Douglas A. Ducey, Governor Jami Snyder, Director

November 30, 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 providing this monthly report regarding behavioral health services. This submission represents the agency’s November 2021 report; it includes counts of members served through January 2021.

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	

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

12 MO AVG

Medicaid Title XIX	Served4,5	283,407	282,269	261,919	258,554	248,932	239,205	253,836	263,151	268,327	262,565	289,886	290,989	
	Enrolled6	 	1,720,725		1,725,688		1,762,491		1,788,570		1,813,957		1,834,326		1,856,977		1,877,045		1,894,133		1,909,836		1,927,587		1,943,400	
	% Served	16.5%	16.4%	14.9%	14.5%	13.7%	13.0%	13.7%	14.0%	14.2%	13.7%	15.0%	15.0%	

266,920	
     1,837,895	
14.5%	

KidsCare Title XXI	Served	2,602	2,604	2,446	2,347	2,316	2,338	2,449	2,576	2,652	2,704	3,005	3,008	
	Enrolled	36,221	37,104	37,970	38,372	38,830	39,838	40,923	42,014	43,145	44,856	47,143	48,567	
	% Served	7.2%	7.0%	6.4%	6.1%	6.0%	5.9%	6.0%	6.1%	6.1%	6.0%	6.4%	6.2%	

2,587	
           41,249	
6.3%	

Total Title XIX/XXI	Served	286,009	284,873	264,365	260,901	251,248	241,543	256,285	265,727	270,979	265,269	292,891	293,997	
	Enrolled	 	1,756,946		1,762,792		1,800,461		1,826,942		1,852,787		1,874,164		1,897,900		1,919,059		1,937,278		1,954,692		1,974,730		1,991,967	
	% Served	16.3%	16.2%	14.7%	14.3%	13.6%	12.9%	13.5%	13.8%	14.0%	13.6%	14.8%	14.8%	

269,507	
     1,879,143	
14.4%	

Non-Title XIX/XXI7	Served	17,843	18,302	18,052	17,409	17,036	16,138	15,831	15,721	15,958	15,311	15,591	15,456	

16,554

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. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
5. 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.	
6. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
7. 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.	

11/18/2021

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

Report Month2,3	
Enrolled/Served Month	

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

12 MO AVG

Total

Child7	Served4,5	81,657	77,274	63,661	62,268	59,445	58,152	69,045	73,818	75,507	74,858	75,767	76,213	
	Enrolled6	717,982	717,721	728,845	736,718	744,690	750,346	756,913	762,075	765,673	767,774	770,364	773,490	
	% Served	11.4%	10.8%	8.7%	8.5%	8.0%	7.8%	9.1%	9.7%	9.9%	9.8%	9.8%	9.9%	

70,639	
749,383	
9.4%	

CMDP8	Served	10,617	10,829	11,012	10,772	10,718	10,611	10,629	10,739	10,686	10,475	10,594	10,450	
	Enrolled	14,414	14,505	14,576	14,371	14,475	14,298	14,251	14,490	14,361	14,457	14,387	14,321	
	% Served	73.7%	74.7%	75.5%	75.0%	74.0%	74.2%	74.6%	74.1%	74.4%	72.5%	73.6%	73.0%	

10,678	
14,409	
74.1%	

GMH/SA Dual9	Served	25,893	24,590	22,112	22,288	22,792	22,663	23,017	23,766	24,593	23,808	23,859	23,653	
	Enrolled	152,805	153,173	154,377	155,195	156,199	157,070	157,633	158,476	160,002	161,075	162,280	162,709	
	% Served	16.9%	16.1%	14.3%	14.4%	14.6%	14.4%	14.6%	15.0%	15.4%	14.8%	14.7%	14.5%	

23,586	
157,583	
15.0%	

GMH/SA Non-Dual10	Served	129,145	132,700	127,645	126,015	118,819	110,775	113,969	117,557	119,862	116,244	141,111	142,175	
	Enrolled	787,872	792,481	816,444	833,655	849,600	863,368	878,664	892,198	904,026	916,226	929,962	942,060	
	% Served	16.4%	16.7%	15.6%	15.1%	14.0%	12.8%	13.0%	13.2%	13.3%	12.7%	15.2%	15.1%	

