Douglas A. Ducey, Governor Jami Snyder, Director

March 4, 2021

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 February 2021 report to comply with the requirement above. It includes counts of members served through April 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	Dec-20	Jan-21	Feb-21	
May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	Feb-20	Mar-20	Apr-20	

12 MO AVG

Medicaid Title XIX	Served5,6	274,324	251,359	259,022	275,294	272,340	283,329	273,078	272,230	285,121	283,407	282,269	261,919	
	Enrolled7	 	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		1,720,725		1,725,688		1,762,491	
	% Served	15.9%	14.6%	14.9%	15.8%	15.7%	16.3%	15.7%	15.7%	16.5%	16.5%	16.4%	14.9%	

272,808	
 	1,733,803	
15.7%	

KidsCare Title XXI	Served	2,288	2,134	2,140	2,238	2,299	2,480	2,370	2,388	2,574	2,602	2,604	2,446	
	Enrolled	34,736	34,912	34,881	35,397	35,767	36,397	36,188	36,114	36,195	36,221	37,104	37,970	
	% Served	6.6%	6.1%	6.1%	6.3%	6.4%	6.8%	6.5%	6.6%	7.1%	7.2%	7.0%	6.4%	

2,380	
           35,990	
6.6%	

Total Title XIX/XXI	Served	276,612	253,493	261,162	277,532	274,639	285,809	275,448	274,618	287,695	286,009	284,873	264,365	
	Enrolled	 	1,759,700		1,758,993		1,768,145		1,777,048		1,775,187		1,778,125		1,771,665		1,765,997		1,762,463		1,756,946		1,762,792		1,800,461	
	% Served	15.7%	14.4%	14.8%	15.6%	15.5%	16.1%	15.5%	15.6%	16.3%	16.3%	16.2%	14.7%	

275,188	
     1,769,794	
15.6%	

Non-Title XIX/XXI8	Served	17,883	17,349	18,034	17,848	17,592	18,361	17,488	17,533	18,099	17,843	18,302	18,052	

17,865

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 May 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	Dec-20	Jan-21	Feb-21	
May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	Feb-20	Mar-20	Apr-20	

12 MO AVG

Total

Child8	Served5,6	77,552	59,398	61,674	76,483	77,000	80,350	78,272	77,335	81,854	81,657	77,274	63,661	
	Enrolled7	728,263	727,450	730,752	733,666	731,815	731,143	727,488	723,700	721,120	717,982	717,721	728,845	
	% Served	10.6%	8.2%	8.4%	10.4%	10.5%	11.0%	10.8%	10.7%	11.4%	11.4%	10.8%	8.7%	

74,376	
        726,662	
10.2%	

CMDP9	Served	10,873	10,520	10,839	10,680	10,547	10,582	10,403	10,565	10,686	10,617	10,829	11,012	
	Enrolled	13,994	13,946	14,056	14,115	14,158	14,178	14,079	14,223	14,377	14,414	14,505	14,576	
	% Served	77.7%	75.4%	77.1%	75.7%	74.5%	74.6%	73.9%	74.3%	74.3%	73.7%	74.7%	75.5%	

10,679	
          14,218	
75.1%	

GMH/SA Dual10	Served	24,085	23,437	23,932	23,883	22,919	25,040	23,879	23,550	25,464	25,893	24,590	22,112	
	Enrolled	149,945	150,175	150,859	151,322	151,628	152,170	152,291	152,395	152,772	152,805	153,173	154,377	
	% Served	16.1%	15.6%	15.9%	15.8%	15.1%	16.5%	15.7%	15.5%	16.7%	16.9%	16.1%	14.3%	

24,065	
        151,993	
15.8%	

GMH/SA Non-Dual11	Served	125,250	122,077	126,163	128,071	126,794	131,331	124,701	124,901	130,849	129,145	132,700	127,645	
	Enrolled	785,603	785,323	790,368	795,086	794,357	796,560	794,059	792,004	790,385	787,872	792,481	816,444	
	% Served	15.9%	15.5%	16.0%	16.1%	16.0%	16.5%	15.7%	15.8%	16.6%	16.4%	16.7%	15.6%	

