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We understand accessing treatment for an eating disorder can be extremely difficult for clients, families, and professionals. That's why we're pleased to be able to accept a certain number of Arizona Medicaid plans (formally known as AHCCCS).

AHCCCS Provider Referral Process

For Adolescents

We work with the following branches of Arizona Medicaid (AHCCCS) for adolescents:
  • Mercy Care/MMIC
  • Health Choice/HCIC
  • Banner University Family Care
  • United Health Care
Applicable levels of care for adolescents:
  • Inpatient
  • Residential
  • Intensive Outpatient

Referral process for an adolescent with Arizona Medicaid (AHCCCS)

  • The client must have established care with an outpatient behavioral health home (i.e. Devereux, Southwest Network, Bayless).
  • The behavioral health home will need to complete a prior authorization form (found on the specific branch of AHCCCS’ website).
    • Revenue Code for inpatient or residential: 0124
    • Revenue Code for intensive outpatient: 0905
  • Once the referral form is completed, the behavioral health home will need to submit it to the health plan along with supporting documents (PCP notes, psych evaluation within the last year, letter of recommendation, progress notes about eating issues, labs within the last three weeks, etc.).
    • The packet submitted to the insurance will also need to be faxed to Rosewood at (928) 668-0396.
    • In most cases, the health plan will reach out to Rosewood directly for the completed intake assessment for further review and confirm we have accepted the member.
  • Once the prior authorization form has been submitted to the health plan, they can take up to two weeks to review and will then let us know if the prior authorization is approved, denied, or needs more information.
  • If the prior authorization is approved by the insurance, Rosewood will then negotiate rates for a single case agreement with all AHCCCS branches except for Mercy Care.
  • Once the single case agreement is signed by Rosewood and the health plan, the client can admit to one of our programs based on availability.

For Adults

We work with the following branches of Arizona Medicaid (AHCCCS) for adults:
  • Mercy Care/MMIC
  • Health Choice/HCIC
Applicable levels of care for adults:
  • Inpatient
  • Intensive Outpatient

Referral process for an adult with Arizona Medicaid (AHCCCS)

  • The client must have established care with an outpatient behavioral health home (i.e. Terros, Southwest Network, Bayless).
  • It is ideal for the client’s PCP or psych provider to complete the prior authorization form as they have all the necessary information (i.e. diagnosis, psych eval within the last year, labs from the last three weeks, and progress notes about eating issues).
  • If the provider is not able to complete the form, they will need to provide Rosewood with supporting documentation (i.e. diagnosis, psych eval within the last year, labs from the last three weeks, and progress notes about eating issues).
    • Revenue Code for inpatient or residential: 0124
    • Revenue Code for intensive outpatient: 0905
  • Once documentation is received, Rosewood will send the prior authorization form, records, and the intake assessment to the insurance.
  • Once the prior authorization form has been submitted to the health plan, they can take up to two weeks to review and will then let us know if the prior authorization is approved, denied, or needs more information.
  • If the prior authorization is approved by the insurance, Rosewood will then negotiate rates for a single case agreement with all AHCCCS branches except for Mercy Care.
  • Once the single case agreement is signed by Rosewood and the health plan, the client can admit to one of our programs based on availability.
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