124,668	
867,213	
14.4%	

SMI11	Served	36,095	36,876	37,489	37,211	37,158	37,004	37,176	37,271	37,679	37,180	38,555	38,498	
	Enrolled	47,652	47,808	48,249	48,631	48,993	49,244	49,516	49,806	50,071	50,304	50,594	50,820	
	% Served	75.7%	77.1%	77.7%	76.5%	75.8%	75.1%	75.1%	74.8%	75.3%	73.9%	76.2%	75.8%	

37,349	
49,307	
75.7%	

Total12	Served	283,407	282,269	261,919	258,554	248,932	239,205	253,836	263,151	268,327	262,565	289,886	290,989	
	Enrolled	1,720,725	1,725,688	1,762,491	1,788,570	1,813,957	1,834,326	1,856,977	1,877,045	1,894,133	1,909,836	1,927,587	1,943,400	
	% Served	16.5%	16.4%	14.9%	14.5%	13.7%	13.0%	13.7%	14.0%	14.2%	13.7%	15.0%	15.0%	

266,920	
1,837,895	
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. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
5. 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.	
6. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
7. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
8. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
9. 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.	
10. GMH/SA non-dual means AHCCCS member age 18 and older in the GMH/SA category, not dually eligible for Medicare and Medicaid.	
11. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	
12. Unique enrolled and served members who shift between GSAs and behavioral health categories are counted in each.	

11/18/2021	2

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

Report Month2,3	
Enrolled/Served Month	

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

12 MO AVG

Central4

Child8	Served5,6	49,824	46,622	37,858	37,168	35,558	34,547	42,056	45,375	46,377	46,165	46,733	47,141	
	Enrolled7	436,697	436,938	444,223	449,372	454,508	458,496	462,704	466,151	468,666	470,238	471,907	474,075	
	% Served	11.4%	10.7%	8.5%	8.3%	7.8%	7.5%	9.1%	9.7%	9.9%	9.8%	9.9%	9.9%	

42,952	
457,831	
9.4%	

CMDP9	Served	6,287	6,414	6,488	6,310	6,185	6,131	6,086	6,203	6,147	6,009	6,080	5,912	
	Enrolled	8,816	8,837	8,824	8,704	8,684	8,547	8,520	8,661	8,550	8,598	8,507	8,447	
	% Served	71.3%	72.6%	73.5%	72.5%	71.2%	71.7%	71.4%	71.6%	71.9%	69.9%	71.5%	70.0%	

6,188	
8,641	
71.6%	

GMH/SA Dual10	Served	14,566	13,495	12,160	12,224	12,613	12,438	12,728	13,186	13,580	13,091	13,103	13,221	
	Enrolled	77,233	77,368	78,040	78,470	78,933	79,367	79,531	79,916	80,653	81,171	81,774	82,049	
	% Served	18.9%	17.4%	15.6%	15.6%	16.0%	15.7%	16.0%	16.5%	16.8%	16.1%	16.0%	16.1%	

13,034	
79,542	
16.4%	

GMH/SA Non-Dual11	Served	70,605	72,518	69,959	69,688	65,905	60,781	62,944	65,022	65,972	64,166	77,760	78,761	
	Enrolled	429,934	433,503	448,631	459,655	469,707	478,500	487,878	496,337	503,786	511,404	519,897	527,505	
	% Served	16.4%	16.7%	15.6%	15.2%	14.0%	12.7%	12.9%	13.1%	13.1%	12.5%	15.0%	14.9%	

68,673	
480,561	
14.3%	

SMI12	Served	20,645	21,165	21,698	21,610	21,760	21,705	21,889	21,885	22,153	21,951	22,616	22,628	
	Enrolled	25,930	26,054	26,361	26,658	26,920	27,139	27,296	27,488	27,683	27,865	28,085	28,260	
	% Served	79.6%	81.2%	82.3%	81.1%	80.8%	80.0%	80.2%	79.6%	80.0%	78.8%	80.5%	80.1%	

21,809	
27,145	
80.3%	

Total	Served	161,927	160,214	148,163	147,000	142,021	135,602	145,703	151,671	154,229	151,382	166,292	167,663	
	Enrolled	978,610	982,700	1,006,079	1,022,859	1,038,752	1,052,049	1,065,929	1,078,553	1,089,338	1,099,276	1,110,170	1,120,336	
	% Served	16.5%	16.3%	14.7%	14.4%	13.7%	12.9%	13.7%	14.1%	14.2%	13.8%	15.0%	15.0%	

152,656	
1,053,721	
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. GSA used is RBHA GSA. Central GSA includes Maricopa County only.	
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.	

