www.azahcccs.gov 602-417-4000
801 East Jefferson Street, Phoenix, AZ 85034

Katie Hobbs, Governor
Carmen Heredia, Director

April 25, 2023

The Honorable Katie Hobbs Governor of Arizona
1700 W. Washington
Phoenix, AZ 85007 Dear Governor Hobbs:
Pursuant to A.R.S. 36-3405(D), AHCCCS is providing this monthly report regarding behavioral health services. This submission represents the agency’s April 2023 report; it includes counts of members served through June 2022.

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,

Carmen Heredia, Director

Cc:	The Honorable Warren Petersen, President, Arizona Senate
The Honorable Ben Toma, Speaker, Arizona House of Representatives
Sarah Brown, Director, Governor’s Office of Strategic Planning and Budgeting Richard Stavneak, Director, Joint Legislative Budget Committee
Zaida Dedolph Piecoro, Health Policy Advisor, Office of the Governor

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

Report Month2,3	
Enrolled/Served Month	

May-22 8	Jun-22	Jul-22	Aug-22	Sep-22	Oct-22	Nov-22	Dec-22	Jan-23	Feb-23	Mar-23	Apr-23	
Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22	Jun-22	

12 MO AVG

Medicaid Title XIX	Served4,5	287,741	309,855	309,879	307,417	305,977	303,899	306,398	305,564	318,294	317,632	318,859	302,228	
	Enrolled6	  2,025,202		2,039,900		2,054,038		2,066,701		2,076,052		2,089,534		2,100,384		2,111,548		2,127,593		2,135,895		2,147,678		2,160,734	
	% Served	14.2%	15.2%	15.1%	14.9%	14.7%	14.5%	14.6%	14.5%	15.0%	14.9%	14.8%	14.0%	

307,812	
  2,094,605	
14.7%	

KidsCare Title XXI	Served	3,532	3,700	3,721	3,820	3,914	3,888	4,013	4,179	4,476	4,488	4,550	4,366	
	Enrolled		56,028		56,462		57,337		58,389		59,818		61,224		62,328		63,367		63,886		64,682		65,309		65,749	
	% Served	6.3%	6.6%	6.5%	6.5%	6.5%	6.4%	6.4%	6.6%	7.0%	6.9%	7.0%	6.6%	

4,054	
   61,215	
6.6%	

Total Title XIX/XXI	Served	291,273	313,555	313,600	311,237	309,891	307,787	310,411	309,743	322,770	322,120	323,409	306,594	
	Enrolled	  2,081,230		2,096,362		2,111,375		2,125,090		2,135,870		2,150,758		2,162,712		2,174,915		2,191,479		2,200,577		2,212,987		2,226,483	
	% Served	14.0%	15.0%	14.9%	14.6%	14.5%	14.3%	14.4%	14.2%	14.7%	14.6%	14.6%	13.8%	

311,866	
  2,155,820	
14.5%	

Non-Title XIX/XXI7	Served	15,588	15,838	15,888	16,140	15,950	15,973	16,123	16,250	16,837	16,482	16,704	16,254	

16,169

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.	
8. The values for the Report Month of May 2022 (Enrolled/Served Month Jul-21) represent an adjusted count of enrolled/served members and may not reflect previously reported counts.	

4/17/2023

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

Report Month2,3	
Enrolled/Served Month	

May-22 13	Jun-22	Jul-22	Aug-22	Sep-22	Oct-22	Nov-22	Dec-22	Jan-23	Feb-23	Mar-23	Apr-23	
Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22	Jun-22	

12 MO AVG

Total

Child7	Served4,5	63,027	79,707	81,640	81,445	81,527	79,719	81,698	82,699	83,857	86,073	84,865	65,988	
	Enrolled6	788,753	792,299	795,188	797,126	797,533	799,932	801,026	802,514	806,276	807,052	809,461	812,428	
	% Served	8.0%	10.1%	10.3%	10.2%	10.2%	10.0%	10.2%	10.3%	10.4%	10.7%	10.5%	8.1%	

79,354	
  800,799 	
9.9%	

DCS CHP8	Served	9,807	9,826	9,603	9,236	9,211	8,994	9,106	8,850	9,018	8,794	8,546	8,537	
	Enrolled	14,430	14,415	14,319	14,114	14,187	14,070	14,026	13,980	14,006	13,689	13,479	13,394	
	% Served	68.0%	68.2%	67.1%	65.4%	64.9%	63.9%	64.9%	63.3%	64.4%	64.2%	63.4%	63.7%	