127,469	
        793,379	
16.1%	

SMI12	Served	36,564	35,927	36,414	36,177	35,080	36,026	35,823	35,879	36,268	36,095	36,876	37,489	
	Enrolled	47,159	47,187	47,229	47,462	47,462	47,677	47,560	47,561	47,614	47,652	47,808	48,249	
	% Served	77.5%	76.1%	77.1%	76.2%	73.9%	75.6%	75.3%	75.4%	76.2%	75.7%	77.1%	77.7%	

36,218	
          47,552	
76.2%	

Total13	Served	274,324	251,359	259,022	275,294	272,340	283,329	273,078	272,230	285,121	283,407	282,269	261,919	
	Enrolled	     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		1,720,725		1,725,688		1,762,491	
	% Served	15.9%	14.6%	14.9%	15.8%	15.7%	16.3%	15.7%	15.7%	16.5%	16.5%	16.4%	14.9%	

272,808	
     1,733,803	
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 May 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.	

2/18/2021	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	Dec-20	Jan-21	Feb-21	
May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	Feb-20	Mar-20	Apr-20	

12 MO AVG

Central5

Child9	Served6,7	47,540	35,275	36,781	46,758	47,112	48,993	47,960	47,412	49,805	49,824	46,622	37,858	
	Enrolled8	443,318	442,939	444,844	446,686	445,673	445,109	442,725	440,314	438,688	436,697	436,938	444,223	
	% Served	10.7%	8.0%	8.3%	10.5%	10.6%	11.0%	10.8%	10.8%	11.4%	11.4%	10.7%	8.5%	

45,162	
        442,346	
10.2%	

CMDP10	Served	6,563	6,210	6,503	6,419	6,250	6,288	6,144	6,264	6,351	6,287	6,414	6,488	
	Enrolled	8,651	8,613	8,645	8,684	8,692	8,688	8,612	8,740	8,828	8,816	8,837	8,824	
	% Served	75.9%	72.1%	75.2%	73.9%	71.9%	72.4%	71.3%	71.7%	71.9%	71.3%	72.6%	73.5%	

6,348	
            8,719	
72.8%	

GMH/SA Dual11	Served	13,789	13,486	13,724	13,614	13,181	14,313	13,583	13,393	14,559	14,566	13,495	12,160	
	Enrolled	75,959	76,019	76,378	76,560	76,689	76,972	76,970	76,997	77,251	77,233	77,368	78,040	
	% Served	18.2%	17.7%	18.0%	17.8%	17.2%	18.6%	17.6%	17.4%	18.8%	18.9%	17.4%	15.6%	

13,655	
          76,870	
17.8%	

GMH/SA Non-Dual12	Served	69,377	67,771	69,622	70,998	70,092	72,130	69,078	68,701	72,030	70,605	72,518	69,959	
	Enrolled	427,565	427,547	430,381	433,212	432,856	434,152	432,654	431,690	431,065	429,934	433,503	448,631	
	% Served	16.2%	15.9%	16.2%	16.4%	16.2%	16.6%	16.0%	15.9%	16.7%	16.4%	16.7%	15.6%	

70,240	
        432,766	
16.2%	

SMI13	Served	20,701	20,311	20,724	20,519	19,585	20,279	20,420	20,548	20,788	20,645	21,165	21,698	
	Enrolled	25,392	25,406	25,457	25,621	25,633	25,816	25,776	25,823	25,895	25,930	26,054	26,361	
	% Served	81.5%	79.9%	81.4%	80.1%	76.4%	78.6%	79.2%	79.6%	80.3%	79.6%	81.2%	82.3%	

