Douglas A. Ducey, Governor Jami Snyder, Director

August 29, 2022

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 August 2022 report; it includes counts of members served through October 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 Art Harding, Director of Legislative Affairs, Governor’s Office
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	

Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22 8	Jun-22	Jul-22	Aug-22	
Nov-20	Dec-20	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	

12 MO AVG

Medicaid Title XIX	Served4,5	262,565	289,886	290,989	293,226	305,786	303,209	299,676	288,419	287,741	309,855	309,879	307,417	
	Enrolled6	  1,909,836		1,927,587		1,943,400		1,956,118		1,973,254		1,984,064		1,995,702		2,011,643		2,025,202		2,039,900		2,054,038		2,066,701	
	% Served	13.7%	15.0%	15.0%	15.0%	15.5%	15.3%	15.0%	14.3%	14.2%	15.2%	15.1%	14.9%	

295,721	
  1,990,620	
14.9%	

KidsCare Title XXI	Served	2,704	3,005	3,008	3,143	3,417	3,551	3,502	3,507	3,532	3,700	3,721	3,820	
	Enrolled		44,856		47,143		48,567		49,735		50,714		51,874		53,215		54,289		56,028		56,462		57,337		58,389	
	% Served	6.0%	6.4%	6.2%	6.3%	6.7%	6.8%	6.6%	6.5%	6.3%	6.6%	6.5%	6.5%	

3,384	
   52,384	
6.5%	

Total Title XIX/XXI	Served	265,269	292,891	293,997	296,369	309,203	306,760	303,178	291,926	291,273	313,555	313,600	311,237	
	Enrolled	  1,954,692		1,974,730		1,991,967		2,005,853		2,023,968		2,035,938		2,048,917		2,065,932		2,081,230		2,096,362		2,111,375		2,125,090	
	% Served	13.6%	14.8%	14.8%	14.8%	15.3%	15.1%	14.8%	14.1%	14.0%	15.0%	14.9%	14.6%	

299,105	
  2,043,005	
14.6%	

Non-Title XIX/XXI7	Served	15,311	15,591	15,456	15,387	15,929	15,878	15,733	15,652	15,588	15,838	15,888	16,140	

15,699

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.	

8/18/2022

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

Report Month2,3	
Enrolled/Served Month	

Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22 13	Jun-22	Jul-22	Aug-22	
Nov-20	Dec-20	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	

12 MO AVG

Total

Child7	Served4,5	74,858	75,767	76,213	78,384	82,020	82,188	79,489	63,773	63,027	79,707	81,640	81,445	
	Enrolled6	767,774	770,364	773,490	775,838	779,328	780,441	782,229	786,138	788,753	792,299	795,188	797,126	
	% Served	9.8%	9.8%	9.9%	10.1%	10.5%	10.5%	10.2%	8.1%	8.0%	10.1%	10.3%	10.2%	

76,543	
782,414	
9.8%	

DCS CHP8	Served	10,475	10,594	10,450	10,276	10,515	10,018	9,803	9,880	9,807	9,826	9,603	9,236	
	Enrolled	14,457	14,387	14,321	13,974	14,198	14,291	14,142	14,329	14,430	14,415	14,319	14,114	
	% Served	72.5%	73.6%	73.0%	73.5%	74.1%	70.1%	69.3%	69.0%	68.0%	68.2%	67.1%	65.4%	

10,040	
14,281	
70.3%	

GMH/SA Dual9	Served	23,808	23,859	23,653	24,326	25,128	24,369	24,104	24,670	24,402	24,866	24,634	23,984	
	Enrolled	161,075	162,280	162,709	162,276	163,323	164,028	164,838	165,828	167,024	168,111	169,268	170,281	
	% Served	14.8%	14.7%	14.5%	15.0%	15.4%	14.9%	14.6%	14.9%	14.6%	14.8%	14.6%	14.1%	

24,317	
165,087	
14.7%	

GMH/SA Non-Dual10	Served	116,244	141,111	142,175	141,763	149,110	147,723	147,680	151,148	151,783	156,458	155,099	153,967	
	Enrolled	916,226	929,962	942,060	953,066	965,076	973,764	982,767	993,322	1,002,746	1,012,670	1,022,651	1,032,357	
	% Served	12.7%	15.2%	15.1%	14.9%	15.5%	15.2%	15.0%	15.2%	15.1%	15.5%	15.2%	14.9%	

