governor of Arizona
1700 W. Washington
Phoenix, AZ 85007 Dear Governor Ducey:
Pursuant to A.R.S. 36-3405(D), AHCCCS is required to provide a monthly report that shall, by Regional Behavioral Health Authority (RBHA), separately report Title XIX and Non-title XIX categories and shall include for each category the number of persons served, the units of service and the amount of funding provided for client services and the amount provided for RBHA administration and case management expenses.

This submission represents the agency’s November 2020 report to comply with the requirement above. It includes counts of members served through January 2020. On October 1, 2018, coverage of behavioral health services of most members was shifted from RBHA plans to AHCCCS Complete Care integrated plans. While the reporting requirement of A.R.S. 36-3405(D) is specific to RBHA services, we have continued to report use of services across all plans.

If you have any questions regarding this letter, please feel free to contact me at (602) 417-4711. Sincerely,
Jami Snyder, Director

Cc:	The Honorable Karen Fann, President, Arizona Senate
The Honorable Russell Bowers, Speaker, Arizona House of Representatives Christina Corieri, Governor’s Office Senior Policy Advisor
Matthew Gress, Director, Governor’s Office of Strategic Planning and Budgeting Richard Stavneak, Director, Joint Legislative Budget Committee

801 East Jefferson, Phoenix, AZ 85034 • PO Box 25520, Phoenix, AZ 85002 • 602-417-4000 • www.azahcccs.gov

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	
BEHAVIORAL HEALTH ENROLLED & SERVED REPORT1	
SUMMARY	

Report Month2,3	
Enrolled/Served Month	

July - 20 Restatement of Previously Reported Amounts 4	Aug-20	Sep-20	Oct-20	Nov-20	
Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	

12 MO AVG

Medicaid Title XIX	Served5,6	264,000	269,191	273,444	274,324	251,359	259,022	275,294	272,340	283,329	273,078	272,230	285,121	
	Enrolled7	 	1,722,665		1,724,021		1,723,807		1,724,964		1,724,081		1,733,264		1,741,651		1,739,420		1,741,728		1,735,477		1,729,883		1,726,268	
	% Served	15.3%	15.6%	15.9%	15.9%	14.6%	14.9%	15.8%	15.7%	16.3%	15.7%	15.7%	16.5%	

271,061	
 	1,730,602	
15.7%	

KidsCare Title XXI	Served	2,158	2,232	2,302	2,288	2,134	2,140	2,238	2,299	2,480	2,370	2,388	2,574	
	Enrolled	33,483	34,069	34,217	34,736	34,912	34,881	35,397	35,767	36,397	36,188	36,114	36,194	
	% Served	6.4%	6.6%	6.7%	6.6%	6.1%	6.1%	6.3%	6.4%	6.8%	6.5%	6.6%	7.1%	

2,300	
 	35,196	
6.5%	

Total Title XIX/XXI	Served	266,158	271,423	275,746	276,612	253,493	261,162	277,532	274,639	285,809	275,448	274,618	287,695	
	Enrolled	 	1,756,148		1,758,090		1,758,024		1,759,700		1,758,993		1,768,145		1,777,048		1,775,187		1,778,125		1,771,665		1,765,997		1,762,462	
	% Served	15.2%	15.4%	15.7%	15.7%	14.4%	14.8%	15.6%	15.5%	16.1%	15.5%	15.6%	16.3%	

273,361	
 	1,765,799	
15.5%	

Non-Title XIX/XXI8	Served	17,267	17,605	18,023	17,883	17,349	18,034	17,848	17,592	18,361	17,488	17,533	18,099	

17,757

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
3. Beginning with the July 2020 report, a revised methodology is used for counting members served and enrolled. Previously reported figures were restated under the revised methodology.	
4. Months for dates of service February 1, 2019 through September 30, 2019 are reported in a single July 2020 report. Going forward, the report is produced on a monthly basis and prior period figures are not restated.	
5. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
6. Behavioral health service means any service with a primary diagnosis code that is behavioral health related or pharmacy claim that is behavioral health related, as defined by AHCCCS clinical criteria.	
7. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
8. Non-Title XIX/XXI identifies individuals receiving behavioral health services under State Only/NTXIX/NTXXI behavioral health programs. Note, because there is no TXXI/TXXI behavioral health benefit under Federal
Emergency Services or Medicare Savings Programs, members can have concurrent State Only/NTXIX/NTXXI use with these programs.	

