The Division of Developmental Disabilities, through a contract with the Arizona Health Care Cost Containment System (AHCCCS), offers health care coverage to members who are eligible for the Arizona Long Term Care System (ALTCS). This coverage includes physical health services, behavioral health services, Children’s Rehabilitative Services (CRS) and limited Long Term Services and Supports (LTSS). Mercy Care and UnitedHealthcare Community Plan (UHCCP) provide the DDD Health Plans effective October 1, 2019. DDD Health Plan current contract.
Mercy Care and UHCCP can provide services to members statewide.
All LTSS are provided by DDD contracted qualified vendors and specialty contractors except nursing facilities, emergency alert system services and habilitative physical therapy for members age twenty-one (21) and over. These three LTSS will be provided by the member's DDD Health Plan.
Current Members have the opportunity to change DDD Health Plans every 12 months during their birth month. Newly enrolled members can change their assigned DDD Health Plan within 30 days of enrollment. Members interested in changing their DDD Health Plan should contact their Support Coordinator or DDD Member Services at 1-844-770-9500 ext. 7.
DDD Health Plan contact details are below.
Toll Free: 1 (800) 624-3879
Website: mercycareaz.org
Address: 4755 S 44th Place, Phoenix, AZ 85040
24-Hour Nurse Line: 1 (800) 624-3879 or (602) 263-3000 option 2
Children's Services Liaison:
Janet Holtz
Email: [email protected]
Phone: (602) 453-6026
Summer Kamal - Behavioral Health
Email: [email protected]
Phone: (480) 340-5205
Mercy Care Clinical Guidelines
Mercy Care Autism Spectrum Disorder Providers
Behavioral Health Residential Facility Medical Necessity Criteria
Toll Free: 1 (800) 348-4058
Website: uhccommunityplan.com
Address: 1 East Washington, Suite 900, Phoenix, AZ 85004
24-Hour Nurse Line: 1 (877) 440-0255
Children's Services Liaison:
Elizabeth Hightower
Email: [email protected]
Phone: (602) 255-7078
Rosemarie San Nicolas
Email: [email protected]
Phone: (602) 255-1608
UnitedHealthcare Provider Search
UnitedHealthcare Clinical Guidelines
UnitedHealthcare Formulary Search
UnitedHealthcare Autism Spectrum Disorder Providers
Behavioral Health Residential Facility Medical Necessity Criteria
The DDD American Indian Health Plan will be called the DDD Tribal Health Program (THP) effective October 1, 2021. DDD is aware of confusion in the community between its DDD American Indian Health Plan (AIHP) and AHCCCS’ American Indian Health Program (AIHP).
This name change will help reduce confusion. Benefits and covered services are not impacted by this name change.
American Indians/Alaska Natives (AI/AN) can choose to receive services through a DDD Health Plan or the DDD Tribal Health Program (THP). American Indian/Alaska Native members can also receive physical and behavioral health services from any Indian Health Service (IHS) provider or tribally owned/operated facility at any time without prior approval.
American Indian/Alaska Native members that choose the DDD THP have two options:
American Indians/Alaska Natives that choose the DDD THP can receive behavioral health services from a Tribal Regional Behavioral Health Authority (TRBHA), if one is available in their area. To receive behavioral health services from a TRBHA, members should call the AHCCCS Enrollment Unit:
If a member has a diagnosed behavioral health condition that reflects the symptoms and behaviors necessary for a request for residential treatment, the behavioral health condition causing the significant functional and/or psychosocial impairment shall be evidenced in the assessment by the following:
Phone
Text
Mobile teams staffed by behavioral health professionals who travel to the individual experiencing a crisis and provide assessment, stabilization and may triage the individual to a higher level of care, as appropriate are available 24/7.
Facility-based crisis stabilization centers are also available that offer crisis stabilization and observation, including access to Medication Assisted Treatment (MAT) and drug detoxification.
Visit your DDD Health Plan’s website or call their Member Services unit to locate a provider near you.
You do not need a referral from your PCP to begin substance use services. Any behavioral health provider can assist with substance use disorders and provide opioid information. Visit your DDD Health Plan’s website or call their Member Services unit to locate a provider near you. You can also contact the National Substance Use and Disorder Issues Referral and Treatment Hotline: 1-800-662-HELP (4357).
Member Services: 1 (800) 624-3879
Member Services: 1 (800) 348-4058
Member Services: 1 (844) 770-9500 ext. 7
Always reference policy posted online to ensure you are following the policy currently in effect. DDD Policy includes seven manuals. If you don't know where to find the information you are looking for, visit the Policy Library and search the Complete Set of DDD Policies or by specific manual.
In 2019, the Arizona Legislature passed two bills, SB1321 and SB1352, that impact personal health information (PHI). A Health Information Exchange (HIE) connects provider electronic health record (EHR) systems allowing them to securely share patient information and better coordinate care. Health Current, Arizona’s HIE, connects more than 500 Arizona organizations, including first responders, hospitals, labs, and behavioral health, physical health, post-acute care and hospice providers. The HIE makes patients’ health information available to participants electronically. State and federal law give patients certain rights and protections concerning this information. Your DDD Health Plan will send you a Notice of Health Information Practices if they participate in the HIE. This document must be signed by the member or their guardian acknowledging the information has been read and agreed to. Members can choose to opt out of having their personal health information made available on the HIE. If you opt out, your healthcare providers will not be able to access your personal health information through the HIE. Contact your DDD Health Plan or provider for more information about your personal health information, the HIE and your ability to opt out.
AHCCCS considers DDD as your health plan. When you use the AHCCCS website or Medifax, “DES/DDD/LTC” is used to identify your assigned health plan. Because DDD assigns a health plan to you, AHCCCS cannot tell which actual health plan you have. To find out which DDD Health Plan you have, please call:
DDD Health Care Services
Toll-free statewide: 1 (844) 770-9500 ext. 7
We will answer any questions you have whenever you see DES/DDD/LTC listed as your health plan.
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Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification.