November 2, 2020

The Honorable Douglas A. Ducey Governor of Arizona
1700 W. Washington
Phoenix, AZ 85007 Dear Governor Ducey:

Douglas A. Ducey, Governor Jami Snyder, Director

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 October 2020 report to comply with the requirement above. It includes counts of members served through December 2019. 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	
Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	

12 MO AVG

Medicaid Title XIX	Served5,6	273,622	264,000	269,191	273,444	274,324	251,359	259,022	275,294	272,340	283,329	273,078	272,230	
	Enrolled7	 	1,726,581		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	
	% Served	15.8%	15.3%	15.6%	15.9%	15.9%	14.6%	14.9%	15.8%	15.7%	16.3%	15.7%	15.7%	

270,103	
 	1,730,629	
15.6%	

KidsCare Title XXI	Served	2,098	2,158	2,232	2,302	2,288	2,134	2,140	2,238	2,299	2,480	2,370	2,388	
	Enrolled	32,997	33,483	34,069	34,217	34,736	34,912	34,881	35,397	35,767	36,397	36,188	36,114	
	% Served	6.4%	6.4%	6.6%	6.7%	6.6%	6.1%	6.1%	6.3%	6.4%	6.8%	6.5%	6.6%	

2,261	
 	34,930	
6.5%	

Total Title XIX/XXI	Served	275,720	266,158	271,423	275,746	276,612	253,493	261,162	277,532	274,639	285,809	275,448	274,618	
	Enrolled	 	1,759,578		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	
	% Served	15.7%	15.2%	15.4%	15.7%	15.7%	14.4%	14.8%	15.6%	15.5%	16.1%	15.5%	15.6%	

272,363	
 	1,765,558	
15.4%	

Non-Title XIX/XXI8	Served	17,742	17,267	17,605	18,023	17,883	17,349	18,034	17,848	17,592	18,361	17,488	17,533	

17,727

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 January 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	
Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	

12 MO AVG

Total

Child8	Served5,6	78,408	76,796	77,382	78,561	77,552	59,398	61,674	76,483	77,000	80,350	78,272	77,335	
	Enrolled7	732,485	729,351	729,315	728,607	728,263	727,450	730,752	733,666	731,815	731,143	727,488	723,700	
	% Served	10.7%	10.5%	10.6%	10.8%	10.6%	8.2%	8.4%	10.4%	10.5%	11.0%	10.8%	10.7%	

74,934	
 	729,503	
10.3%	

CMDP9	Served	10,598	10,511	10,748	10,756	10,873	10,520	10,839	10,680	10,547	10,582	10,403	10,565	
	Enrolled	13,755	13,639	13,753	13,815	13,994	13,946	14,056	14,115	14,158	14,178	14,079	14,223	
	% Served	77.0%	77.1%	78.2%	77.9%	77.7%	75.4%	77.1%	75.7%	74.5%	74.6%	73.9%	74.3%	

10,635	
 	13,976	
76.1%	

GMH/SA Dual10	Served	24,752	22,943	23,313	23,935	24,085	23,437	23,932	23,883	22,919	25,040	23,879	23,550	
	Enrolled	149,473	149,492	149,884	149,815	149,945	150,175	150,859	151,322	151,628	152,170	152,291	152,395	
	% Served	16.6%	15.3%	15.6%	16.0%	16.1%	15.6%	15.9%	15.8%	15.1%	16.5%	15.7%	15.5%	

23,806	
 	150,787	
15.8%	

GMH/SA Non-Dual11	Served	123,115	117,634	121,374	123,588	125,250	122,077	126,163	128,071	126,794	131,331	124,701	124,901	
	Enrolled	783,929	783,162	783,971	784,409	785,603	785,323	790,368	795,086	794,357	796,560	794,059	792,004	
	% Served	15.7%	15.0%	15.5%	15.8%	15.9%	15.5%	16.0%	16.1%	16.0%	16.5%	15.7%	15.8%	

124,583	
 	789,069	
15.8%	

SMI12	Served	36,749	36,116	36,374	36,604	36,564	35,927	36,414	36,177	35,080	36,026	35,823	35,879	
	Enrolled	46,939	47,021	47,098	47,161	47,159	47,187	47,229	47,462	47,462	47,677	47,560	47,561	
	% Served	78.3%	76.8%	77.2%	77.6%	77.5%	76.1%	77.1%	76.2%	73.9%	75.6%	75.3%	75.4%	

36,144	
 	47,293	
76.4%	

Total13	Served	273,622	264,000	269,191	273,444	274,324	251,359	259,022	275,294	272,340	283,329	273,078	272,230	
	Enrolled	     1,726,581		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	
	% Served	15.8%	15.3%	15.6%	15.9%	15.9%	14.6%	14.9%	15.8%	15.7%	16.3%	15.7%	15.7%	

270,103	
     1,730,629	
15.6%	

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 January 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.	