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

Report Month2,3	
Enrolled/Served Month	

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

12 MO AVG

North4

Child8	Served5,6	8,680	8,177	6,431	6,347	6,156	5,959	6,951	7,330	7,614	7,473	7,649	7,604	
	Enrolled7	88,035	87,800	88,876	89,594	90,347	90,647	91,466	92,061	92,382	92,535	92,832	93,061	
	% Served	9.9%	9.3%	7.2%	7.1%	6.8%	6.6%	7.6%	8.0%	8.2%	8.1%	8.2%	8.2%	

7,198	
          90,803	
7.9%	

CMDP9	Served	1,136	1,178	1,204	1,179	1,168	1,172	1,153	1,139	1,158	1,107	1,124	1,102	
	Enrolled	1,567	1,581	1,609	1,555	1,565	1,515	1,524	1,534	1,508	1,497	1,471	1,476	
	% Served	72.5%	74.5%	74.8%	75.8%	74.6%	77.4%	75.7%	74.3%	76.8%	73.9%	76.4%	74.7%	

1,152	
             1,534	
75.1%	

GMH/SA Dual10	Served	3,582	3,582	3,136	3,113	3,210	3,216	3,230	3,355	3,470	3,323	3,377	3,206	
	Enrolled	24,300	24,407	24,605	24,742	24,893	25,065	25,231	25,428	25,664	25,849	26,044	26,093	
	% Served	14.7%	14.7%	12.7%	12.6%	12.9%	12.8%	12.8%	13.2%	13.5%	12.9%	13.0%	12.3%	

3,317	
          25,193	
13.2%	

GMH/SA Non-Dual11	Served	19,462	20,032	18,526	18,477	17,269	15,704	15,661	16,139	16,639	16,228	20,372	20,289	
	Enrolled	123,964	124,026	126,339	127,960	129,596	130,951	132,700	134,243	135,503	136,977	138,591	139,894	
	% Served	15.7%	16.2%	14.7%	14.4%	13.3%	12.0%	11.8%	12.0%	12.3%	11.8%	14.7%	14.5%	

17,900	
        131,729	
13.6%	

SMI12	Served	4,459	4,610	4,636	4,580	4,503	4,378	4,385	4,414	4,476	4,340	4,672	4,715	
	Enrolled	6,884	6,873	6,905	6,927	6,955	6,963	7,006	7,052	7,061	7,082	7,104	7,139	
	% Served	64.8%	67.1%	67.1%	66.1%	64.7%	62.9%	62.6%	62.6%	63.4%	61.3%	65.8%	66.0%	

4,514	
             6,996	
64.5%	

Total	Served	37,319	37,579	33,933	33,696	32,306	30,429	31,380	32,377	33,357	32,471	37,194	36,916	
	Enrolled	244,750	244,687	248,334	250,778	253,356	255,141	257,927	260,318	262,118	263,940	266,042	267,663	
	% Served	15.2%	15.4%	13.7%	13.4%	12.8%	11.9%	12.2%	12.4%	12.7%	12.3%	14.0%	13.8%	

34,080	
        256,255	
13.3%	

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. GSA used is RBHA GSA. North GSA includes Apache, Coconino, Gila, Mohave, Navajo, and Yavapai.	
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.	

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

Report Month2,3	
Enrolled/Served Month	

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

12 MO AVG

South4

Child8	Served5,6	23,153	22,475	19,372	18,753	17,731	17,646	20,038	21,113	21,516	21,220	21,385	21,468	
	Enrolled7	193,250	192,983	195,746	197,752	199,835	201,203	202,743	203,863	204,625	205,001	205,625	206,354	
	% Served	12.0%	11.6%	9.9%	9.5%	8.9%	8.8%	9.9%	10.4%	10.5%	10.4%	10.4%	10.4%	

20,489	
        200,748	
10.2%	

CMDP9	Served	3,194	3,237	3,320	3,283	3,365	3,308	3,390	3,397	3,381	3,359	3,390	3,436	
	Enrolled	4,031	4,087	4,143	4,112	4,226	4,236	4,207	4,295	4,303	4,362	4,409	4,398	
	% Served	79.2%	79.2%	80.1%	79.8%	79.6%	78.1%	80.6%	79.1%	78.6%	77.0%	76.9%	78.1%	