146,188	
977,222	
15.0%	

SMI11	Served	37,180	38,555	38,498	38,477	39,013	38,911	38,600	38,948	38,722	38,998	38,903	38,785	
	Enrolled	50,304	50,594	50,820	50,964	51,329	51,540	51,726	52,026	52,249	52,405	52,612	52,823	
	% Served	73.9%	76.2%	75.8%	75.5%	76.0%	75.5%	74.6%	74.9%	74.1%	74.4%	73.9%	73.4%	

38,633	
51,616	
74.8%	

Total12	Served	262,565	289,886	290,989	293,226	305,786	303,209	299,676	288,419	287,741	309,855	309,879	307,417	
	Enrolled	1,909,836	1,927,587	1,943,400	1,956,118	1,973,254	1,984,064	1,995,702	2,011,643	2,025,202	2,039,900	2,054,038	2,066,701	
	% Served	13.7%	15.0%	15.0%	15.0%	15.5%	15.3%	15.0%	14.3%	14.2%	15.2%	15.1%	14.9%	

295,721	
1,990,620	
14.9%	

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. 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	

Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22 13	Jun-22	Jul-22	Aug-22	
Nov-20	Dec-20	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	

12 MO AVG

Central4

Child8	Served5,6	46,165	46,733	47,141	48,964	51,018	50,656	48,755	37,888	37,505	48,972	50,018	49,635	
	Enrolled7	470,238	471,907	474,075	475,544	477,844	478,671	480,000	482,329	483,979	486,226	488,125	489,283	
	% Served	9.8%	9.9%	9.9%	10.3%	10.7%	10.6%	10.2%	7.9%	7.7%	10.1%	10.2%	10.1%	

46,954	
479,852	
9.8%	

DCS CHP9	Served	6,009	6,080	5,912	5,873	5,985	5,712	5,454	5,521	5,455	5,424	5,309	5,035	
	Enrolled	8,598	8,507	8,447	8,293	8,448	8,488	8,383	8,481	8,495	8,465	8,404	8,275	
	% Served	69.9%	71.5%	70.0%	70.8%	70.8%	67.3%	65.1%	65.1%	64.2%	64.1%	63.2%	60.8%	

5,647	
8,440	
66.9%	

GMH/SA Dual10	Served	13,091	13,103	13,221	13,998	14,249	13,572	13,414	13,658	13,496	13,799	13,509	13,062	
	Enrolled	81,171	81,774	82,049	81,741	82,274	82,613	83,051	83,560	84,183	84,716	85,245	85,726	
	% Served	16.1%	16.0%	16.1%	17.1%	17.3%	16.4%	16.2%	16.3%	16.0%	16.3%	15.8%	15.2%	

13,514	
83,175	
16.2%	

GMH/SA Non-Dual11	Served	64,166	77,760	78,761	78,939	83,132	81,961	81,083	82,688	84,008	86,652	85,958	85,064	
	Enrolled	511,404	519,897	527,505	534,349	541,795	547,354	553,018	559,616	565,356	571,616	577,677	583,681	
	% Served	12.5%	15.0%	14.9%	14.8%	15.3%	15.0%	14.7%	14.8%	14.9%	15.2%	14.9%	14.6%	

80,848	
549,439	
14.7%	

SMI12	Served	21,951	22,616	22,628	22,646	22,960	22,895	22,795	22,922	22,809	23,040	22,973	22,971	
	Enrolled	27,865	28,085	28,260	28,354	28,635	28,810	29,002	29,210	29,356	29,482	29,622	29,756	
	% Served	78.8%	80.5%	80.1%	79.9%	80.2%	79.5%	78.6%	78.5%	77.7%	78.1%	77.6%	77.2%	

22,767	
28,870	
78.9%	

Total	Served	151,382	166,292	167,663	170,420	177,344	174,796	171,501	162,677	163,273	177,887	177,767	175,767	
	Enrolled	1,099,276	1,110,170	1,120,336	1,128,281	1,138,996	1,145,936	1,153,454	1,163,196	1,171,369	1,180,505	1,189,073	1,196,721	
	% Served	13.8%	15.0%	15.0%	15.1%	15.6%	15.3%	14.9%	14.0%	13.9%	15.1%	15.0%	14.7%	