10/16/2020	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	
Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	

12 MO AVG

Central5

Child9	Served6,7	48,232	47,294	47,478	47,915	47,540	35,275	36,781	46,758	47,112	48,993	47,960	47,412	
	Enrolled8	445,423	443,886	443,956	443,645	443,318	442,939	444,844	446,686	445,673	445,109	442,725	440,314	
	% Served	10.8%	10.7%	10.7%	10.8%	10.7%	8.0%	8.3%	10.5%	10.6%	11.0%	10.8%	10.8%	

45,729	
 	444,043	
10.3%	

CMDP10	Served	6,497	6,450	6,557	6,546	6,563	6,210	6,503	6,419	6,250	6,288	6,144	6,264	
	Enrolled	8,648	8,533	8,623	8,613	8,651	8,613	8,645	8,684	8,692	8,688	8,612	8,740	
	% Served	75.1%	75.6%	76.0%	76.0%	75.9%	72.1%	75.2%	73.9%	71.9%	72.4%	71.3%	71.7%	

6,391	
 	8,645	
73.9%	

GMH/SA Dual11	Served	14,435	13,200	13,262	13,689	13,789	13,486	13,724	13,614	13,181	14,313	13,583	13,393	
	Enrolled	75,804	75,809	76,034	75,965	75,959	76,019	76,378	76,560	76,689	76,972	76,970	76,997	
	% Served	19.0%	17.4%	17.4%	18.0%	18.2%	17.7%	18.0%	17.8%	17.2%	18.6%	17.6%	17.4%	

13,639	
 	76,346	
17.9%	

GMH/SA Non-Dual12	Served	69,181	66,158	67,659	68,559	69,377	67,771	69,622	70,998	70,092	72,130	69,078	68,701	
	Enrolled	426,452	426,255	426,814	426,797	427,565	427,547	430,381	433,212	432,856	434,152	432,654	431,690	
	% Served	16.2%	15.5%	15.9%	16.1%	16.2%	15.9%	16.2%	16.4%	16.2%	16.6%	16.0%	15.9%	

69,111	
 	429,698	
16.1%	

SMI13	Served	20,785	20,389	20,439	20,728	20,701	20,311	20,724	20,519	19,585	20,279	20,420	20,548	
	Enrolled	25,178	25,268	25,310	25,379	25,392	25,406	25,457	25,621	25,633	25,816	25,776	25,823	
	% Served	82.6%	80.7%	80.8%	81.7%	81.5%	79.9%	81.4%	80.1%	76.4%	78.6%	79.2%	79.6%	

20,452	
 	25,505	
80.2%	

Total	Served	159,130	153,491	155,395	157,437	157,970	143,053	147,354	158,308	156,220	162,003	157,185	156,318	
	Enrolled	981,505	979,751	980,737	980,399	980,885	980,524	985,705	990,763	989,543	990,737	986,737	983,564	
	% Served	16.2%	15.7%	15.8%	16.1%	16.1%	14.6%	14.9%	16.0%	15.8%	16.4%	15.9%	15.9%	

155,322	
 	984,238	
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 January 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	
Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	

12 MO AVG

North5

Child9	Served6,7	7,793	7,703	7,912	8,340	8,064	6,288	6,576	8,030	8,242	8,549	8,200	8,228	
	Enrolled8	90,418	89,832	89,879	89,757	89,597	89,485	89,760	90,043	89,670	89,591	89,068	88,630	
	% Served	8.6%	8.6%	8.8%	9.3%	9.0%	7.0%	7.3%	8.9%	9.2%	9.5%	9.2%	9.3%	

7,827	
 	89,644	
8.7%	

CMDP10	Served	1,129	1,097	1,130	1,168	1,175	1,153	1,163	1,157	1,165	1,163	1,169	1,141	
	Enrolled	1,431	1,412	1,415	1,447	1,501	1,493	1,522	1,502	1,547	1,550	1,532	1,517	
	% Served	78.9%	77.7%	79.9%	80.7%	78.3%	77.2%	76.4%	77.0%	75.3%	75.0%	76.3%	75.2%	