20,615	
          25,764	
80.0%	

Total	Served	157,970	143,053	147,354	158,308	156,220	162,003	157,185	156,318	163,533	161,927	160,214	148,163	
	Enrolled	980,885	980,524	985,705	990,763	989,543	990,737	986,737	983,564	981,727	978,610	982,700	1,006,079	
	% Served	16.1%	14.6%	14.9%	16.0%	15.8%	16.4%	15.9%	15.9%	16.7%	16.5%	16.3%	14.7%	

156,021	
        986,465	
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 May 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	Dec-20	Jan-21	Feb-21	
May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	Feb-20	Mar-20	Apr-20	

12 MO AVG

North5

Child9	Served6,7	8,064	6,288	6,576	8,030	8,242	8,549	8,200	8,228	8,759	8,680	8,177	6,431	
	Enrolled8	89,597	89,485	89,760	90,043	89,670	89,591	89,068	88,630	88,273	88,035	87,800	88,876	
	% Served	9.0%	7.0%	7.3%	8.9%	9.2%	9.5%	9.2%	9.3%	9.9%	9.9%	9.3%	7.2%	

7,852	
          89,069	
8.8%	

CMDP10	Served	1,175	1,153	1,163	1,157	1,165	1,163	1,169	1,141	1,147	1,136	1,178	1,204	
	Enrolled	1,501	1,493	1,522	1,502	1,547	1,550	1,532	1,517	1,554	1,567	1,581	1,609	
	% Served	78.3%	77.2%	76.4%	77.0%	75.3%	75.0%	76.3%	75.2%	73.8%	72.5%	74.5%	74.8%	

1,163	
             1,540	
75.5%	

GMH/SA Dual11	Served	3,146	3,106	3,172	3,253	3,053	3,252	3,086	3,012	3,169	3,582	3,582	3,136	
	Enrolled	23,952	23,962	23,997	24,100	24,140	24,230	24,227	24,234	24,283	24,300	24,407	24,605	
	% Served	13.1%	13.0%	13.2%	13.5%	12.6%	13.4%	12.7%	12.4%	13.1%	14.7%	14.7%	12.7%	

3,212	
          24,203	
13.3%	

GMH/SA Non-Dual12	Served	18,654	18,092	18,949	18,690	18,665	19,543	18,486	18,882	19,400	19,462	20,032	18,526	
	Enrolled	123,716	123,555	124,042	124,729	124,510	124,906	124,551	124,534	124,290	123,964	124,026	126,339	
	% Served	15.1%	14.6%	15.3%	15.0%	15.0%	15.6%	14.8%	15.2%	15.6%	15.7%	16.2%	14.7%	

18,948	
        124,430	
15.2%	

SMI13	Served	4,451	4,435	4,473	4,488	4,453	4,553	4,341	4,359	4,469	4,459	4,610	4,636	
	Enrolled	6,833	6,835	6,835	6,864	6,893	6,916	6,902	6,898	6,881	6,884	6,873	6,905	
	% Served	65.1%	64.9%	65.4%	65.4%	64.6%	65.8%	62.9%	63.2%	64.9%	64.8%	67.1%	67.1%	

4,477	
             6,877	
65.1%	

Total	Served	35,490	33,074	34,333	35,618	35,578	37,060	35,282	35,622	36,944	37,319	37,579	33,933	
	Enrolled	245,599	245,330	246,156	247,238	246,760	247,193	246,280	245,813	245,281	244,750	244,687	248,334	
	% Served	14.5%	13.5%	13.9%	14.4%	14.4%	15.0%	14.3%	14.5%	15.1%	15.2%	15.4%	13.7%	

35,653	
        246,118	
14.5%	

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 May 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	Dec-20	Jan-21	Feb-21	
May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	Feb-20	Mar-20	Apr-20	

12 MO AVG

South5

Child9	Served6,7	21,948	17,835	18,317	21,695	21,646	22,808	22,112	21,695	23,290	23,153	22,475	19,372	
	Enrolled8	195,348	195,026	196,148	196,937	196,472	196,443	195,695	194,756	194,159	193,250	192,983	195,746	
	% Served	11.2%	9.1%	9.3%	11.0%	11.0%	11.6%	11.3%	11.1%	12.0%	12.0%	11.6%	9.9%	