9,127	
   14,009 	
65.2%	

GMH/SA Dual9	Served	24,402	24,866	24,634	23,984	24,057	23,925	23,870	23,940	25,191	24,961	25,157	26,126	
	Enrolled	167,024	168,111	169,268	170,281	171,201	172,215	173,068	173,753	175,003	175,397	176,359	177,458	
	% Served	14.6%	14.8%	14.6%	14.1%	14.1%	13.9%	13.8%	13.8%	14.4%	14.2%	14.3%	14.7%	

24,593	
  172,428 	
14.3%	

GMH/SA Non-Dual10	Served	151,783	156,458	155,099	153,967	152,538	152,607	152,997	151,498	161,051	158,998	161,387	162,479	
	Enrolled	1,002,746	1,012,670	1,022,651	1,032,357	1,040,151	1,050,156	1,059,058	1,067,948	1,078,704	1,086,103	1,094,567	1,103,412	
	% Served	15.1%	15.5%	15.2%	14.9%	14.7%	14.5%	14.4%	14.2%	14.9%	14.6%	14.7%	14.7%	

155,905	
  1,054,210 	
14.8%	

SMI11	Served	38,722	38,998	38,903	38,785	38,644	38,654	38,727	38,577	39,177	38,806	38,904	39,098	
	Enrolled	52,249	52,405	52,612	52,823	52,980	53,161	53,206	53,353	53,604	53,654	53,812	54,042	
	% Served	74.1%	74.4%	73.9%	73.4%	72.9%	72.7%	72.8%	72.3%	73.1%	72.3%	72.3%	72.3%	

38,833	
   53,158 	
73.1%	

Total12	Served	287,741	309,855	309,879	307,417	305,977	303,899	306,398	305,564	318,294	317,632	318,859	302,228	
	Enrolled	2,025,202	2,039,900	2,054,038	2,066,701	2,076,052	2,089,534	2,100,384	2,111,548	2,127,593	2,135,895	2,147,678	2,160,734	
	% Served	14.2%	15.2%	15.1%	14.9%	14.7%	14.5%	14.6%	14.5%	15.0%	14.9%	14.8%	14.0%	

307,812	
  2,094,605 	
14.7%	

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. 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 DCS CHP.	
8. DCS CHP means AHCCCS member enrolled in the Comprehensive Health Plan (CHP) administered by the Arizona 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.	
13. The values for the Report Month of May 2022 (Enrolled/Served Month Jul-21) represent an adjusted count of enrolled/served members and may not reflect previously reported counts.	

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

Report Month2,3	
Enrolled/Served Month	

May-22 13	Jun-22	Jul-22	Aug-22	Sep-22	Oct-22	Nov-22	Dec-22	Jan-23	Feb-23	Mar-23	Apr-23	
Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22	Jun-22	

12 MO AVG

Central4

Child8	Served5,6	37,505	48,972	50,018	49,635	50,009	49,036	50,468	51,162	51,451	52,723	51,704	38,909	
	Enrolled7	483,979	486,226	488,125	489,283	489,785	491,344	491,806	492,646	494,847	495,347	496,910	498,725	
	% Served	7.7%	10.1%	10.2%	10.1%	10.2%	10.0%	10.3%	10.4%	10.4%	10.6%	10.4%	7.8%	

48,466	
  491,585 	
9.9%	

DCS CHP9	Served	5,455	5,424	5,309	5,035	5,007	4,980	5,011	4,836	4,858	4,811	4,601	4,543	
	Enrolled	8,495	8,465	8,404	8,275	8,251	8,220	8,218	8,146	8,145	7,975	7,880	7,864	
	% Served	64.2%	64.1%	63.2%	60.8%	60.7%	60.6%	61.0%	59.4%	59.6%	60.3%	58.4%	57.8%	

4,989	
   8,195 	
60.9%	

GMH/SA Dual10	Served	13,496	13,799	13,509	13,062	13,209	13,079	12,966	13,021	13,641	13,520	13,650	14,217	
	Enrolled	84,183	84,716	85,245	85,726	86,048	86,577	87,028	87,319	87,966	88,119	88,534	89,080	
	% Served	16.0%	16.3%	15.8%	15.2%	15.4%	15.1%	14.9%	14.9%	15.5%	15.3%	15.4%	16.0%	