1,151	
 	1,489	
77.3%	

GMH/SA Dual11	Served	3,138	2,872	3,041	3,117	3,146	3,106	3,172	3,253	3,053	3,252	3,086	3,012	
	Enrolled	24,035	24,001	23,996	23,960	23,952	23,962	23,997	24,100	24,140	24,230	24,227	24,234	
	% Served	13.1%	12.0%	12.7%	13.0%	13.1%	13.0%	13.2%	13.5%	12.6%	13.4%	12.7%	12.4%	

3,104	
 	24,070	
12.9%	

GMH/SA Non-Dual12	Served	17,685	16,771	17,782	18,497	18,654	18,092	18,949	18,690	18,665	19,543	18,486	18,882	
	Enrolled	124,053	123,735	123,803	123,863	123,716	123,555	124,042	124,729	124,510	124,906	124,551	124,534	
	% Served	14.3%	13.6%	14.4%	14.9%	15.1%	14.6%	15.3%	15.0%	15.0%	15.6%	14.8%	15.2%	

18,391	
 	124,166	
14.8%	

SMI13	Served	4,510	4,394	4,455	4,465	4,451	4,435	4,473	4,488	4,453	4,553	4,341	4,359	
	Enrolled	6,809	6,803	6,831	6,855	6,833	6,835	6,835	6,864	6,893	6,916	6,902	6,898	
	% Served	66.2%	64.6%	65.2%	65.1%	65.1%	64.9%	65.4%	65.4%	64.6%	65.8%	62.9%	63.2%	

4,448	
 	6,856	
64.9%	

Total	Served	34,255	32,837	34,320	35,587	35,490	33,074	34,333	35,618	35,578	37,060	35,282	35,622	
	Enrolled	246,746	245,783	245,924	245,882	245,599	245,330	246,156	247,238	246,760	247,193	246,280	245,813	
	% Served	13.9%	13.4%	14.0%	14.5%	14.5%	13.5%	13.9%	14.4%	14.4%	15.0%	14.3%	14.5%	

34,921	
 	246,225	
14.2%	

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 January 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	
Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	

12 MO AVG

South5

Child9	Served6,7	22,383	21,799	21,992	22,306	21,948	17,835	18,317	21,695	21,646	22,808	22,112	21,695	
	Enrolled8	196,644	195,633	195,480	195,205	195,348	195,026	196,148	196,937	196,472	196,443	195,695	194,756	
	% Served	11.4%	11.1%	11.3%	11.4%	11.2%	9.1%	9.3%	11.0%	11.0%	11.6%	11.3%	11.1%	

21,378	
 	195,816	
10.9%	

CMDP10	Served	2,972	2,964	3,061	3,042	3,135	3,157	3,173	3,104	3,132	3,131	3,090	3,160	
	Enrolled	3,676	3,694	3,715	3,755	3,842	3,840	3,889	3,929	3,919	3,940	3,935	3,966	
	% Served	80.8%	80.2%	82.4%	81.0%	81.6%	82.2%	81.6%	79.0%	79.9%	79.5%	78.5%	79.7%	

3,093	
 	3,842	
80.5%	

GMH/SA Dual11	Served	7,179	6,871	7,010	7,129	7,150	6,845	7,036	7,016	6,685	7,475	7,210	7,145	
	Enrolled	49,634	49,682	49,854	49,890	50,034	50,194	50,484	50,662	50,799	50,968	51,094	51,164	
	% Served	14.5%	13.8%	14.1%	14.3%	14.3%	13.6%	13.9%	13.8%	13.2%	14.7%	14.1%	14.0%	

7,063	
 	50,372	
14.0%	

GMH/SA Non-Dual12	Served	36,249	34,705	35,933	36,532	37,219	36,214	37,592	38,383	38,037	39,658	37,137	37,318	
	Enrolled	233,424	233,172	233,354	233,749	234,322	234,221	235,945	237,145	236,991	237,502	236,854	235,780	
	% Served	15.5%	14.9%	15.4%	15.6%	15.9%	15.5%	15.9%	16.2%	16.0%	16.7%	15.7%	15.8%	

37,081	
 	235,205	
15.8%	

SMI13	Served	11,454	11,333	11,480	11,411	11,412	11,181	11,217	11,170	11,042	11,194	11,062	10,972	
	Enrolled	14,952	14,950	14,957	14,927	14,934	14,946	14,937	14,977	14,936	14,945	14,882	14,840	
	% Served	76.6%	75.8%	76.8%	76.4%	76.4%	74.8%	75.1%	74.6%	73.9%	74.9%	74.3%	73.9%	