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	
BEHAVIORAL HEALTH ENROLLED & SERVED REPORT1	
MEDICAID TITLE XIX	

Report Month2,3	
Enrolled/Served Month	

July - 20 Restatement of Previously Reported Amounts 4	Aug-20	Sep-20	Oct-20	Nov-20	
Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	

12 MO AVG

Total

Child8	Served5,6	76,796	77,382	78,561	77,552	59,398	61,674	76,483	77,000	80,350	78,272	77,335	81,854	
	Enrolled7	729,351	729,315	728,607	728,263	727,450	730,752	733,666	731,815	731,143	727,488	723,700	721,120	
	% Served	10.5%	10.6%	10.8%	10.6%	8.2%	8.4%	10.4%	10.5%	11.0%	10.8%	10.7%	11.4%	

75,221	
 	728,556	
10.3%	

CMDP9	Served	10,511	10,748	10,756	10,873	10,520	10,839	10,680	10,547	10,582	10,403	10,565	10,686	
	Enrolled	13,639	13,753	13,815	13,994	13,946	14,056	14,115	14,158	14,178	14,079	14,223	14,377	
	% Served	77.1%	78.2%	77.9%	77.7%	75.4%	77.1%	75.7%	74.5%	74.6%	73.9%	74.3%	74.3%	

10,643	
 	14,028	
75.9%	

GMH/SA Dual10	Served	22,943	23,313	23,935	24,085	23,437	23,932	23,883	22,919	25,040	23,879	23,550	25,464	
	Enrolled	149,492	149,884	149,815	149,945	150,175	150,859	151,322	151,628	152,170	152,291	152,395	152,772	
	% Served	15.3%	15.6%	16.0%	16.1%	15.6%	15.9%	15.8%	15.1%	16.5%	15.7%	15.5%	16.7%	

23,865	
 	151,062	
15.8%	

GMH/SA Non-Dual11	Served	117,634	121,374	123,588	125,250	122,077	126,163	128,071	126,794	131,331	124,701	124,901	130,849	
	Enrolled	783,162	783,971	784,409	785,603	785,323	790,368	795,086	794,357	796,560	794,059	792,004	790,385	
	% Served	15.0%	15.5%	15.8%	15.9%	15.5%	16.0%	16.1%	16.0%	16.5%	15.7%	15.8%	16.6%	

125,228	
 	789,607	
15.9%	

SMI12	Served	36,116	36,374	36,604	36,564	35,927	36,414	36,177	35,080	36,026	35,823	35,879	36,268	
	Enrolled	47,021	47,098	47,161	47,159	47,187	47,229	47,462	47,462	47,677	47,560	47,561	47,614	
	% Served	76.8%	77.2%	77.6%	77.5%	76.1%	77.1%	76.2%	73.9%	75.6%	75.3%	75.4%	76.2%	

36,104	
 	47,349	
76.3%	

Total13	Served	264,000	269,191	273,444	274,324	251,359	259,022	275,294	272,340	283,329	273,078	272,230	285,121	
	Enrolled	     1,722,665		1,724,021		1,723,807		1,724,964		1,724,081		1,733,264		1,741,651		1,739,420		1,741,728		1,735,477		1,729,883		1,726,268	
	% Served	15.3%	15.6%	15.9%	15.9%	14.6%	14.9%	15.8%	15.7%	16.3%	15.7%	15.7%	16.5%	

271,061	
     1,730,602	
15.7%	

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
3. Beginning with the July 2020 report, a revised methodology is used for counting members served and enrolled. Previously reported figures were restated under the revised methodology.	
4. Months for dates of service February 1, 2019 through September 30, 2019 are reported in a single July 2020 report. Going forward, the report is produced on a monthly basis and prior period figures are not restated.	
5. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
6. Behavioral health service means any service with a primary diagnosis code that is behavioral health related or pharmacy claim that is behavioral health related, as defined by AHCCCS clinical criteria.	
7. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
8. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
9. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
10. GMH/SA dual means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category, dually eligible for Medicare and Medicaid.	
11. GMH/SA non-dual means AHCCCS member age 18 and older in the GMH/SA category, not dually eligible for Medicare and Medicaid.	
12. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	
13. Unique enrolled and served members who shift between GSAs and behavioral health categories are counted in each.	

11/18/2020	2

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	
BEHAVIORAL HEALTH ENROLLED & SERVED REPORT1	
MEDICAID TITLE XIX - CENTRAL	

Report Month2,3	
Enrolled/Served Month	

July - 20 Restatement of Previously Reported Amounts 4	Aug-20	Sep-20	Oct-20	Nov-20	
Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	

12 MO AVG

Central5

Child9	Served6,7	47,294	47,478	47,915	47,540	35,275	36,781	46,758	47,112	48,993	47,960	47,412	49,805	
	Enrolled8	443,886	443,956	443,645	443,318	442,939	444,844	446,686	445,673	445,109	442,725	440,314	438,688	
	% Served	10.7%	10.7%	10.8%	10.7%	8.0%	8.3%	10.5%	10.6%	11.0%	10.8%	10.8%	11.4%	