13,431	
   86,712 	
15.5%	

GMH/SA Non-Dual11	Served	84,008	86,652	85,958	85,064	85,368	85,150	85,431	84,272	89,583	88,788	90,009	90,997	
	Enrolled	565,356	571,616	577,677	583,681	588,507	594,749	600,149	605,694	612,333	616,954	622,043	627,357	
	% Served	14.9%	15.2%	14.9%	14.6%	14.5%	14.3%	14.2%	13.9%	14.6%	14.4%	14.5%	14.5%	

86,773	
  597,176 	
14.5%	

SMI12	Served	22,809	23,040	22,973	22,971	22,857	22,900	22,989	22,999	23,281	22,988	23,048	23,182	
	Enrolled	29,356	29,482	29,622	29,756	29,887	30,044	30,086	30,175	30,323	30,388	30,467	30,590	
	% Served	77.7%	78.1%	77.6%	77.2%	76.5%	76.2%	76.4%	76.2%	76.8%	75.6%	75.6%	75.8%	

23,003	
   30,015 	
76.6%	

Total	Served	163,273	177,887	177,767	175,767	176,450	175,145	176,865	176,290	182,814	182,830	183,012	171,848	
	Enrolled	1,171,369	1,180,505	1,189,073	1,196,721	1,202,478	1,210,934	1,217,287	1,223,980	1,233,614	1,238,783	1,245,834	1,253,616	
	% Served	13.9%	15.1%	15.0%	14.7%	14.7%	14.5%	14.5%	14.4%	14.8%	14.8%	14.7%	13.7%	

176,662	
  1,213,683 	
14.6%	

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. 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 DCS CHP.	
9. DCS CHP means AHCCCS member enrolled in the Comprehensive Health Plan (CHP) administered by the Arizona 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. The values for the Report Month of May 2022 (Enrolled/Served Month Jul-21) represent an adjusted count of enrolled/served members and may not reflect previously reported counts.	

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

Report Month2,3	
Enrolled/Served Month	

May-22 13	Jun-22	Jul-22	Aug-22	Sep-22	Oct-22	Nov-22	Dec-22	Jan-23	Feb-23	Mar-23	Apr-23	
Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22	Jun-22	

12 MO AVG

North4

Child8	Served5,6	6,683	8,094	8,313	8,341	8,345	8,257	8,566	8,624	8,623	8,883	8,873	6,914	
	Enrolled7	94,321	94,631	94,876	95,036	94,988	95,260	95,394	95,522	95,952	96,004	96,193	96,335	
	% Served	7.1%	8.6%	8.8%	8.8%	8.8%	8.7%	9.0%	9.0%	9.0%	9.3%	9.2%	7.2%	

8,210	
   95,376 	
8.6%	

DCS CHP9	Served	1,087	1,091	1,062	1,029	1,012	1,012	1,012	1,023	1,027	1,002	1,020	1,033	
	Enrolled	1,471	1,472	1,462	1,439	1,458	1,434	1,438	1,454	1,450	1,408	1,395	1,380	
	% Served	73.9%	74.1%	72.6%	71.5%	69.4%	70.6%	70.4%	70.4%	70.8%	71.2%	73.1%	74.9%	

1,034	
    1,438 	
71.9%	

GMH/SA Dual10	Served	3,438	3,471	3,487	3,486	3,328	3,365	3,394	3,293	3,501	3,480	3,514	3,570	
	Enrolled	26,819	27,011	27,236	27,405	27,553	27,730	27,832	27,967	28,147	28,225	28,428	28,641	
	% Served	12.8%	12.9%	12.8%	12.7%	12.1%	12.1%	12.2%	11.8%	12.4%	12.3%	12.4%	12.5%	

3,444	
   27,750 	
12.4%	

GMH/SA Non-Dual11	Served	21,875	22,274	22,140	21,993	21,649	21,868	22,263	22,101	23,474	22,935	23,513	23,443	
	Enrolled	146,179	147,087	148,244	149,151	149,933	151,148	152,173	153,095	154,362	154,989	155,843	156,879	
	% Served	15.0%	15.1%	14.9%	14.7%	14.4%	14.5%	14.6%	14.4%	15.2%	14.8%	15.1%	14.9%	

