ADHS/DBHS Clinical Practice Protocols with Required Elements
Under the direction of the Chief Medical Officer and Deputy Director, the Arizona Department of Health Services/Division of Behavioral Health Services (ADHS/DBHS) has researched and published Clinical Practice Protocols with Required Elements. The required elements in these four documents assist behavioral health providers in Arizona’s public behavioral health system implement best practice as well as enable DBHS and the Tribal and Regional Behavioral Health Authorities (T/RBHAs) to monitor the implementation of this best practice.
Links below are in PDF format; in order to view, Adobe Reader is required.
- The Child and Family Team
- Out of Home Services
- Psychiatric Best Practice Guidelines for Children: Birth to Five Years of Age
- ADHS/DBHS Clinical Practice Protocols without Required Elements
- National Clinical Practice Guidelines
Comprehensive Assessment and Treatment for Substance Use Disorders in Children and Adolescents
- Services that are covered
- Services that are not covered
- Special programs
- Prescription information
- Other important benefits
If you have any problems in understanding this information, please contact Cenpatico Customer Service. You can call the toll free line at (866) 495-6738 or TDD/TTY (877) 613-2076. We can help explain the information. We can provide the information orally in English or in your primary language. We can also help if you are visually or hearing-impaired.
Although this guide provides you some tools to have your voice heard, you are free to use these tools or any other alternative tools of your choice.
The last page of the guide gives you the option to make this plan a Mental Health Care Advance Directive. If you need more information on Wellness Recovery Plans, Crisis Plans or Advance Directives please contact your Case Manager, Clinical Liaison or Peer Support Specialist. If you have further questions please feel free to contact Cenpatico’s Recovery and Resiliency Advisor at 1-866-465-6738 Ext. 26120.
- PM Attachment 3.16.1 Formulary (by drug name)
- PM Attachment 3.16.2 Formulary (by drug class)
- PM Attachment 3.16.2 Formulary (by drug class) – Spanish
Quantity limits for each medication can be found at the following link – Pharmacy Quantity Limits.
If a member is enrolled and paid cash for their medication(s), they need to submit the following reimbursement form that are paid out of pocket, along with the register receipt and prescription receipt.
What are my rights?
You have the right to:
- Be treated fairly and with respect regardless of race, ethnicity, religion, mental or physical disability, sex, age, sexual preference, or ability to pay,
- Participate in making your Service Plan,
- Include any persons you wish in your treatment,
- Have your protected health information kept private,
- Get your services in a safe place,
- Make an advance directive,
- Agree to or refuse treatment services, unless the services are court ordered,
- Get information in your own language or have it translated,
- File a complaint, appeal or grievance without penalty,
- Receive good care from providers who know how to take care of you,
- Choose a provider within the Provider Network,
- Use your rights with no negative action by the Arizona Department of Health Services or Cenpatico, and
- The same civil and legal rights as anyone else.
You also have the right to request and obtain the following information at any time:
- A Member Handbook at least annually from Cenpatico;
- The name, location, and telephone number of the current providers in your service area that speak a language other than English and the name of the language(s) spoken,
- The name, location, and telephone number of the current providers in your service area that are not accepting new members,
- Any limits of your freedom of choice among network providers,
- Your rights and protections,
- A description of how after-hours and emergency coverage is provided,
- A description of what is an emergency medical condition and what are emergency and post stabilization services,
- The process for getting emergency services, including the use of the 911 telephone system or local emergency numbers,
- The location of providers and hospitals that provide emergency and post stabilization services,
- Your right to use any hospital or other setting for emergency care,
- Your right to get emergency services without prior approval,
- The amount, duration, and scope of your benefits,
- The process for getting services, including approval requirements,
- The extent to which, and how, you may get benefits from out-of-network providers,
- The rules for post stabilization care services,
- Cost sharing, if any,
- How and where to access services including any cost sharing required and how transportation can be provided,
- Advanced directives,
- The structure and operation of the Arizona Department of Health Services, Physician incentive plans, and
- The grievance, appeal, and fair hearing procedures and timeframes.
- You can ask to see the behavioral health information in your medical record. If you do not agree with its content, you can request to put a note in the chart. You can also ask that the record be changed if you do not agree with its contents. You can also receive a copy of your medical record.
To request any of this information, contact Cenpatico’s Customer Service Department at (866) 495-6738.
What are my responsibilities?
You have the responsibility to:
- Give information needed for your care to your providers;
- Follow instructions and guidelines from your providers;
- Know the name of your Clinical Liaison;
- Schedule appointments during regular office hours when possible limiting the use of Urgent Care and Emergency Room facilities;
- Arrive on time for appointments;
- Tell providers if you have to cancel an appointment before the scheduled time;
- Participate in creating your Service Plan;
- Be aware of your rights;
- Assist in moving towards your recovery;
- Take care of yourself; and
- Treat others with respect and work cooperatively with others.
Title XIX/XXI eligible persons are responsible for:
- Protecting your identification (ID) card;
- Not misusing your ID card, including loaning, selling or giving your card to others, which may result in the loss of your eligibility or legal action; and
- Keeping, not discarding, your ID card.
Below we have the Cenpatico Perspectives which serves as a tool to educate, as well as provides an opportunity to communicate important behavioral health information, updates, and useful resources to providers, system partners, and the community. The online newsletter provides an abundance of resources and links around recovery and resiliency, reducing stigma, prevention, and training opportunities. The information, updates, and resources shared in the Cenpatico Perspective newsletter supports the promotion of evidence-based, best practice approaches in the assessment and treatment of participants and families receiving behavioral health services in the communities that Cenpatico serves.
- Cenpatico Perspective February 2012
- Cenpatico Perspective Fall 2011
- Cenpatico Perspective Spring 2011
- Cenpatico Perspective Winter 2011
- Cenpatico Perspective Fall 2010
- Cenpatico Perspective Spring 2010
- Cenpatico Perspective Winter 2009
- Cenpatico Perspective September 2009
- Cenpatico Perspective June 2009
- Cenpatico Perspective March 2009
- Cenpatico Perspective December 2008
- Cenpatico Perspective May 2008