45,860	
 	443,482	
10.3%	

CMDP10	Served	6,450	6,557	6,546	6,563	6,210	6,503	6,419	6,250	6,288	6,144	6,264	6,351	
	Enrolled	8,533	8,623	8,613	8,651	8,613	8,645	8,684	8,692	8,688	8,612	8,740	8,828	
	% Served	75.6%	76.0%	76.0%	75.9%	72.1%	75.2%	73.9%	71.9%	72.4%	71.3%	71.7%	71.9%	

6,379	
 	8,660	
73.7%	

GMH/SA Dual11	Served	13,200	13,262	13,689	13,789	13,486	13,724	13,614	13,181	14,313	13,583	13,393	14,559	
	Enrolled	75,809	76,034	75,965	75,959	76,019	76,378	76,560	76,689	76,972	76,970	76,997	77,251	
	% Served	17.4%	17.4%	18.0%	18.2%	17.7%	18.0%	17.8%	17.2%	18.6%	17.6%	17.4%	18.8%	

13,649	
 	76,467	
17.9%	

GMH/SA Non-Dual12	Served	66,158	67,659	68,559	69,377	67,771	69,622	70,998	70,092	72,130	69,078	68,701	72,030	
	Enrolled	426,255	426,814	426,797	427,565	427,547	430,381	433,212	432,856	434,152	432,654	431,690	431,065	
	% Served	15.5%	15.9%	16.1%	16.2%	15.9%	16.2%	16.4%	16.2%	16.6%	16.0%	15.9%	16.7%	

69,348	
 	430,082	
16.1%	

SMI13	Served	20,389	20,439	20,728	20,701	20,311	20,724	20,519	19,585	20,279	20,420	20,548	20,788	
	Enrolled	25,268	25,310	25,379	25,392	25,406	25,457	25,621	25,633	25,816	25,776	25,823	25,895	
	% Served	80.7%	80.8%	81.7%	81.5%	79.9%	81.4%	80.1%	76.4%	78.6%	79.2%	79.6%	80.3%	

20,453	
 	25,565	
80.0%	

Total	Served	153,491	155,395	157,437	157,970	143,053	147,354	158,308	156,220	162,003	157,185	156,318	163,533	
	Enrolled	979,751	980,737	980,399	980,885	980,524	985,705	990,763	989,543	990,737	986,737	983,564	981,727	
	% Served	15.7%	15.8%	16.1%	16.1%	14.6%	14.9%	16.0%	15.8%	16.4%	15.9%	15.9%	16.7%	

155,689	
 	984,256	
15.8%	

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
3. Beginning with the July 2020 report, a revised methodology is used for counting members served and enrolled. Previously reported figures were restated under the revised methodology.	
4. Months for dates of service February 1, 2019 through September 30, 2019 are reported in a single July 2020 report. Going forward, the report is produced on a monthly basis and prior period figures are not restated.	
5. GSA used is RBHA GSA. Central GSA includes Maricopa County only.	
6. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
7. Behavioral health service means any service with a primary diagnosis code that is behavioral health related or pharmacy claim that is behavioral health related, as defined by AHCCCS clinical criteria.	
8. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
9. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
10. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
11. GMH/SA dual means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category, dually eligible for Medicare and Medicaid.	
12. GMH/SA non-dual means AHCCCS member age 18 and older in the GMH/SA category, not dually eligible for Medicare and Medicaid.	
13. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	
BEHAVIORAL HEALTH ENROLLED & SERVED REPORT1	
MEDICAID TITLE XIX - NORTH	

Report Month2,3	
Enrolled/Served Month	

July - 20 Restatement of Previously Reported Amounts 4	Aug-20	Sep-20	Oct-20	Nov-20	
Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	

12 MO AVG

North5

Child9	Served6,7	7,703	7,912	8,340	8,064	6,288	6,576	8,030	8,242	8,549	8,200	8,228	8,759	
	Enrolled8	89,832	89,879	89,757	89,597	89,485	89,760	90,043	89,670	89,591	89,068	88,630	88,273	
	% Served	8.6%	8.8%	9.3%	9.0%	7.0%	7.3%	8.9%	9.2%	9.5%	9.2%	9.3%	9.9%	

7,908	
 	89,465	
8.8%	

CMDP10	Served	1,097	1,130	1,168	1,175	1,153	1,163	1,157	1,165	1,163	1,169	1,141	1,147	
	Enrolled	1,412	1,415	1,447	1,501	1,493	1,522	1,502	1,547	1,550	1,532	1,517	1,554	
	% Served	77.7%	79.9%	80.7%	78.3%	77.2%	76.4%	77.0%	75.3%	75.0%	76.3%	75.2%	73.8%	