22,461	
  151,590 	
14.8%	

SMI12	Served	4,684	4,690	4,660	4,621	4,594	4,584	4,678	4,647	4,741	4,653	4,774	4,729	
	Enrolled	7,239	7,252	7,274	7,298	7,283	7,295	7,308	7,336	7,380	7,385	7,436	7,452	
	% Served	64.7%	64.7%	64.1%	63.3%	63.1%	62.8%	64.0%	63.3%	64.2%	63.0%	64.2%	63.5%	

4,671	
    7,328 	
63.7%	

Total	Served	37,767	39,620	39,662	39,470	38,928	39,086	39,913	39,688	41,366	40,953	41,694	39,689	
	Enrolled	276,029	277,453	279,092	280,329	281,215	282,867	284,145	285,374	287,291	288,011	289,295	290,687	
	% Served	13.7%	14.3%	14.2%	14.1%	13.8%	13.8%	14.0%	13.9%	14.4%	14.2%	14.4%	13.7%	

39,820	
  283,482 	
14.0%	

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. 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 DCS CHP.	
9. DCS CHP means AHCCCS member enrolled in the Comprehensive Health Plan (CHP) administered by the Arizona 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. The values for the Report Month of May 2022 (Enrolled/Served Month Jul-21) represent an adjusted count of enrolled/served members and may not reflect previously reported counts.	

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

Report Month2,3	
Enrolled/Served Month	

May-22 13	Jun-22	Jul-22	Aug-22	Sep-22	Oct-22	Nov-22	Dec-22	Jan-23	Feb-23	Mar-23	Apr-23	
Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22	Jun-22	

12 MO AVG

South4

Child8	Served5,6	18,839	22,641	23,309	23,469	23,173	22,426	22,664	22,913	23,783	24,467	24,288	20,165	
	Enrolled7	210,453	211,442	212,187	212,807	212,760	213,328	213,826	214,346	215,477	215,701	216,358	217,368	
	% Served	9.0%	10.7%	11.0%	11.0%	10.9%	10.5%	10.6%	10.7%	11.0%	11.3%	11.2%	9.3%	

22,678	
  213,838 	
10.6%	

DCS CHP9	Served	3,265	3,311	3,232	3,172	3,192	3,002	3,083	2,991	3,133	2,981	2,925	2,961	
	Enrolled	4,464	4,478	4,453	4,400	4,478	4,416	4,370	4,380	4,411	4,306	4,204	4,150	
	% Served	73.1%	73.9%	72.6%	72.1%	71.3%	68.0%	70.5%	68.3%	71.0%	69.2%	69.6%	71.3%	

3,104	
   4,376 	
70.9%	

GMH/SA Dual10	Served	7,468	7,596	7,638	7,436	7,520	7,481	7,510	7,626	8,049	7,961	7,993	8,339	
	Enrolled	56,022	56,384	56,787	57,150	57,600	57,908	58,208	58,467	58,890	59,053	59,397	59,737	
	% Served	13.3%	13.5%	13.5%	13.0%	13.1%	12.9%	12.9%	13.0%	13.7%	13.5%	13.5%	14.0%	

7,718	
   57,967 	
13.3%	

GMH/SA Non-Dual11	Served	45,900	47,532	47,001	46,910	45,521	45,589	45,303	45,125	47,994	47,275	47,865	48,039	
	Enrolled	291,211	293,967	296,730	299,525	301,711	304,259	306,736	309,159	312,009	314,160	316,681	319,176	
	% Served	15.8%	16.2%	15.8%	15.7%	15.1%	15.0%	14.8%	14.6%	15.4%	15.0%	15.1%	15.1%	

46,671	
  305,444 	
15.3%	

SMI12	Served	11,229	11,268	11,270	11,193	11,193	11,170	11,060	10,931	11,155	11,165	11,082	11,187	
	Enrolled	15,654	15,671	15,716	15,769	15,810	15,822	15,812	15,842	15,901	15,881	15,909	16,000	
	% Served	71.7%	71.9%	71.7%	71.0%	70.8%	70.6%	69.9%	69.0%	70.2%	70.3%	69.7%	69.9%	

11,159	
   15,816 	
70.6%	

Total	Served	86,701	92,348	92,450	92,180	90,599	89,668	89,620	89,586	94,114	93,849	94,153	90,691	
	Enrolled	577,804	581,942	585,873	589,651	592,359	595,733	598,952	602,194	606,688	609,101	612,549	616,431	
	% Served	15.0%	15.9%	15.8%	15.6%	15.3%	15.1%	15.0%	14.9%	15.5%	15.4%	15.4%	14.7%	

91,330	
  597,440 	
15.3%	

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. 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 DCS CHP.	
9. DCS CHP means AHCCCS member enrolled in the Comprehensive Health Plan (CHP) administered by the Arizona 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. The values for the Report Month of May 2022 (Enrolled/Served Month Jul-21) represent an adjusted count of enrolled/served members and may not reflect previously reported counts.	