169,731	
1,149,776	
14.8%	

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. 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	

Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22 13	Jun-22	Jul-22	Aug-22	
Nov-20	Dec-20	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	

12 MO AVG

North4

Child8	Served5,6	7,473	7,649	7,604	7,791	8,483	8,372	8,251	6,993	6,683	8,094	8,313	8,341	
	Enrolled7	92,535	92,832	93,061	93,218	93,647	93,655	93,652	94,077	94,321	94,631	94,876	95,036	
	% Served	8.1%	8.2%	8.2%	8.4%	9.1%	8.9%	8.8%	7.4%	7.1%	8.6%	8.8%	8.8%	

7,837	
   93,795 	
8.4%	

DCS CHP9	Served	1,107	1,124	1,102	1,036	1,088	1,027	1,053	1,089	1,087	1,091	1,062	1,029	
	Enrolled	1,497	1,471	1,476	1,432	1,439	1,448	1,440	1,461	1,471	1,472	1,462	1,439	
	% Served	73.9%	76.4%	74.7%	72.3%	75.6%	70.9%	73.1%	74.5%	73.9%	74.1%	72.6%	71.5%	

1,075	
    1,459 	
73.7%	

GMH/SA Dual10	Served	3,323	3,377	3,206	3,254	3,459	3,386	3,354	3,468	3,438	3,471	3,487	3,486	
	Enrolled	25,849	26,044	26,093	26,032	26,214	26,330	26,455	26,604	26,819	27,011	27,236	27,405	
	% Served	12.9%	13.0%	12.3%	12.5%	13.2%	12.9%	12.7%	13.0%	12.8%	12.9%	12.8%	12.7%	

3,392	
   26,508 	
12.8%	

GMH/SA Non-Dual11	Served	16,228	20,372	20,289	20,566	21,811	21,522	21,376	21,902	21,875	22,274	22,140	21,993	
	Enrolled	136,977	138,591	139,894	141,135	142,467	143,173	143,975	145,129	146,179	147,087	148,244	149,151	
	% Served	11.8%	14.7%	14.5%	14.6%	15.3%	15.0%	14.8%	15.1%	15.0%	15.1%	14.9%	14.7%	

21,029	
  143,500 	
14.7%	

SMI12	Served	4,340	4,672	4,715	4,724	4,828	4,748	4,635	4,773	4,684	4,690	4,660	4,621	
	Enrolled	7,082	7,104	7,139	7,145	7,173	7,176	7,169	7,208	7,239	7,252	7,274	7,298	
	% Served	61.3%	65.8%	66.0%	66.1%	67.3%	66.2%	64.7%	66.2%	64.7%	64.7%	64.1%	63.3%	

4,674	
    7,188 	
65.0%	

Total	Served	32,471	37,194	36,916	37,371	39,669	39,055	38,669	38,225	37,767	39,620	39,662	39,470	
	Enrolled	263,940	266,042	267,663	268,962	270,940	271,782	272,691	274,479	276,029	277,453	279,092	280,329	
	% Served	12.3%	14.0%	13.8%	13.9%	14.6%	14.4%	14.2%	13.9%	13.7%	14.3%	14.2%	14.1%	

38,007	
  272,450 	
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	

Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22 13	Jun-22	Jul-22	Aug-22	
Nov-20	Dec-20	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	

12 MO AVG

South4

Child8	Served5,6	21,220	21,385	21,468	21,629	22,519	23,160	22,483	18,892	18,839	22,641	23,309	23,469	
	Enrolled7	205,001	205,625	206,354	207,076	207,837	208,115	208,577	209,732	210,453	211,442	212,187	212,807	
	% Served	10.4%	10.4%	10.4%	10.4%	10.8%	11.1%	10.8%	9.0%	9.0%	10.7%	11.0%	11.0%	

21,751	
  208,767 	
10.4%	

DCS CHP9	Served	3,359	3,390	3,436	3,367	3,442	3,279	3,296	3,270	3,265	3,311	3,232	3,172	
	Enrolled	4,362	4,409	4,398	4,249	4,311	4,355	4,319	4,387	4,464	4,478	4,453	4,400	
	% Served	77.0%	76.9%	78.1%	79.2%	79.8%	75.3%	76.3%	74.5%	73.1%	73.9%	72.6%	72.1%	