1,152	
 	1,499	
76.9%	

GMH/SA Dual11	Served	2,872	3,041	3,117	3,146	3,106	3,172	3,253	3,053	3,252	3,086	3,012	3,169	
	Enrolled	24,001	23,996	23,960	23,952	23,962	23,997	24,100	24,140	24,230	24,227	24,234	24,283	
	% Served	12.0%	12.7%	13.0%	13.1%	13.0%	13.2%	13.5%	12.6%	13.4%	12.7%	12.4%	13.1%	

3,107	
 	24,090	
12.9%	

GMH/SA Non-Dual12	Served	16,771	17,782	18,497	18,654	18,092	18,949	18,690	18,665	19,543	18,486	18,882	19,400	
	Enrolled	123,735	123,803	123,863	123,716	123,555	124,042	124,729	124,510	124,906	124,551	124,534	124,290	
	% Served	13.6%	14.4%	14.9%	15.1%	14.6%	15.3%	15.0%	15.0%	15.6%	14.8%	15.2%	15.6%	

18,534	
 	124,186	
14.9%	

SMI13	Served	4,394	4,455	4,465	4,451	4,435	4,473	4,488	4,453	4,553	4,341	4,359	4,469	
	Enrolled	6,803	6,831	6,855	6,833	6,835	6,835	6,864	6,893	6,916	6,902	6,898	6,881	
	% Served	64.6%	65.2%	65.1%	65.1%	64.9%	65.4%	65.4%	64.6%	65.8%	62.9%	63.2%	64.9%	

4,445	
 	6,862	
64.8%	

Total	Served	32,837	34,320	35,587	35,490	33,074	34,333	35,618	35,578	37,060	35,282	35,622	36,944	
	Enrolled	245,783	245,924	245,882	245,599	245,330	246,156	247,238	246,760	247,193	246,280	245,813	245,281	
	% Served	13.4%	14.0%	14.5%	14.5%	13.5%	13.9%	14.4%	14.4%	15.0%	14.3%	14.5%	15.1%	

35,145	
 	246,103	
14.3%	

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
3. Beginning with the July 2020 report, a revised methodology is used for counting members served and enrolled. Previously reported figures were restated under the revised methodology.	
4. Months for dates of service February 1, 2019 through September 30, 2019 are reported in a single July 2020 report. Going forward, the report is produced on a monthly basis and prior period figures are not restated	
5. GSA used is RBHA GSA. North GSA includes Apache, Coconino, Gila, Mohave, Navajo, and Yavapai.	
6. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
7. Behavioral health service means any service with a primary diagnosis code that is behavioral health related or pharmacy claim that is behavioral health related, as defined by AHCCCS clinical criteria.	
8. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
9. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
10. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
11. GMH/SA dual means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category, dually eligible for Medicare and Medicaid.	
12. GMH/SA non-dual means AHCCCS member age 18 and older in the GMH/SA category, not dually eligible for Medicare and Medicaid.	
13. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	
BEHAVIORAL HEALTH ENROLLED & SERVED REPORT1	
MEDICAID TITLE XIX - SOUTH	

Report Month2,3	
Enrolled/Served Month	

July - 20 Restatement of Previously Reported Amounts 4	Aug-20	Sep-20	Oct-20	Nov-20	
Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	

12 MO AVG

South5

Child9	Served6,7	21,799	21,992	22,306	21,948	17,835	18,317	21,695	21,646	22,808	22,112	21,695	23,290	
	Enrolled8	195,633	195,480	195,205	195,348	195,026	196,148	196,937	196,472	196,443	195,695	194,756	194,159	
	% Served	11.1%	11.3%	11.4%	11.2%	9.1%	9.3%	11.0%	11.0%	11.6%	11.3%	11.1%	12.0%	

21,454	
 	195,609	
11.0%	

CMDP10	Served	2,964	3,061	3,042	3,135	3,157	3,173	3,104	3,132	3,131	3,090	3,160	3,188	
	Enrolled	3,694	3,715	3,755	3,842	3,840	3,889	3,929	3,919	3,940	3,935	3,966	3,995	
	% Served	80.2%	82.4%	81.0%	81.6%	82.2%	81.6%	79.0%	79.9%	79.5%	78.5%	79.7%	79.8%	

3,111	
 	3,868	
80.4%	

GMH/SA Dual11	Served	6,871	7,010	7,129	7,150	6,845	7,036	7,016	6,685	7,475	7,210	7,145	7,736	
	Enrolled	49,682	49,854	49,890	50,034	50,194	50,484	50,662	50,799	50,968	51,094	51,164	51,238	
	% Served	13.8%	14.1%	14.3%	14.3%	13.6%	13.9%	13.8%	13.2%	14.7%	14.1%	14.0%	15.1%	