21,362	
        195,247	
10.9%	

CMDP10	Served	3,135	3,157	3,173	3,104	3,132	3,131	3,090	3,160	3,188	3,194	3,237	3,320	
	Enrolled	3,842	3,840	3,889	3,929	3,919	3,940	3,935	3,966	3,995	4,031	4,087	4,143	
	% Served	81.6%	82.2%	81.6%	79.0%	79.9%	79.5%	78.5%	79.7%	79.8%	79.2%	79.2%	80.1%	

3,168	
            3,960	
80.0%	

GMH/SA Dual11	Served	7,150	6,845	7,036	7,016	6,685	7,475	7,210	7,145	7,736	7,745	7,513	6,816	
	Enrolled	50,034	50,194	50,484	50,662	50,799	50,968	51,094	51,164	51,238	51,272	51,398	51,732	
	% Served	14.3%	13.6%	13.9%	13.8%	13.2%	14.7%	14.1%	14.0%	15.1%	15.1%	14.6%	13.2%	

7,198	
          50,920	
14.1%	

GMH/SA Non-Dual12	Served	37,219	36,214	37,592	38,383	38,037	39,658	37,137	37,318	39,419	39,078	40,150	39,160	
	Enrolled	234,322	234,221	235,945	237,145	236,991	237,502	236,854	235,780	235,030	233,974	234,952	241,474	
	% Served	15.9%	15.5%	15.9%	16.2%	16.0%	16.7%	15.7%	15.8%	16.8%	16.7%	17.1%	16.2%	

38,280	
        236,183	
16.2%	

SMI13	Served	11,412	11,181	11,217	11,170	11,042	11,194	11,062	10,972	11,011	10,991	11,101	11,155	
	Enrolled	14,934	14,946	14,937	14,977	14,936	14,945	14,882	14,840	14,838	14,838	14,881	14,983	
	% Served	76.4%	74.8%	75.1%	74.6%	73.9%	74.9%	74.3%	73.9%	74.2%	74.1%	74.6%	74.5%	

11,126	
          14,911	
74.6%	

Total	Served	80,864	75,232	77,335	81,368	80,542	84,266	80,611	80,290	84,644	84,161	84,476	79,823	
	Enrolled	498,480	498,227	501,403	503,650	503,117	503,798	502,460	500,506	499,260	497,365	498,301	508,078	
	% Served	16.2%	15.1%	15.4%	16.2%	16.0%	16.7%	16.0%	16.0%	17.0%	16.9%	17.0%	15.7%	

81,134	
        501,220	
16.2%	

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 May 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	Dec-20	Jan-21	Feb-21	
May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	Feb-20	Mar-20	Apr-20	

12 MO AVG

Total

Child8	Served5,6	2,186	2,047	2,060	2,150	2,204	2,349	2,274	2,292	2,477	2,496	2,495	2,332	
	Enrolled7	33,258	33,455	33,411	33,892	34,208	34,816	34,618	34,552	34,625	34,697	35,533	36,227	
	% Served	6.6%	6.1%	6.2%	6.3%	6.4%	6.7%	6.6%	6.6%	7.2%	7.2%	7.0%	6.4%	

2,280	
          34,441	
6.6%	

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

1	
                   3  	
40.0%	

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	99	85	76	85	91	125	94	92	94	100	102	106	
	Enrolled	1,474	1,452	1,464	1,500	1,552	1,571	1,568	1,557	1,563	1,516	1,562	1,733	
	% Served	6.7%	5.9%	5.2%	5.7%	5.9%	8.0%	6.0%	5.9%	6.0%	6.6%	6.5%	6.1%	

96	
           1,543  	
6.2%	

SMI12	Served	3	1	2	2	3	3	2	2	2	5	6	7	
	Enrolled	3	2	2	2	3	3	2	3	5	5	6	7	
	% Served	100.0%	50.0%	100.0%	100.0%	100.0%	100.0%	100.0%	66.7%	40.0%	100.0%	100.0%	100.0%	

