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Not yet a member?
Learn about becoming a member in Mercy Care Medicaid plans or Mercy Care Advantage.
What’s covered and who benefits
What’s covered and who benefits
We can spend the MHBG funds or “pass them through” to providers that help people in the community who need covered services, like:
- Mental health review
- Counseling
- Case management
- Skills training
Those who can take part are uninsured:
- Adults with serious mental illness (SMI)
- Children with serious emotional disturbance (SED)
- People having their first episode of psychosis (FEP)
Referrals and treatment
Referrals and treatment
Referrals
For some providers, you don’t need a referral. So you can contact them directly.
Other providers need a referral from a hospital, facility or behavioral health home. This might be an office or clinic. Sometimes your behavioral health home manages both your:
- Behavioral health (mental health and substance use disorders)
- Physical health (health of your body)
We call this integrated care.
Outpatient (behavioral health home) treatment
Outpatient treatment allows people to live at home when not in treatment. They can:
- Stay in school
- Keep working
- Fulfill their other personal tasks
People can attend group and/or individual therapy sessions each week. They can also meet with a mental health provider and receive medicine.
Residential treatment
Residential treatment includes live-in care in a stable setting. The treatment may last for one month to one year. Each facility has rules for residents and their families. This treatment is best for people:
- Without stable living or work situations
- With limited or no family support in treatment
- With very serious disorders who haven’t been able to get and stay sober or drug-free in other treatment
Providers and resources
What is FEP?
FEP refers to someone having psychosis for the first time. It can differ from person to person. Some common symptoms are:
- Thoughts or beliefs that are unusual or bizarre
- Hearing or seeing things that others don’t hear or see
- Feeling of someone watching you
- Changes in personality
- Sleeping problems
- Isolation from others
If you or someone you know is having some or all these symptoms, you’ll want to get help right away.
Studies show that early treatment can help slow down or stop the symptoms of psychosis. It can also improve recovery. Some services are:
- Counseling
- Support for jobs and education
- Medicine
- Support for families
Providers for FEP
Valleywise First Episode Clinic
623-344-6860
480-341-7073 (after hours)
950 E. Van Buren St.
Avondale, AZ 85323
Who can take part: Ages 15 to 25 years with first episode of psychosis in the past year
Valleywise First Episode Clinic
1-833-855-9973
Mesa Towers
1201 South Alma Road Suite 5100
Mesa, AZ 85210
Who can take part: Ages 15 to 25 years with first episode of psychosis in the past year
La Frontera EMPACT - Pinal
480-317-2213
2474 E. Hunt Highway Suite A100
San Tan Valley, AZ 85143
Who can take part: Ages 15 to 30 years with first episode of psychosis in the past two years
What is SMI?
An SMI is a chronic (long-term) mental health condition. It affects or limits one or more daily activities:
- Eating, dressing and hygiene
- Taking prescribed medicine
- Getting around in the community
- Taking part in family, school or a job
What is an SMI designation (PDF)?
This is a term to describe SMI. The person is 18 years or older and:
- Can’t live independently without good support
- Is at risk of serious harm to themselves or others
- Can’t function well
- Is at risk for decline or getting worse without good support and services
Providers for SMI
People are assigned to a behavioral health home after SMI designation.
Outpatient providers for Maricopa County
- Alium Health
- Community Bridges*
- Community 43
- Community Partners Integrated Health
- Copa Health*
- La Frontera EMPACT*
- Lifewell*
- Horizon Health and Wellness
- Marc Center
- Partners in Recovery
- Resilient Health
- Southwest Behavioral and Health Services
- Southwest Network*
- Spectrum Healthcare
- Terros Health*
- Valle del Sol
Outpatient providers for Pinal County
Community Health Associates
Corazon
Helping Associates
Hope Inc.
Horizon Health and Wellness
Transition Living Center
Residential treatment providers in Pinal or Maricopa counties
- Community Bridges* (Pinal county)
- Helping Hearts Residential (Maricopa county)
- Marc Center (Maricopa county)
*Providers who take part in assertive community treatment (ACT). This is a higher level of care that provides comprehensive local treatment to people with SMI.
What is SED?
Children with an SED have a diagnosis of a behavioral, mental or emotional condition. It affects or limits their role or function in family, school or communities. These children range from birth through age 17.
Learn about eligibility (PDF) for individuals with SED.
We work with many community providers to serve children with SED in outpatient or residential settings.
Providers for outpatient treatment in your behavioral health home
Parents and caregivers can contact providers directly. You don’t need a referral to choose a behavioral health home.
Providers that can act as your behavioral health home include:
- A New Leaf
480-969-6955 - Arizona Youth & Family Services, Inc.
602-277-4833 - Chicanos Por La Causa
480-535-3147 - Child & Family Support Services
480-635-9944 - Community Bridges, Inc
602-690-0337 - Corazón Behavioral Health Services
520-836-4278 - Ebony House
602-254-6137 - EMPACT - Suicide Prevention Center
480-784-1514 - Helping Associates
520-836-1029 - Horizon Health and Wellness
1-833-431-4449 - Jewish Family & Children’s Services
602-256-0528 - Open Hearts Family Wellness
602-285-5550 - Southwest Behavioral & Health Services
602-265-8338 - SpectrUm healthcare
1-877-634-7333 - Touchstone Health Services
1-866-207-3882 - Valle del Sol
602-253-9312
- Arizona Health Care Cost Containment System (AHCCCS) Medical Policy Manual (AMPM):
- AMPM Policy 320-T1 (azahcccs.gov) (PDF): AHCCCS policies governing Non-Title 19/21 behavioral health services funded by block and discretionary grants
- AMPM Policy 320-T2 (azahcccs.gov) (PDF): AHCCCS policies governing Non-Title 19/21 behavioral health services funded by Non-Title 19/21 non-federal funding through Mercy Care RBHA (excluding block and discretionary grants)
- AMPM Policy 320-P (azahcccs.gov) (PDF): AHCCCS policy on eligibility determinations for individuals with serious emotional disturbance and serios mental illness.
- AMPM Policy 300, Exhibit 300-2B, AHCCCS Covered Non-Title 19/21 Behavioral Health Services (PDF): AHCCCS policies on covered Non-Title 19/21 behavioral health services
- Non-Title Enrollment Reference Guide (PDF): how to set up Non-Title enrollment for members
- Crisis/State Only Membership Reference Guide (PDF): how to set up enrollment for crisis and/or state-only services for a titled member
More about the MHBG
You can learn more about the MHBG.
Questions? Email us. Or call 602-586-1841 or 1-800-564-5465 (TTY 711). We’re here for you 24 hours a day, 7 days a week.
Are you or someone you know in crisis?
Visit our crisis services page. Or get help right away:
- Call 1-844-534-HOPE (1-844-534-4673)
- Text HOPE to 4HOPE (44673)
Providers can order resources
Complete the online form to order educational materials about behavioral health services at no cost.