7,109	
 	50,505	
14.1%	

GMH/SA Non-Dual12	Served	34,705	35,933	36,532	37,219	36,214	37,592	38,383	38,037	39,658	37,137	37,318	39,419	
	Enrolled	233,172	233,354	233,749	234,322	234,221	235,945	237,145	236,991	237,502	236,854	235,780	235,030	
	% Served	14.9%	15.4%	15.6%	15.9%	15.5%	15.9%	16.2%	16.0%	16.7%	15.7%	15.8%	16.8%	

37,346	
 	235,339	
15.9%	

SMI13	Served	11,333	11,480	11,411	11,412	11,181	11,217	11,170	11,042	11,194	11,062	10,972	11,011	
	Enrolled	14,950	14,957	14,927	14,934	14,946	14,937	14,977	14,936	14,945	14,882	14,840	14,838	
	% Served	75.8%	76.8%	76.4%	76.4%	74.8%	75.1%	74.6%	73.9%	74.9%	74.3%	73.9%	74.2%	

11,207	
 	14,922	
75.1%	

Total	Served	77,672	79,476	80,420	80,864	75,232	77,335	81,368	80,542	84,266	80,611	80,290	84,644	
	Enrolled	497,131	497,360	497,526	498,480	498,227	501,403	503,650	503,117	503,798	502,460	500,506	499,260	
	% Served	15.6%	16.0%	16.2%	16.2%	15.1%	15.4%	16.2%	16.0%	16.7%	16.0%	16.0%	17.0%	

80,227	
 	500,243	
16.0%	

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
3. Beginning with the July 2020 report, a revised methodology is used for counting members served and enrolled. Previously reported figures were restated under the revised methodology.	
4. Months for dates of service February 1, 2019 through September 30, 2019 are reported in a single July 2020 report. Going forward, the report is produced on a monthly basis and prior period figures are not restated	
5. GSA used is RBHA GSA. South GSA includes Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz, and Yuma.	
6. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
7. Behavioral health service means any service with a primary diagnosis code that is behavioral health related or pharmacy claim that is behavioral health related, as defined by AHCCCS clinical criteria.	
8. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
9. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
10. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
11. GMH/SA dual means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category, dually eligible for Medicare and Medicaid.	
12. GMH/SA non-dual means AHCCCS member age 18 and older in the GMH/SA category, not dually eligible for Medicare and Medicaid.	
13. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	
BEHAVIORAL HEALTH ENROLLED & SERVED REPORT1	
KIDSCARE TITLE XXI	

Report Month2,3	
Enrolled/Served Month	

July - 20 Restatement of Previously Reported Amounts 4	Aug-20	Sep-20	Oct-20	Nov-20	
Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	

12 MO AVG

Total

Child8	Served5,6	2,063	2,137	2,210	2,186	2,047	2,060	2,150	2,204	2,349	2,274	2,292	2,477	
	Enrolled7	32,087	32,621	32,770	33,258	33,455	33,411	33,892	34,208	34,816	34,618	34,552	34,625	
	% Served	6.4%	6.6%	6.7%	6.6%	6.1%	6.2%	6.3%	6.4%	6.7%	6.6%	6.6%	7.2%	

2,204	
 	33,693	
6.5%	

CMDP9	Served	1	1	1	-	1	2	1	1	3	-	2	1	
	Enrolled	2	1	2	1	3	4	3	4	7	-	2	2	
	% Served	50.0%	100.0%	50.0%	0.0%	33.3%	50.0%	33.3%	25.0%	42.9%	0.0%	100.0%	50.0%	

1	
 	3 	
45.2%	

GMH/SA Dual10	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	-	-	-	-	-	-	-	-	-	-	-	-	
	% Served	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	

-	
 	-		
0.0%	

GMH/SA Non-Dual11	Served	90	91	88	99	85	76	85	91	125	94	92	94	
	Enrolled	1,389	1,443	1,442	1,474	1,452	1,464	1,500	1,552	1,571	1,568	1,557	1,563	
	% Served	6.5%	6.3%	6.1%	6.7%	5.9%	5.2%	5.7%	5.9%	8.0%	6.0%	5.9%	6.0%	

93	
 	1,498 	
6.2%	

SMI12	Served	4	3	3	3	1	2	2	3	3	2	2	2	
	Enrolled	5	4	3	3	2	2	2	3	3	2	3	4	
	% Served	80.0%	75.0%	100.0%	100.0%	50.0%	100.0%	100.0%	100.0%	100.0%	100.0%	66.7%	50.0%	

3	
 	3 	
83.3%	

Total13	
Served	
2,158	
2,232	
2,302	
2,288	
2,134	
2,140	
2,238	
2,299	
2,480	
2,370	
2,388	
2,574	
	Enrolled	33,483	34,069	34,217	34,736	34,912	34,881	35,397	35,767	36,397	36,188	36,114	36,194	
	% Served	6.4%	6.6%	6.7%	6.6%	6.1%	6.1%	6.3%	6.4%	6.8%	6.5%	6.6%	7.1%	