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

Report Month2,3	
Enrolled/Served Month	

May-22 13	Jun-22	Jul-22	Aug-22	Sep-22	Oct-22	Nov-22	Dec-22	Jan-23	Feb-23	Mar-23	Apr-23	
Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22	Jun-22	

12 MO AVG

Total

Child7	Served4,5	3,314	3,475	3,500	3,601	3,692	3,662	3,784	3,939	4,230	4,225	4,288	4,102	
	Enrolled6	52,999	53,412	54,195	55,207	56,571	57,915	58,902	59,897	60,365	61,069	61,627	62,041	
	% Served	6.3%	6.5%	6.5%	6.5%	6.5%	6.3%	6.4%	6.6%	7.0%	6.9%	7.0%	6.6%	

3,818	
   57,850 	
6.6%	

DCS CHP8	Served	-	-	-	-	-	-	-	-	1	-	2	2	
	Enrolled	1	-	-	-	-	2	1	1	2	-	5	4	
	% Served	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	50.0%	0.0%	40.0%	50.0%	

0	
     1 	
31.3%	

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	214	220	215	213	217	220	224	234	238	257	254	257	
	Enrolled	3,024	3,045	3,136	3,175	3,240	3,298	3,418	3,462	3,511	3,606	3,671	3,698	
	% Served	7.1%	7.2%	6.9%	6.7%	6.7%	6.7%	6.6%	6.8%	6.8%	7.1%	6.9%	6.9%	

230	
   3,357 	
6.9%	

SMI11	Served	4	5	6	6	5	6	5	6	7	6	6	5	
	Enrolled	4	5	6	7	7	9	7	7	8	7	6	6	
	% Served	100.0%	100.0%	100.0%	85.7%	71.4%	66.7%	71.4%	85.7%	87.5%	85.7%	100.0%	83.3%	

6	
     7 	
84.8%	

Total12	Served	3,532	3,700	3,721	3,820	3,914	3,888	4,013	4,179	4,476	4,488	4,550	4,366	
	Enrolled	56,028	56,462	57,337	58,389	59,818	61,224	62,328	63,367	63,886	64,682	65,309	65,749	
	% Served	6.3%	6.6%	6.5%	6.5%	6.5%	6.4%	6.4%	6.6%	7.0%	6.9%	7.0%	6.6%	

4,054	
   61,215 	
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. 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 DCS CHP.	
8. DCS CHP means AHCCCS member enrolled in the Comprehensive Health Plan (CHP) administered by the Arizona 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.	
13. The values for the Report Month of May 2022 (Enrolled/Served Month Jul-21) represent an adjusted count of enrolled/served members and may not reflect previously reported counts.	

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

Report Month2,3	
Enrolled/Served Month	

May-22 13	Jun-22	Jul-22	Aug-22	Sep-22	Oct-22	Nov-22	Dec-22	Jan-23	Feb-23	Mar-23	Apr-23	
Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22	Jun-22	

12 MO AVG

Central4

Child8	Served5,6	1,969	2,040	2,069	2,154	2,220	2,187	2,256	2,388	2,497	2,513	2,534	2,436	
	Enrolled7	34,286	34,493	34,965	35,629	36,473	37,263	37,996	38,605	38,933	39,312	39,601	39,898	
	% Served	5.7%	5.9%	5.9%	6.0%	6.1%	5.9%	5.9%	6.2%	6.4%	6.4%	6.4%	6.1%	

2,272	
   37,288 	
6.1%	

DCS CHP9	Served	0	0	0	0	0	0	0	0	1	0	2	2	
	Enrolled	0	0	0	0	0	1	1	1	2	0	4	4	
	% Served	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	50.0%	0.0%	50.0%	50.0%	