3	
                   4  	
88.4%	

Total13	
Served	
2,288	
2,134	
2,140	
2,238	
2,299	
2,480	
2,370	
2,388	
2,574	
2,602	
2,604	
2,446	
	Enrolled	34,736	34,912	34,881	35,397	35,767	36,397	36,188	36,114	36,195	36,221	37,104	37,970	
	% Served	6.6%	6.1%	6.1%	6.3%	6.4%	6.8%	6.5%	6.6%	7.1%	7.2%	7.0%	6.4%	

 	
2,380	
          35,990	
6.6%	

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 May 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	Dec-20	Jan-21	Feb-21	
May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	Feb-20	Mar-20	Apr-20	

12 MO AVG

Central5

Child9	Served6,7	1,346	1,270	1,269	1,347	1,355	1,437	1,398	1,404	1,514	1,515	1,529	1,431	
	Enrolled8	21,401	21,526	21,656	22,003	22,071	22,576	22,328	22,302	22,270	22,232	22,708	23,248	
	% Served	6.3%	5.9%	5.9%	6.1%	6.1%	6.4%	6.3%	6.3%	6.8%	6.8%	6.7%	6.2%	

1,401	
          22,193	
6.3%	

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

1	
                    2	
50.0%	

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	46	41	52	53	65	54	56	54	54	54	63	
	Enrolled	905	897	898	929	960	961	967	955	965	929	960	1,087	
	% Served	5.9%	5.1%	4.6%	5.6%	5.5%	6.8%	5.6%	5.9%	5.6%	5.8%	5.6%	5.8%	

54	
              951  	
5.7%	

SMI13	Served	2	-	1	1	2	2	1	1	1	4	4	6	
	Enrolled	2	1	1	1	2	2	1	2	3	4	4	6	
	% Served	100.0%	0.0%	100.0%	100.0%	100.0%	100.0%	100.0%	50.0%	33.3%	100.0%	100.0%	100.0%	

2	
                   2  	
86.2%	

Total	Served	1,401	1,317	1,313	1,401	1,411	1,506	1,453	1,463	1,570	1,574	1,588	1,501	
	Enrolled	22,309	22,427	22,559	22,935	23,036	23,543	23,296	23,261	23,239	23,167	23,674	24,343	
	% Served	6.3%	5.9%	5.8%	6.1%	6.1%	6.4%	6.2%	6.3%	6.8%	6.8%	6.7%	6.2%	

1,458	
          23,149	
6.3%	

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 May 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	Dec-20	Jan-21	Feb-21	
May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	Feb-20	Mar-20	Apr-20	

12 MO AVG

North5

Child9	Served6,7	223	197	194	221	209	218	217	236	258	257	267	228	
	Enrolled8	3,620	3,645	3,635	3,679	3,736	3,780	3,756	3,781	3,844	3,872	3,975	3,970	
	% Served	6.2%	5.4%	5.3%	6.0%	5.6%	5.8%	5.8%	6.2%	6.7%	6.6%	6.7%	5.7%	

227	
            3,774	
6.0%	

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

0	
                   0  	
33.3%	

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	13	10	8	6	7	13	11	10	12	13	14	15	
	Enrolled	166	162	172	169	176	178	180	185	183	183	187	204	
	% Served	7.8%	6.2%	4.7%	3.6%	4.0%	7.3%	6.1%	5.4%	6.6%	7.1%	7.5%	7.4%	

11	
              179  	
6.2%	

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

1	
                   1  	
100.0%	

Total	Served	237	208	203	228	217	233	229	247	271	270	281	243	
	Enrolled	3,787	3,808	3,808	3,849	3,913	3,960	3,937	3,967	4,028	4,055	4,163	4,175	
	% Served	6.3%	5.5%	5.3%	5.9%	5.5%	5.9%	5.8%	6.2%	6.7%	6.7%	6.7%	5.8%	