 	
2,300	
 	35,196	
6.5%	

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
3. Beginning with the July 2020 report, a revised methodology is used for counting members served and enrolled. Previously reported figures were restated under the revised methodology.	
4. Months for dates of service February 1, 2019 through September 30, 2019 are reported in a single July 2020 report. Going forward, the report is produced on a monthly basis and prior period figures are not restated	
5. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
6. Behavioral health service means any service with a primary diagnosis code that is behavioral health related or pharmacy claim that is behavioral health related, as defined by AHCCCS clinical criteria.	
7. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
8. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
9. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
10. GMH/SA dual means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category, dually eligible for Medicare and Medicaid.	
11. GMH/SA non-dual means AHCCCS member age 18 and older in the GMH/SA category, not dually eligible for Medicare and Medicaid.	
12. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	
13. Unique enrolled and served members who shift between GSAs and behavioral health categories are counted in each.	

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	
BEHAVIORAL HEALTH ENROLLED & SERVED REPORT1	
KIDSCARE TITLE XXI - CENTRAL	

Report Month2,3	
Enrolled/Served Month	

July - 20 Restatement of Previously Reported Amounts 4	Aug-20	Sep-20	Oct-20	Nov-20	
Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	

12 MO AVG

Central5

Child9	Served6,7	1,290	1,309	1,384	1,346	1,270	1,269	1,347	1,355	1,437	1,398	1,404	1,514	
	Enrolled8	20,703	21,144	21,122	21,401	21,526	21,656	22,003	22,071	22,576	22,328	22,302	22,270	
	% Served	6.2%	6.2%	6.6%	6.3%	5.9%	5.9%	6.1%	6.1%	6.4%	6.3%	6.3%	6.8%	

1,360	
 	21,759	
6.3%	

CMDP10	Served	1	1	1	-	1	2	1	1	2	0	2	1	
	Enrolled	2	1	2	1	3	4	2	3	4	0	2	1	
	% Served	50.0%	100.0%	50.0%	0.0%	33.3%	50.0%	50.0%	33.3%	50.0%	0.0%	100.0%	100.0%	

1	
 	2	
52.0%	

GMH/SA Dual11	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	-	-	-	-	-	-	-	-	-	-	-	-	
	% Served	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	

-	
 	-		
0.0%	

GMH/SA Non-Dual12	Served	53	47	46	53	46	41	52	53	65	54	56	54	
	Enrolled	835	862	881	905	897	898	929	960	961	967	955	965	
	% Served	6.3%	5.5%	5.2%	5.9%	5.1%	4.6%	5.6%	5.5%	6.8%	5.6%	5.9%	5.6%	

52	
 	918 	
5.6%	

SMI13	Served	2	1	1	2	-	1	1	2	2	1	1	1	
	Enrolled	2	2	1	2	1	1	1	2	2	1	2	3	
	% Served	100.0%	50.0%	100.0%	100.0%	0.0%	100.0%	100.0%	100.0%	100.0%	100.0%	50.0%	33.3%	

1	
 	2 	
75.0%	

Total	Served	1,346	1,358	1,432	1,401	1,317	1,313	1,401	1,411	1,506	1,453	1,463	1,570	
	Enrolled	21,542	22,009	22,006	22,309	22,427	22,559	22,935	23,036	23,543	23,296	23,261	23,239	
	% Served	6.2%	6.2%	6.5%	6.3%	5.9%	5.8%	6.1%	6.1%	6.4%	6.2%	6.3%	6.8%	

1,414	
 	22,680	
6.2%	

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
3. Beginning with the July 2020 report, a revised methodology is used for counting members served and enrolled. Previously reported figures were restated under the revised methodology.	
4. Months for dates of service February 1, 2019 through September 30, 2019 are reported in a single July 2020 report. Going forward, the report is produced on a monthly basis and prior period figures are not restated	
5. GSA used is RBHA GSA. Central GSA includes Maricopa County only.	
6. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
7. Behavioral health service means any service with a primary diagnosis code that is behavioral health related or pharmacy claim that is behavioral health related, as defined by AHCCCS clinical criteria.	
8. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
9. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
10. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
11. GMH/SA dual means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category, dually eligible for Medicare and Medicaid.	
12. GMH/SA non-dual means AHCCCS member age 18 and older in the GMH/SA category, not dually eligible for Medicare and Medicaid.	
13. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	
BEHAVIORAL HEALTH ENROLLED & SERVED REPORT1	
KIDSCARE TITLE XXI - NORTH	

Report Month2,3	
Enrolled/Served Month	

July - 20 Restatement of Previously Reported Amounts 4	Aug-20	Sep-20	Oct-20	Nov-20	
Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	