2	
     2 	
76.9%	

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	125	122	122	122	121	135	138	132	136	146	136	146	
	Enrolled	1,921	1,941	1,999	2,021	2,064	2,129	2,200	2,196	2,240	2,287	2,309	2,312	
	% Served	6.5%	6.3%	6.1%	6.0%	5.9%	6.3%	6.3%	6.0%	6.1%	6.4%	5.9%	6.3%	

132	
   2,135 	
6.2%	

SMI12	Served	3	4	5	5	5	3	4	4	5	5	4	3	
	Enrolled	3	4	5	5	5	5	4	4	5	5	4	4	
	% Served	100.0%	100.0%	100.0%	100.0%	100.0%	60.0%	100.0%	100.0%	100.0%	100.0%	100.0%	75.0%	

4	
     4 	
94.3%	

Total	Served	2,097	2,166	2,196	2,281	2,346	2,325	2,398	2,524	2,639	2,664	2,676	2,587	
	Enrolled	36,210	36,438	36,969	37,655	38,542	39,398	40,201	40,806	41,180	41,604	41,918	42,218	
	% Served	5.8%	5.9%	5.9%	6.1%	6.1%	5.9%	6.0%	6.2%	6.4%	6.4%	6.4%	6.1%	

2,408	
   39,428 	
6.1%	

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 DCS CHP.	
9. DCS CHP means AHCCCS member enrolled in the Comprehensive Health Plan (CHP) administered by the Arizona 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. The values for the Report Month of May 2022 (Enrolled/Served Month Jul-21) represent an adjusted count of enrolled/served members and may not reflect previously reported counts.	

Report Month2,3	
Enrolled/Served Month	

 	
May-22 13	Jun-22	Jul-22	Aug-22	Sep-22	Oct-22	Nov-22	Dec-22	Jan-23	Feb-23	Mar-23	Apr-23	
Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22	Jun-22	

 
12 MO AVG

North4

Child8	Served5,6	334	369	351	370	367	368	377	404	441	437	432	394	
	Enrolled7	5,511	5,557	5,638	5,749	5,850	5,999	6,058	6,171	6,254	6,293	6,369	6,423	
	% Served	6.1%	6.6%	6.2%	6.4%	6.3%	6.1%	6.2%	6.5%	7.1%	6.9%	6.8%	6.1%	

387	
   5,989 	
6.5%	

DCS CHP9	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	1	0	0	0	0	0	0	0	0	0	1	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 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	17	23	19	22	29	17	16	23	23	24	28	25	
	Enrolled	319	323	335	340	359	358	357	377	374	387	397	404	
	% Served	5.3%	7.1%	5.7%	6.5%	8.1%	4.7%	4.5%	6.1%	6.1%	6.2%	7.1%	6.2%	

22	
    361 	
6.1%	

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	351	392	370	392	396	385	393	427	464	461	460	419	
	Enrolled	5,831	5,880	5,973	6,089	6,209	6,357	6,415	6,548	6,628	6,680	6,767	6,827	
	% Served	6.0%	6.7%	6.2%	6.4%	6.4%	6.1%	6.1%	6.5%	7.0%	6.9%	6.8%	6.1%	

409	
   6,350 	
6.4%	

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. 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 DCS CHP.	
9. DCS CHP means AHCCCS member enrolled in the Comprehensive Health Plan (CHP) administered by the Arizona 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. The values for the Report Month of May 2022 (Enrolled/Served Month Jul-21) represent an adjusted count of enrolled/served members and may not reflect previously reported counts.	

Report Month2,3	
Enrolled/Served Month	

 	
May-22 13	Jun-22	Jul-22	Aug-22	Sep-22	Oct-22	Nov-22	Dec-22	Jan-23	Feb-23	Mar-23	Apr-23	
Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22	Jun-22	

 
12 MO AVG

South4

Child8	Served5,6	1,011	1,066	1,080	1,077	1,105	1,107	1,151	1,147	1,292	1,275	1,322	1,272	
	Enrolled7	13,202	13,362	13,592	13,829	14,248	14,653	14,848	15,121	15,178	15,464	15,657	15,720	
	% Served	7.7%	8.0%	7.9%	7.8%	7.8%	7.6%	7.8%	7.6%	8.5%	8.2%	8.4%	8.1%	