3,338	
            4,234	
78.8%	

GMH/SA Dual10	Served	7,745	7,513	6,816	6,951	6,969	7,009	7,059	7,225	7,543	7,394	7,379	7,226	
	Enrolled	51,272	51,398	51,732	51,983	52,373	52,638	52,871	53,132	53,685	54,055	54,462	54,567	
	% Served	15.1%	14.6%	13.2%	13.4%	13.3%	13.3%	13.4%	13.6%	14.1%	13.7%	13.5%	13.2%	

7,236	
          52,847	
13.7%	

GMH/SA Non-Dual11	Served	39,078	40,150	39,160	37,850	35,645	34,290	35,364	36,396	37,251	35,850	42,979	43,125	
	Enrolled	233,974	234,952	241,474	246,040	250,297	253,917	258,086	261,618	264,737	267,845	271,474	274,661	
	% Served	16.7%	17.1%	16.2%	15.4%	14.2%	13.5%	13.7%	13.9%	14.1%	13.4%	15.8%	15.7%	

38,095	
        254,923	
14.9%	

SMI12	Served	10,991	11,101	11,155	11,021	10,895	10,921	10,902	10,972	11,050	10,889	11,267	11,155	
	Enrolled	14,838	14,881	14,983	15,046	15,118	15,142	15,214	15,266	15,327	15,357	15,405	15,421	
	% Served	74.1%	74.6%	74.5%	73.2%	72.1%	72.1%	71.7%	71.9%	72.1%	70.9%	73.1%	72.3%	

11,027	
          15,167	
72.7%	

Total	Served	84,161	84,476	79,823	77,858	74,605	73,174	76,753	79,103	80,741	78,712	86,400	86,410	
	Enrolled	497,365	498,301	508,078	514,933	521,849	527,136	533,121	538,174	542,677	546,620	551,375	555,401	
	% Served	16.9%	17.0%	15.7%	15.1%	14.3%	13.9%	14.4%	14.7%	14.9%	14.4%	15.7%	15.6%	

80,185	
        527,919	
15.2%	

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. GSA used is RBHA GSA. South GSA includes Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz, and Yuma.	
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.	

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

Report Month2,3	
Enrolled/Served Month	

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

12 MO AVG

Total

Child7	Served4,5	2,496	2,495	2,332	2,240	2,193	2,229	2,323	2,448	2,511	2,566	2,838	2,843	
	Enrolled6	34,697	35,533	36,227	36,467	36,820	37,988	38,860	39,974	41,021	42,601	44,770	46,085	
	% Served	7.2%	7.0%	6.4%	6.1%	6.0%	5.9%	6.0%	6.1%	6.1%	6.0%	6.3%	6.2%	

2,460	
          39,254	
6.3%	

CMDP8	Served	1	1	1	1	2	3	4	3	2	2	1	2	
	Enrolled	3	3	3	3	3	7	7	6	6	4	3	6	
	% Served	33.3%	33.3%	33.3%	33.3%	66.7%	42.9%	57.1%	50.0%	33.3%	50.0%	33.3%	33.3%	

2	
                   5  	
42.6%	

GMH/SA Dual9	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-Dual10	Served	100	102	106	100	116	102	118	121	137	134	163	160	
	Enrolled	1,516	1,562	1,733	1,896	2,002	1,839	2,052	2,030	2,116	2,248	2,367	2,473	
	% Served	6.6%	6.5%	6.1%	5.3%	5.8%	5.5%	5.8%	6.0%	6.5%	6.0%	6.9%	6.5%	

122	
           1,986  	
6.1%	

SMI11	Served	5	6	7	6	5	4	4	4	2	2	3	3	
	Enrolled	5	6	7	6	5	4	4	4	2	3	3	3	
	% Served	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	66.7%	100.0%	100.0%	

4	
                   4  	
98.1%	

Total12	Served	2,602	2,604	2,446	2,347	2,316	2,338	2,449	2,576	2,652	2,704	3,005	3,008	
	Enrolled	36,221	37,104	37,970	38,372	38,830	39,838	40,923	42,014	43,145	44,856	47,143	48,567	
	% Served	7.2%	7.0%	6.4%	6.1%	6.0%	5.9%	6.0%	6.1%	6.1%	6.0%	6.4%	6.2%	