239	
            3,954	
6.0%	

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 May 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	Nov-20	Dec-20	Jan-21	Feb-21	
May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	Feb-20	Mar-20	Apr-20	

12 MO AVG

South5

Child9	Served6,7	617	580	597	582	640	694	659	652	705	724	699	673	
	Enrolled8	8,237	8,284	8,120	8,210	8,401	8,460	8,534	8,469	8,511	8,593	8,850	9,009	
	% Served	7.5%	7.0%	7.4%	7.1%	7.6%	8.2%	7.7%	7.7%	8.3%	8.4%	7.9%	7.5%	

652	
               8,473  	
7.7%	

CMDP10	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	-	-	-	1	1	2	-	-	1	1	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%	

-	
                       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	33	29	27	27	31	47	29	26	28	33	34	28	
	Enrolled	403	393	394	402	416	432	421	417	415	404	415	442	
	% Served	8.2%	7.4%	6.9%	6.7%	7.5%	10.9%	6.9%	6.2%	6.7%	8.2%	8.2%	6.3%	

31	
                  413  	
7.5%	

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

0	
                       0  	
80.0%	

Total	Served	650	609	624	609	671	741	688	678	733	758	735	702	
	Enrolled	8,640	8,677	8,514	8,613	8,818	8,894	8,955	8,886	8,928	8,999	9,267	9,452	
	% Served	7.5%	7.0%	7.3%	7.1%	7.6%	8.3%	7.7%	7.6%	8.2%	8.4%	7.9%	7.4%	

683	
                8,887	
7.7%	

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 May 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	Dec-20	Jan-21	Feb-21	
May-19	Jun-19	Jul-19	Aug-19	Sep-19	Oct-19	Nov-19	Dec-19	Jan-20	Feb-20	Mar-20	Apr-20	

12 MO AVG

Central9	Child10	895	690	765	866	918	968	932	909	1,036	1,181	1,129	1,039	
	CMDP11	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA12	3,959	3,802	3,986	3,993	3,820	3,950	3,548	3,345	3,394	3,175	3,080	2,889	
	SMI13	6,467	6,370	6,750	6,412	6,267	6,410	6,263	6,399	6,536	6,569	6,884	7,026	
	Total	11,321	10,862	11,501	11,271	11,005	11,328	10,743	10,653	10,966	10,925	11,093	10,954	

944	
-	
3,578	
             6,529	
11,052	

North9	Child	115	108	108	120	130	147	140	144	157	175	153	144	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	622	610	667	640	713	685	680	739	774	702	733	674	
	SMI	1,311	1,299	1,332	1,340	1,328	1,335	1,269	1,262	1,345	1,298	1,390	1,396	
	Total	2,048	2,017	2,107	2,100	2,171	2,167	2,089	2,145	2,276	2,175	2,276	2,214	

137	
-	
687	
             1,325	
2,149	

South9	Child	250	216	230	274	268	344	365	328	308	343	369	264	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	1,743	1,763	1,822	1,899	1,898	2,082	2,064	2,105	2,207	2,161	2,158	2,106	
	SMI	2,521	2,491	2,374	2,304	2,250	2,440	2,227	2,302	2,342	2,239	2,406	2,514	
	Total	4,514	4,470	4,426	4,477	4,416	4,866	4,656	4,735	4,857	4,743	4,933	4,884	

297	
-	
2,001	
 	2,368	
4,665	

Total14	Child	1,260	1,014	1,103	1,260	1,316	1,459	1,437	1,381	1,501	1,699	1,651	1,447	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	6,324	6,175	6,475	6,532	6,431	6,717	6,292	6,189	6,375	6,038	5,971	5,669	
	SMI	10,299	10,160	10,456	10,056	9,845	10,185	9,759	9,963	10,223	10,106	10,680	10,936	
	Total	17,883	17,349	18,034	17,848	17,592	18,361	17,488	17,533	18,099	17,843	18,302	18,052	

1,377	
-	
6,266	
         10,222  	
17,865	

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 May 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.