1,159	
   14,573 	
8.0%	

DCS CHP9	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	0	0	0	0	0	1	0	0	0	0	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 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	72	75	74	69	67	68	70	79	79	87	90	86	
	Enrolled	784	781	802	814	817	811	861	889	897	932	965	982	
	% Served	9.2%	9.6%	9.2%	8.5%	8.2%	8.4%	8.1%	8.9%	8.8%	9.3%	9.3%	8.8%	

76	
     861 	
8.9%	

SMI12	Served	1	1	1	1	0	3	1	2	2	1	2	2	
	Enrolled	1	1	1	2	2	4	3	3	3	2	2	2	
	% Served	100.0%	100.0%	100.0%	50.0%	0.0%	75.0%	33.3%	66.7%	66.7%	50.0%	100.0%	100.0%	

2	
      2 	
71.3%	

Total	Served	1,084	1,142	1,155	1,147	1,172	1,178	1,222	1,228	1,373	1,363	1,414	1,360	
	Enrolled	13,987	14,144	14,395	14,645	15,067	15,469	15,712	16,013	16,078	16,398	16,624	16,704	
	% Served	7.8%	8.1%	8.0%	7.8%	7.8%	7.6%	7.8%	7.7%	8.5%	8.3%	8.5%	8.1%	

1,237	
    15,436 	
8.0%	

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. 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 DCS CHP.	
9. DCS CHP means AHCCCS member enrolled in the Comprehensive Health Plan (CHP) administered by the Arizona 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. The values for the Report Month of May 2022 (Enrolled/Served Month Jul-21) represent an adjusted count of enrolled/served members and may not reflect previously reported counts.	

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

Report Month3	
Served Month4,5,6	

May-22 13	Jun-22	Jul-22	Aug-22	Sep-22	Oct-22	Nov-22	Dec-22	Jan-23	Feb-23	Mar-23	Apr-23	
Jul-21	Aug-21	Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22	Jun-22	

12 MO AVG

Central7	Child8	1,256	1,420	1,600	1,705	1,794	1,801	1,847	1,936	2,070	2,036	2,021	1,717	
	DCS CHP9	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA10	2,822	2,826	2,801	2,843	2,750	2,782	2,761	2,807	2,936	2,861	2,971	3,012	
	SMI11	5,607	5,572	5,441	5,409	5,299	5,301	5,351	5,218	5,407	5,280	5,256	5,236	
	Total	9,685	9,818	9,842	9,957	9,843	9,884	9,959	9,961	10,413	10,177	10,248	9,965	

1,767	
-	
2,848	
   5,365 	
9,979	

North7	Child	151	157	198	193	224	242	256	277	276	279	282	283	
	DCS CHP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	642	658	609	614	608	590	592	552	597	603	613	620	
	SMI	1,204	1,198	1,171	1,192	1,143	1,122	1,144	1,123	1,145	1,091	1,107	1,066	
	Total	1,997	2,013	1,978	1,999	1,975	1,954	1,992	1,952	2,018	1,973	2,002	1,969	

235	
-	
608	
   1,142 	
1,985	

South7	Child	362	395	481	506	553	563	619	695	749	748	850	777	
	DCS CHP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	1,589	1,627	1,655	1,625	1,633	1,648	1,640	1,712	1,723	1,652	1,701	1,632	
	SMI	1,955	1,985	1,932	2,053	1,946	1,924	1,913	1,930	1,934	1,932	1,903	1,911	
	Total	3,906	4,007	4,068	4,184	4,132	4,135	4,172	4,337	4,406	4,332	4,454	4,320	

608	
-	
1,653	
	1,943 	
4,204	

Total12	Child	1,769	1,972	2,279	2,404	2,571	2,606	2,722	2,908	3,095	3,063	3,153	2,777	
	DCS CHP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	5,053	5,111	5,065	5,082	4,991	5,020	4,993	5,071	5,256	5,116	5,285	5,264	
	SMI	8,766	8,755	8,544	8,654	8,388	8,347	8,408	8,271	8,486	8,303	8,266	8,213	
	Total	15,588	15,838	15,888	16,140	15,950	15,973	16,123	16,250	16,837	16,482	16,704	16,254	

2,610	
-	
5,109	
   8,450 	
16,169	

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.	
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 DCS CHP.	
9. DCS CHP means AHCCCS member enrolled in the Comprehensive Health Plan (CHP) administered by the Arizona 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.	
13. The values for the Report Month of May 2022 (Enrolled/Served Month Jul-21) represent an adjusted count of enrolled/served members and may not reflect previously reported counts.