11,244	
 	14,932	
75.3%	

Total	Served	80,237	77,672	79,476	80,420	80,864	75,232	77,335	81,368	80,542	84,266	80,611	80,290	
	Enrolled	498,330	497,131	497,360	497,526	498,480	498,227	501,403	503,650	503,117	503,798	502,460	500,506	
	% Served	16.1%	15.6%	16.0%	16.2%	16.2%	15.1%	15.4%	16.2%	16.0%	16.7%	16.0%	16.0%	

79,859	
 	500,166	
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 January 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	
Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	

12 MO AVG

Total

Child8	Served5,6	2,014	2,063	2,137	2,210	2,186	2,047	2,060	2,150	2,204	2,349	2,274	2,292	
	Enrolled7	31,614	32,087	32,621	32,770	33,258	33,455	33,411	33,892	34,208	34,816	34,618	34,552	
	% Served	6.4%	6.4%	6.6%	6.7%	6.6%	6.1%	6.2%	6.3%	6.4%	6.7%	6.6%	6.6%	

2,166	
 	33,442	
6.5%	

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

1	
 	3 	
43.8%	

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	82	90	91	88	99	85	76	85	91	125	94	92	
	Enrolled	1,379	1,389	1,443	1,442	1,474	1,452	1,464	1,500	1,552	1,571	1,568	1,557	
	% Served	5.9%	6.5%	6.3%	6.1%	6.7%	5.9%	5.2%	5.7%	5.9%	8.0%	6.0%	5.9%	

92	
 	1,483 	
6.2%	

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

2	
 	3 	
87.9%	

Total13	
Served	
2,098	
2,158	
2,232	
2,302	
2,288	
2,134	
2,140	
2,238	
2,299	
2,480	
2,370	
2,388	
	Enrolled	32,997	33,483	34,069	34,217	34,736	34,912	34,881	35,397	35,767	36,397	36,188	36,114	
	% Served	6.4%	6.4%	6.6%	6.7%	6.6%	6.1%	6.1%	6.3%	6.4%	6.8%	6.5%	6.6%	

 	
2,261	
 	34,930	
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 January 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	
Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	

12 MO AVG

Central5

Child9	Served6,7	1,279	1,290	1,309	1,384	1,346	1,270	1,269	1,347	1,355	1,437	1,398	1,404	
	Enrolled8	20,527	20,703	21,144	21,122	21,401	21,526	21,656	22,003	22,071	22,576	22,328	22,302	
	% Served	6.2%	6.2%	6.2%	6.6%	6.3%	5.9%	5.9%	6.1%	6.1%	6.4%	6.3%	6.3%	

1,341	
 	21,613	
6.2%	

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

1	
 	2	
48.1%	

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	48	53	47	46	53	46	41	52	53	65	54	56	
	Enrolled	853	835	862	881	905	897	898	929	960	961	967	955	
	% Served	5.6%	6.3%	5.5%	5.2%	5.9%	5.1%	4.6%	5.6%	5.5%	6.8%	5.6%	5.9%	

51	
 	909 	
5.6%	

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

1	
 	2 	
83.3%	

Total	Served	1,329	1,346	1,358	1,432	1,401	1,317	1,313	1,401	1,411	1,506	1,453	1,463	
	Enrolled	21,384	21,542	22,009	22,006	22,309	22,427	22,559	22,935	23,036	23,543	23,296	23,261	
	% Served	6.2%	6.2%	6.2%	6.5%	6.3%	5.9%	5.8%	6.1%	6.1%	6.4%	6.2%	6.3%	

1,394	
 	22,526	
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 January 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	
Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	

12 MO AVG

North5

Child9	Served6,7	211	200	210	210	223	197	194	221	209	218	217	236	
	Enrolled8	3,507	3,576	3,539	3,546	3,620	3,645	3,635	3,679	3,736	3,780	3,756	3,781	
	% Served	6.0%	5.6%	5.9%	5.9%	6.2%	5.4%	5.3%	6.0%	5.6%	5.8%	5.8%	6.2%	

212	
 	3,650	
5.8%	

CMDP10	Served	-	-	-	-	-	-	-	-	-	1	0	0	
	Enrolled	-	-	-	-	-	-	-	-	-	1	0	0	
	% Served	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	100.0%	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	8	9	8	7	13	10	8	6	7	13	11	10	
	Enrolled	153	163	172	163	166	162	172	169	176	178	180	185	
	% Served	5.2%	5.5%	4.7%	4.3%	7.8%	6.2%	4.7%	3.6%	4.0%	7.3%	6.1%	5.4%	