3,318	
   4,382 	
75.7%	

GMH/SA Dual10	Served	7,394	7,379	7,226	7,074	7,420	7,411	7,336	7,544	7,468	7,596	7,638	7,436	
	Enrolled	54,055	54,462	54,567	54,503	54,835	55,085	55,332	55,664	56,022	56,384	56,787	57,150	
	% Served	13.7%	13.5%	13.2%	13.0%	13.5%	13.5%	13.3%	13.6%	13.3%	13.5%	13.5%	13.0%	

7,410	
   55,404 	
13.4%	

GMH/SA Non-Dual11	Served	35,850	42,979	43,125	42,258	44,167	44,240	45,221	46,558	45,900	47,532	47,001	46,910	
	Enrolled	267,845	271,474	274,661	277,582	280,814	283,237	285,774	288,577	291,211	293,967	296,730	299,525	
	% Served	13.4%	15.8%	15.7%	15.2%	15.7%	15.6%	15.8%	16.1%	15.8%	16.2%	15.8%	15.7%	

44,312	
  284,283 	
15.6%	

SMI12	Served	10,889	11,267	11,155	11,107	11,225	11,268	11,170	11,253	11,229	11,268	11,270	11,193	
	Enrolled	15,357	15,405	15,421	15,465	15,521	15,554	15,555	15,608	15,654	15,671	15,716	15,769	
	% Served	70.9%	73.1%	72.3%	71.8%	72.3%	72.4%	71.8%	72.1%	71.7%	71.9%	71.7%	71.0%	

11,191	
   15,558 	
71.9%	

Total	Served	78,712	86,400	86,410	85,435	88,773	89,358	89,506	87,517	86,701	92,348	92,450	92,180	
	Enrolled	546,620	551,375	555,401	558,875	563,318	566,346	569,557	573,968	577,804	581,942	585,873	589,651	
	% Served	14.4%	15.7%	15.6%	15.3%	15.8%	15.8%	15.7%	15.2%	15.0%	15.9%	15.8%	15.6%	

87,983	
  568,394 	
15.5%	

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. 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	

Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22 13	Jun-22	Jul-22	Aug-22	
Nov-20	Dec-20	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	

12 MO AVG

Total

Child7	Served4,5	2,566	2,838	2,843	2,984	3,230	3,356	3,288	3,285	3,314	3,475	3,500	3,601	
	Enrolled6	42,601	44,770	46,085	47,151	48,089	49,169	50,422	51,252	52,999	53,412	54,195	55,207	
	% Served	6.0%	6.3%	6.2%	6.3%	6.7%	6.8%	6.5%	6.4%	6.3%	6.5%	6.5%	6.5%	

3,190	
   49,613 	
6.4%	

DCS CHP8	Served	2	1	2	2	1	1	1	-	-	-	-	-	
	Enrolled	4	3	6	5	3	3	2	2	1	-	-	-	
	% Served	50.0%	33.3%	33.3%	40.0%	33.3%	33.3%	50.0%	0.0%	0.0%	0.0%	0.0%	0.0%	

1	
     2 	
34.5%	

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	134	163	160	153	182	189	208	216	214	220	215	213	
	Enrolled	2,248	2,367	2,473	2,575	2,618	2,697	2,786	3,028	3,024	3,045	3,136	3,175	
	% Served	6.0%	6.9%	6.5%	5.9%	7.0%	7.0%	7.5%	7.1%	7.1%	7.2%	6.9%	6.7%	

189	
   2,764 	
6.8%	

SMI11	Served	2	3	3	4	4	5	5	6	4	5	6	6	
	Enrolled	3	3	3	4	4	5	5	7	4	5	6	7	
	% Served	66.7%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	85.7%	100.0%	100.0%	100.0%	85.7%	

4	
     5 	
94.6%	

Total12	Served	2,704	3,005	3,008	3,143	3,417	3,551	3,502	3,507	3,532	3,700	3,721	3,820	
	Enrolled	44,856	47,143	48,567	49,735	50,714	51,874	53,215	54,289	56,028	56,462	57,337	58,389	
	% Served	6.0%	6.4%	6.2%	6.3%	6.7%	6.8%	6.6%	6.5%	6.3%	6.6%	6.5%	6.5%	