12 MO AVG

North5

Child9	Served6,7	200	210	210	223	197	194	221	209	218	217	236	258	
	Enrolled8	3,576	3,539	3,546	3,620	3,645	3,635	3,679	3,736	3,780	3,756	3,781	3,844	
	% Served	5.6%	5.9%	5.9%	6.2%	5.4%	5.3%	6.0%	5.6%	5.8%	5.8%	6.2%	6.7%	

216	
 	3,678	
5.9%	

CMDP10	Served	-	-	-	-	-	-	-	-	1	0	0	0	
	Enrolled	-	-	-	-	-	-	-	-	1	0	0	0	
	% Served	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	100.0%	0.0%	0.0%	0.0%	

0	
 	0 	
100.0%	

GMH/SA Dual11	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	-	-	-	-	-	-	-	-	-	-	-	-	
	% Served	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	

-	
 	-		
0.0%	

GMH/SA Non-Dual12	Served	9	8	7	13	10	8	6	7	13	11	10	12	
	Enrolled	163	172	163	166	162	172	169	176	178	180	185	183	
	% Served	5.5%	4.7%	4.3%	7.8%	6.2%	4.7%	3.6%	4.0%	7.3%	6.1%	5.4%	6.6%	

10	
 	172 	
5.5%	

SMI13	Served	1	1	1	1	1	1	1	1	1	1	1	1	
	Enrolled	2	1	1	1	1	1	1	1	1	1	1	1	
	% Served	50.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	

1	
 	1 	
92.3%	

Total	Served	210	219	218	237	208	203	228	217	233	229	247	271	
	Enrolled	3,741	3,712	3,710	3,787	3,808	3,808	3,849	3,913	3,960	3,937	3,967	4,028	
	% Served	5.6%	5.9%	5.9%	6.3%	5.5%	5.3%	5.9%	5.5%	5.9%	5.8%	6.2%	6.7%	

227	
 	3,852	
5.9%	

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
3. Beginning with the July 2020 report, a revised methodology is used for counting members served and enrolled. Previously reported figures were restated under the revised methodology.	
4. Months for dates of service February 1, 2019 through September 30, 2019 are reported in a single July 2020 report. Going forward, the report is produced on a monthly basis and prior period figures are not restate	
5. GSA used is RBHA GSA. North GSA includes Apache, Coconino, Gila, Mohave, Navajo, and Yavapai.	
6. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
7. Behavioral health service means any service with a primary diagnosis code that is behavioral health related or pharmacy claim that is behavioral health related, as defined by AHCCCS clinical criteria.	
8. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
9. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
10. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
11. GMH/SA dual means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category, dually eligible for Medicare and Medicaid.	
12. GMH/SA non-dual means AHCCCS member age 18 and older in the GMH/SA category, not dually eligible for Medicare and Medicaid.	
13. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	
BEHAVIORAL HEALTH ENROLLED & SERVED REPORT1	
KIDSCARE TITLE XXI - SOUTH	

Report Month2,3	
Enrolled/Served Month	

July - 20 Restatement of Previously Reported Amounts 4	Aug-20	Sep-20	Oct-20	Nov-20	
Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	

12 MO AVG

South5

Child9	Served6,7	573	618	616	617	580	597	582	640	694	659	652	705	
	Enrolled8	7,808	7,938	8,102	8,237	8,284	8,120	8,210	8,401	8,460	8,534	8,469	8,511	
	% Served	7.3%	7.8%	7.6%	7.5%	7.0%	7.4%	7.1%	7.6%	8.2%	7.7%	7.7%	8.3%	

628	
 	8,256 	
7.6%	

CMDP10	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	-	-	-	-	-	-	1	1	2	0	0	1	
	% Served	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	

-	
 	1 	
0.0%	

GMH/SA Dual11	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	-	-	-	-	-	-	-	-	-	-	-	-	
	% Served	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	

-	
 	-		
0.0%	

GMH/SA Non-Dual12	Served	28	36	35	33	29	27	27	31	47	29	26	28	
	Enrolled	391	409	398	403	393	394	402	416	432	421	417	415	
	% Served	7.2%	8.8%	8.8%	8.2%	7.4%	6.9%	6.7%	7.5%	10.9%	6.9%	6.2%	6.7%	

31	
 	408 	
7.7%	

SMI13	Served	1	1	1	-	-	-	-	-	-	-	-	-	
	Enrolled	1	1	1	-	-	-	-	-	-	-	-	-	
	% Served	100.0%	100.0%	100.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	

0	
 	0 	
100.0%	

Total	Served	602	655	652	650	609	624	609	671	741	688	678	733	
	Enrolled	8,200	8,348	8,501	8,640	8,677	8,514	8,613	8,818	8,894	8,955	8,886	8,927	
	% Served	7.3%	7.8%	7.7%	7.5%	7.0%	7.3%	7.1%	7.6%	8.3%	7.7%	7.6%	8.2%	