9	
 	170 	
5.4%	

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

1	
 	1 	
91.7%	

Total	Served	219	210	219	218	237	208	203	228	217	233	229	247	
	Enrolled	3,660	3,741	3,712	3,710	3,787	3,808	3,808	3,849	3,913	3,960	3,937	3,967	
	% Served	6.0%	5.6%	5.9%	5.9%	6.3%	5.5%	5.3%	5.9%	5.5%	5.9%	5.8%	6.2%	

222	
 	3,821	
5.8%	

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 January 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	
KIDSCARE TITLE XXI - SOUTH	

Report Month2,3	
Enrolled/Served Month	

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

12 MO AVG

South5

Child9	Served6,7	524	573	618	616	617	580	597	582	640	694	659	652	
	Enrolled8	7,580	7,808	7,938	8,102	8,237	8,284	8,120	8,210	8,401	8,460	8,534	8,469	
	% Served	6.9%	7.3%	7.8%	7.6%	7.5%	7.0%	7.4%	7.1%	7.6%	8.2%	7.7%	7.7%	

613	
 	8,179 	
7.5%	

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

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	26	28	36	35	33	29	27	27	31	47	29	26	
	Enrolled	373	391	409	398	403	393	394	402	416	432	421	417	
	% Served	7.0%	7.2%	8.8%	8.8%	8.2%	7.4%	6.9%	6.7%	7.5%	10.9%	6.9%	6.2%	

31	
 	404 	
7.7%	

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

0	
 	0 	
100.0%	

Total	Served	550	602	655	652	650	609	624	609	671	741	688	678	
	Enrolled	7,953	8,200	8,348	8,501	8,640	8,677	8,514	8,613	8,818	8,894	8,955	8,886	
	% Served	6.9%	7.3%	7.8%	7.7%	7.5%	7.0%	7.3%	7.1%	7.6%	8.3%	7.7%	7.6%	

644	
 	8,583	
7.5%	

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 January 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	
Jan-19	Feb-19	Mar-19	Apr-19	May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	

12 MO AVG

Central9	Child10	818	882	834	901	895	690	765	866	918	968	932	909	
	CMDP11	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA12	3,810	3,704	3,795	3,958	3,959	3,802	3,986	3,993	3,820	3,950	3,548	3,345	
	SMI13	6,661	6,445	6,468	6,645	6,467	6,370	6,750	6,412	6,267	6,410	6,263	6,399	
	Total	11,289	11,031	11,097	11,504	11,321	10,862	11,501	11,271	11,005	11,328	10,743	10,653	

865	
-	
3,806	
 	6,463	
11,134	

North9	Child	99	102	122	109	115	108	108	120	130	147	140	144	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	624	552	605	626	622	610	667	640	713	685	680	739	
	SMI	1,319	1,267	1,322	1,333	1,311	1,299	1,332	1,340	1,328	1,335	1,269	1,262	
	Total	2,042	1,921	2,049	2,068	2,048	2,017	2,107	2,100	2,171	2,167	2,089	2,145	

120	
-	
647	
 	1,310	
2,077	

South9	Child	238	271	283	279	250	216	230	274	268	344	365	328	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	1,626	1,583	1,652	1,641	1,743	1,763	1,822	1,899	1,898	2,082	2,064	2,105	
	SMI	2,547	2,461	2,524	2,531	2,521	2,491	2,374	2,304	2,250	2,440	2,227	2,302	
	Total	4,411	4,315	4,459	4,451	4,514	4,470	4,426	4,477	4,416	4,866	4,656	4,735	

279	
-	
1,823	
 	2,414	
4,516	

Total14	Child	1,155	1,255	1,239	1,289	1,260	1,014	1,103	1,260	1,316	1,459	1,437	1,381	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	6,060	5,839	6,052	6,225	6,324	6,175	6,475	6,532	6,431	6,717	6,292	6,189	
	SMI	10,527	10,173	10,314	10,509	10,299	10,160	10,456	10,056	9,845	10,185	9,759	9,963	
	Total	17,742	17,267	17,605	18,023	17,883	17,349	18,034	17,848	17,592	18,361	17,488	17,533	

1,264	
-	
6,276	
 	10,187 	
17,727	

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. 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 January 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.	
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. 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.	
9. 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.	
10. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
11. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
12. GMH/SA means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category.	
13. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	
14. Unique enrolled and served members who shift between GSAs and behavioral health categories are counted in each.