3,384	
   52,384 	
6.5%	

Notes	
1. Report produced monthly in accordance with A.R.S. 36-3405(D) in order to provide information on the number of persons served by Title XIX/XXI and Non-Title XIX/XXI behavioral health programs.	
2. The latest month of data is reported on a 9-month lag for claims and encounters and is estimated to be 96% complete.	
3. Beginning with the July 2020 report, a revised methodology is used for counting members served and enrolled. Previously reported figures were restated under the revised methodology.	
4. 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	

Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22 13	Jun-22	Jul-22	Aug-22	
Nov-20	Dec-20	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	

12 MO AVG

Central4

Child8	Served5,6	1,525	1,686	1,704	1,828	1,972	2,019	1,971	1,959	1,969	2,040	2,069	2,154	
	Enrolled7	27,529	28,936	29,798	30,448	31,105	31,767	32,542	33,154	34,286	34,493	34,965	35,629	
	% Served	5.5%	5.8%	5.7%	6.0%	6.3%	6.4%	6.1%	5.9%	5.7%	5.9%	5.9%	6.0%	

1,908	
   32,054 	
6.0%	

DCS CHP9	Served	2	1	2	2	1	1	1	0	0	0	0	0	
	Enrolled	3	2	4	3	2	2	1	1	0	0	0	0	
	% Served	66.7%	50.0%	50.0%	66.7%	50.0%	50.0%	100.0%	0.0%	0.0%	0.0%	0.0%	0.0%	

1	
     2 	
63.5%	

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	78	97	88	92	115	110	119	134	125	122	122	122	
	Enrolled	1,400	1,472	1,531	1,596	1,626	1,692	1,746	1,911	1,921	1,941	1,999	2,021	
	% Served	5.6%	6.6%	5.7%	5.8%	7.1%	6.5%	6.8%	7.0%	6.5%	6.3%	6.1%	6.0%	

110	
   1,738 	
6.3%	

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

3	
     4 	
95.2%	

Total	Served	1,606	1,786	1,796	1,925	2,091	2,134	2,095	2,097	2,097	2,166	2,196	2,281	
	Enrolled	28,934	30,412	31,335	32,050	32,736	33,465	34,293	35,071	36,210	36,438	36,969	37,655	
	% Served	5.6%	5.9%	5.7%	6.0%	6.4%	6.4%	6.1%	6.0%	5.8%	5.9%	5.9%	6.1%	

2,023	
   33,797 	
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. 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	

 	
Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22 13	Jun-22	Jul-22	Aug-22	
Nov-20	Dec-20	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	

 
12 MO AVG

North4

Child8	Served5,6	265	284	275	290	332	344	327	340	334	369	351	370	
	Enrolled7	4,487	4,668	4,769	4,861	4,918	5,077	5,259	5,323	5,511	5,557	5,638	5,749	
	% Served	5.9%	6.1%	5.8%	6.0%	6.8%	6.8%	6.2%	6.4%	6.1%	6.6%	6.2%	6.4%	

323	
   5,151 	
6.3%	

DCS CHP9	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	1	1	1	1	1	1	1	1	1	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	14	20	26	21	19	22	21	21	17	23	19	22	
	Enrolled	245	261	265	274	290	283	303	340	319	323	335	340	
	% Served	5.7%	7.7%	9.8%	7.7%	6.6%	7.8%	6.9%	6.2%	5.3%	7.1%	5.7%	6.5%	

20	
    298 	
6.8%	

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	279	304	301	311	351	366	348	361	351	392	370	392	
	Enrolled	4,733	4,930	5,035	5,136	5,209	5,361	5,563	5,664	5,831	5,880	5,973	6,089	
	% Served	5.9%	6.2%	6.0%	6.1%	6.7%	6.8%	6.3%	6.4%	6.0%	6.7%	6.2%	6.4%	

344	
   5,450 	
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. 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	

 	
Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22 13	Jun-22	Jul-22	Aug-22	
Nov-20	Dec-20	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	