659	
 	8,664	
7.6%	

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
3. Beginning with the July 2020 report, a revised methodology is used for counting members served and enrolled. Previously reported figures were restated under the revised methodology.	
4. Months for dates of service February 1, 2019 through September 30, 2019 are reported in a single July 2020 report. Going forward, the report is produced on a monthly basis and prior period figures are not restated.	
5. GSA used is RBHA GSA. South GSA includes Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz, and Yuma.	
6. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
7. Behavioral health service means any service with a primary diagnosis code that is behavioral health related or pharmacy claim that is behavioral health related, as defined by AHCCCS clinical criteria.	
8. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
9. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
10. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
11. GMH/SA dual means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category, dually eligible for Medicare and Medicaid.	
12. GMH/SA non-dual means AHCCCS member age 18 and older in the GMH/SA category, not dually eligible for Medicare and Medicaid.	
13. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM	
BEHAVIORAL HEALTH ENROLLED & SERVED REPORT1	
NON-TITLE XIX/XXI2	

Report Month3,4	
Served Month6,7,8	

July - 20 Restatement of Previously Reported Amounts 5	Aug-20	Sep-20	Oct-20	Nov-20	
Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	

12 MO AVG

Central9	Child10	882	834	901	895	690	765	866	918	968	932	909	1,036	
	CMDP11	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA12	3,704	3,795	3,958	3,959	3,802	3,986	3,993	3,820	3,950	3,548	3,345	3,394	
	SMI13	6,445	6,468	6,645	6,467	6,370	6,750	6,412	6,267	6,410	6,263	6,399	6,536	
	Total	11,031	11,097	11,504	11,321	10,862	11,501	11,271	11,005	11,328	10,743	10,653	10,966	

883	
-	
3,771	
 	6,453	
11,107	

North9	Child	102	122	109	115	108	108	120	130	147	140	144	157	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	552	605	626	622	610	667	640	713	685	680	739	774	
	SMI	1,267	1,322	1,333	1,311	1,299	1,332	1,340	1,328	1,335	1,269	1,262	1,345	
	Total	1,921	2,049	2,068	2,048	2,017	2,107	2,100	2,171	2,167	2,089	2,145	2,276	

125	
-	
659	
 	1,312	
2,097	

South9	Child	271	283	279	250	216	230	274	268	344	365	328	308	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	1,583	1,652	1,641	1,743	1,763	1,822	1,899	1,898	2,082	2,064	2,105	2,207	
	SMI	2,461	2,524	2,531	2,521	2,491	2,374	2,304	2,250	2,440	2,227	2,302	2,342	
	Total	4,315	4,459	4,451	4,514	4,470	4,426	4,477	4,416	4,866	4,656	4,735	4,857	

285	
-	
1,872	
 	2,397	
4,554	

Total14	Child	1,255	1,239	1,289	1,260	1,014	1,103	1,260	1,316	1,459	1,437	1,381	1,501	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	5,839	6,052	6,225	6,324	6,175	6,475	6,532	6,431	6,717	6,292	6,189	6,375	
	SMI	10,173	10,314	10,509	10,299	10,160	10,456	10,056	9,845	10,185	9,759	9,963	10,223	
	Total	17,267	17,605	18,023	17,883	17,349	18,034	17,848	17,592	18,361	17,488	17,533	18,099	

1,293	
-	
6,302	
 	10,162 	
17,757	

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. Non-Title XIX/XXI identifies individuals receiving behavioral health services under State Only/NTXIX/NTXXI behavioral health programs. Note, because there is no TXXI/TXXI behavioral health benefit under Federal Emergency Services or Medicare Savings Programs, members can have concurrent State Only/NTXIX/NTXXI use with these programs.	
3. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
4. Months for dates of service February 1, 2019 through September 30, 2019 are reported in a single July 2020 report. Going forward, the report is produced on a monthly basis and prior period figures are not restated.	
5. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
6. Behavioral health service means any service with a primary diagnosis code that is behavioral health related or pharmacy claim that is behavioral health related, as defined by AHCCCS clinical criteria.	
7 Non-Title XIX/XXI members do not have an enrollment status comparable to Medicaid/CHIP that can be reported. Historically, "enrolled in episode of care" was reported, but is not a comparable or consistent metric.	
8. GSA used is RBHA GSA. Central - Maricopa. North - Apache, Coconino, Gila, Mohave, Navajo, and Yavapai. South - Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz, and Yuma.	
9. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
10. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
11. GMH/SA means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category.	
12. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	
13. Unique enrolled and served members who shift between GSAs and behavioral health categories are counted in each.