2,587	
          41,249	
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. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
5. 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.	
6. Enrolled means count of unique AHCCCS members enrolled as Medicaid Title XIX or CHIP Title XXI in a given month.	
7. Child means AHCCCS member under the age of 18 not enrolled in CMDP.	
8. CMDP means AHCCCS member enrolled in the Comprehensive Medical and Dental Program (CMDP) administered by the Department of Child Safety (DCS).	
9. 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.	
10. GMH/SA non-dual means AHCCCS member age 18 and older in the GMH/SA category, not dually eligible for Medicare and Medicaid.	
11. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	
12. 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	

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

12 MO AVG

Central4

Child8	Served5,6	1,515	1,529	1,431	1,360	1,367	1,377	1,415	1,487	1,489	1,525	1,686	1,704	
	Enrolled7	22,232	22,708	23,248	23,515	23,828	24,542	25,155	25,893	26,538	27,529	28,936	29,798	
	% Served	6.8%	6.7%	6.2%	5.8%	5.7%	5.6%	5.6%	5.7%	5.6%	5.5%	5.8%	5.7%	

1,490	
          25,327	
5.9%	

CMDP9	Served	1	1	1	1	2	3	4	3	2	2	1	2	
	Enrolled	2	2	2	1	2	5	6	5	5	3	2	4	
	% Served	50.0%	50.0%	50.0%	100.0%	100.0%	60.0%	66.7%	60.0%	40.0%	66.7%	50.0%	50.0%	

2	
                    3	
59.0%	

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	54	54	63	61	69	65	71	78	80	78	97	88	
	Enrolled	929	960	1,087	1,202	1,259	1,153	1,296	1,267	1,317	1,400	1,472	1,531	
	% Served	5.8%	5.6%	5.8%	5.1%	5.5%	5.6%	5.5%	6.2%	6.1%	5.6%	6.6%	5.7%	

72	
           1,239  	
5.8%	

SMI12	Served	4	4	6	5	4	2	2	2	1	1	2	2	
	Enrolled	4	4	6	5	4	2	2	2	1	2	2	2	
	% Served	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	50.0%	100.0%	100.0%	

3	
                   3  	
97.2%	

Total	Served	1,574	1,588	1,501	1,427	1,442	1,447	1,492	1,570	1,572	1,606	1,786	1,796	
	Enrolled	23,167	23,674	24,343	24,723	25,093	25,702	26,459	27,167	27,861	28,934	30,412	31,335	
	% Served	6.8%	6.7%	6.2%	5.8%	5.7%	5.6%	5.6%	5.8%	5.6%	5.6%	5.9%	5.7%	

1,567	
          26,573	
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. GSA used is RBHA GSA. Central GSA includes Maricopa County only.	
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.	

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

Report Month2,3	
Enrolled/Served Month	

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

12 MO AVG

North4

Child8	Served5,6	257	267	228	208	207	210	228	246	272	265	284	275	
	Enrolled7	3,872	3,975	3,970	3,923	3,915	4,075	4,144	4,247	4,347	4,487	4,668	4,769	
	% Served	6.6%	6.7%	5.7%	5.3%	5.3%	5.2%	5.5%	5.8%	6.3%	5.9%	6.1%	5.8%	

246	
            4,199	
5.8%	

CMDP9	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	-	1	1	1	1	1	1	1	1	1	1	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 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	13	14	15	15	17	13	22	12	17	14	20	26	
	Enrolled	183	187	204	215	233	208	230	229	237	245	261	265	
	% Served	7.1%	7.5%	7.4%	7.0%	7.3%	6.3%	9.6%	5.2%	7.2%	5.7%	7.7%	9.8%	

17	
              225  	
7.3%	

SMI12	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%	

Total	Served	270	281	243	223	224	223	250	258	289	279	304	301	
	Enrolled	4,055	4,163	4,175	4,139	4,149	4,284	4,375	4,477	4,585	4,733	4,930	5,035	
	% Served	6.7%	6.7%	5.8%	5.4%	5.4%	5.2%	5.7%	5.8%	6.3%	5.9%	6.2%	6.0%	

262	
            4,425	
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. GSA used is RBHA GSA. North GSA includes Apache, Coconino, Gila, Mohave, Navajo, and Yavapai.	
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.	