 
12 MO AVG

South4

Child8	Served5,6	776	868	864	866	926	993	990	986	1,011	1,066	1,080	1,077	
	Enrolled7	10,585	11,166	11,518	11,842	12,066	12,325	12,621	12,775	13,202	13,362	13,592	13,829	
	% Served	7.3%	7.8%	7.5%	7.3%	7.7%	8.1%	7.8%	7.7%	7.7%	8.0%	7.9%	7.8%	

959	
   12,407 	
7.7%	

DCS CHP9	Served	-	-	-	-	-	-	-	-	-	-	-	-	
	Enrolled	0	0	1	1	0	0	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	42	46	46	40	48	57	68	61	72	75	74	69	
	Enrolled	603	634	677	705	702	722	737	777	784	781	802	814	
	% Served	7.0%	7.3%	6.8%	5.7%	6.8%	7.9%	9.2%	7.9%	9.2%	9.6%	9.2%	8.5%	

58	
     728 	
8.0%	

SMI12	Served	1	1	1	1	1	1	1	2	1	1	1	1	
	Enrolled	1	1	1	1	1	1	1	2	1	1	1	2	
	% Served	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	100.0%	50.0%	

1	
      1 	
92.9%	

Total	Served	819	915	911	907	975	1,051	1,059	1,049	1,084	1,142	1,155	1,147	
	Enrolled	11,189	11,801	12,197	12,549	12,769	13,048	13,359	13,554	13,987	14,144	14,395	14,645	
	% Served	7.3%	7.8%	7.5%	7.2%	7.6%	8.1%	7.9%	7.7%	7.8%	8.1%	8.0%	7.8%	

1,018	
    13,136 	
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. 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	

Sep-21	Oct-21	Nov-21	Dec-21	Jan-22	Feb-22	Mar-22	Apr-22	May-22 13	Jun-22	Jul-22	Aug-22	
Nov-20	Dec-20	Jan-21	Feb-21	Mar-21	Apr-21	May-21	Jun-21	Jul-21	Aug-21	Sep-21	Oct-21	

12 MO AVG

Central7	Child8	989	954	997	1,069	1,281	1,415	1,451	1,317	1,256	1,420	1,600	1,705	
	DCS CHP9	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA10	2,345	2,476	2,447	2,455	2,495	2,499	2,633	2,615	2,822	2,826	2,801	2,843	
	SMI11	5,917	5,986	5,870	5,882	5,931	5,790	5,621	5,669	5,607	5,572	5,441	5,409	
	Total	9,251	9,416	9,314	9,406	9,707	9,704	9,705	9,601	9,685	9,818	9,842	9,957	

1,288	
-	
2,605	
   5,725 	
9,617	

North7	Child	147	152	154	151	160	153	152	141	151	157	198	193	
	DCS CHP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	703	741	707	753	763	699	700	681	642	658	609	614	
	SMI	1,182	1,309	1,263	1,265	1,268	1,243	1,215	1,216	1,204	1,198	1,171	1,192	
	Total	2,032	2,202	2,124	2,169	2,191	2,095	2,067	2,038	1,997	2,013	1,978	1,999	

159	
-	
689	
   1,227 	
2,075	

South7	Child	325	303	281	299	364	392	401	367	362	395	481	506	
	DCS CHP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	1,676	1,657	1,712	1,586	1,654	1,662	1,624	1,670	1,589	1,627	1,655	1,625	
	SMI	2,027	2,013	2,025	1,927	2,013	2,025	1,936	1,976	1,955	1,985	1,932	2,053	
	Total	4,028	3,973	4,018	3,812	4,031	4,079	3,961	4,013	3,906	4,007	4,068	4,184	

373	
-	
1,645	
	1,989 	
4,007	

Total12	Child	1,461	1,409	1,432	1,519	1,805	1,960	2,004	1,825	1,769	1,972	2,279	2,404	
	DCS CHP	-	-	-	-	-	-	-	-	-	-	-	-	
	GMH/SA	4,724	4,874	4,866	4,794	4,912	4,860	4,957	4,966	5,053	5,111	5,065	5,082	
	SMI	9,126	9,308	9,158	9,074	9,212	9,058	8,772	8,861	8,766	8,755	8,544	8,654	
	Total	15,311	15,591	15,456	15,387	15,929	15,878	15,733	15,652	15,588	15,838	15,888	16,140	

1,820	
-	
4,939	
   8,941 	
15,699	

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.