Members enrolled in DDD/ALTCS, including those with an SMI designation, will no longer receive behavioral health services under the RBHA as of 10/1/2019. These members will receive their services under their integrated DDD Health Plan.
Crisis services will be provided through the assigned RBHA based on your location. You can view them by clicking here.
Respite is a service available through DDD/ALTCS and Mercy Care. Respite care gives caregivers a break to take time for themselves. A member’s need determines the number of respite hours. Respite services may be provided on a short-term basis (a few hours during the day). Respite can also be for longer periods involving overnight stays. The maximum number of hours available is 600 combined between behavioral health and DDD each benefit year (October 1 - September 30).
**720 hours during the current COVID-19 environment until September 30, 2020
Transitioning into the adult system for behavioral health services
Members enrolled in DDD transition into adulthood at age 18. The behavioral health system divides into General Mental Health/ Substance Use (GMH/SU) and Serious Mental Illness (SMI). There are a few differences between the covered services.
Services available for DDD/ALTCS members with an SMI designation:
- An assigned case manager
- Levels of care based on clinical need
- Permanent Supportive Housing (PSH)
- Short-term treatment for members eligible for AHCCCS (title-19 only)
GMH/SU services can include residential settings for substance use or eating disorders. DD members may receive case management support from a clinician. All other adult behavioral health services are available based on need.
To be eligible for SMI services, a person must have a qualifying SMI diagnosis and functional impairment as result of their diagnosis. Members must be at least 17½ years of age to have an SMI evaluation and SMI services start at the age of 18.
Members and/or their guardian/ legal representative can call Mercy Care Member Services at 602-263‑3000 or 1-800-624-3879 (TTY/TDD 711) to request an SMI evaluation. For more information, you can visit www.crisisnetwork.org and select “SMI.” You can also call 1-855-832-2866.