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

Report Month2,3	
Enrolled/Served Month	

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

12 MO AVG

South4

Child8	Served5,6	724	699	673	672	619	642	680	715	750	776	868	864	
	Enrolled7	8,593	8,850	9,009	9,029	9,077	9,371	9,561	9,834	10,136	10,585	11,166	11,518	
	% Served	8.4%	7.9%	7.5%	7.4%	6.8%	6.9%	7.1%	7.3%	7.4%	7.3%	7.8%	7.5%	

724	
               9,727  	
7.4%	

CMDP9	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	1	0	0	1	0	1	0	0	0	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 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	33	34	28	24	30	24	25	31	40	42	46	46	
	Enrolled	404	415	442	479	510	478	526	534	562	603	634	677	
	% Served	8.2%	8.2%	6.3%	5.0%	5.9%	5.0%	4.8%	5.8%	7.1%	7.0%	7.3%	6.8%	

34	
                  522  	
6.4%	

SMI12	Served	1	2	1	1	1	2	2	2	1	1	1	1	
	Enrolled	1	2	1	1	1	2	2	2	1	1	1	1	
	% Served	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	

1	
                       1  	
100.0%	

Total	Served	758	735	702	697	650	668	707	748	791	819	915	911	
	Enrolled	8,999	9,267	9,452	9,510	9,588	9,852	10,089	10,370	10,699	11,189	11,801	12,197	
	% Served	8.4%	7.9%	7.4%	7.3%	6.8%	6.8%	7.0%	7.2%	7.4%	7.3%	7.8%	7.5%	

758	
              10,251	
7.4%	

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. GSA used is RBHA GSA. South GSA includes Cochise, Graham, Greenlee, La Paz, Pima, Pinal, Santa Cruz, and Yuma.	
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.	

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

Report Month3	
Served Month4,5,6	

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

12 MO AVG

Central7	Child8	1,181	1,129	1,039	938	908	801	821	883	932	989	954	997	
	CMDP9	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA10	3,175	3,080	2,889	2,932	2,825	2,554	2,553	2,566	2,552	2,345	2,476	2,447	
	SMI11	6,569	6,884	7,026	6,613	6,551	6,346	6,192	6,094	6,074	5,917	5,986	5,870	
	Total	10,925	11,093	10,954	10,483	10,284	9,701	9,566	9,543	9,558	9,251	9,416	9,314	

964	
-	
2,700	
             6,344	
10,007	

North7	Child	175	153	144	151	142	137	144	125	157	147	152	154	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	702	733	674	672	714	728	692	709	748	703	741	707	
	SMI	1,298	1,390	1,396	1,357	1,309	1,233	1,204	1,208	1,246	1,182	1,309	1,263	
	Total	2,175	2,276	2,214	2,180	2,165	2,098	2,040	2,042	2,151	2,032	2,202	2,124	

148	
-	
710	
             1,283	
2,142	

South7	Child	343	369	264	276	266	282	301	310	323	325	303	281	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	2,161	2,158	2,106	2,008	1,986	1,784	1,722	1,671	1,751	1,676	1,657	1,712	
	SMI	2,239	2,406	2,514	2,462	2,335	2,273	2,202	2,155	2,175	2,027	2,013	2,025	
	Total	4,743	4,933	4,884	4,746	4,587	4,339	4,225	4,136	4,249	4,028	3,973	4,018	

304	
-	
1,866	
 	2,236	
4,405	

Total12	Child	1,699	1,651	1,447	1,365	1,316	1,220	1,266	1,318	1,412	1,461	1,409	1,432	
	CMDP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	6,038	5,971	5,669	5,612	5,525	5,066	4,967	4,946	5,051	4,724	4,874	4,866	
	SMI	10,106	10,680	10,936	10,432	10,195	9,852	9,598	9,457	9,495	9,126	9,308	9,158	
	Total	17,843	18,302	18,052	17,409	17,036	16,138	15,831	15,721	15,958	15,311	15,591	15,456	

1,416	
-	
5,276	
            9,862  	
16,554	

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. Served means count of unique AHCCCS members who received a behavioral health service in a given month.	
5. 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.	
6. 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.	
7. 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.	
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 means AHCCCS member age 18 and older in the General Mental Health / Substance Abuse (GMH/SA) category.	
11. SMI means AHCCCS member age 18 and older in the Seriously Mentally Ill (SMI) category.	
12. Unique enrolled and served members who shift between GSAs and behavioral health categories are counted in each.