DDD Health Plans Information

The DDD Tribal Health Program (THP) AHCCCS Health Plan ID #110007, site code 62. The site code will differ is member is enrolled with a TRBHA. Those can be found on the AHCCCS Tribal Regional Behavioral Health Authorities web page.

DDD-THP is a fee-for-service program that allows eligible members to receive services at any AHCCCS registered fee-for-service provider in Arizona that sees fee-for-service THP members.

THP members receive assessed Long Term Services and Supports (LTSS), or Home and Community Based Services (HCBS), from one or more DDD Qualified Vendors. These services are typically assessed by the member’s Support Coordinator.

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.

The below table outlines the current options for members: 

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: 

• From area codes (480), (602), and (623) call 602-417-7100
• From area codes (520) and (928) call 1-800-334-5283

Obtaining THP Services

THP members may receive health care services from AHCCCS-registered providers that see THP fee-for-service members or Indian Health Facilities (the Indian Health Service, tribally-operated "638" health programs, urban Indian health clinics).

Provider Directory 

The Provider Directory is a searchable listing of AHCCCS registered providers by Specialty. Call the provider’s office and verify if they accept DDD-THP prior to scheduling an appointment. 

To search for a provider, you can click the drop-down arrow on Specialty to select All or a specific type of Specialty, such as an Audiologist or Pediatric Psychiatrist. When you search, a listing of AHCCCS registered providers will appear and the provider’s Name, Specialty, Address and Phone number will be listed. Providers with multiple office locations will be listed under each location. You can also narrow your search by ZIP code or city.   

The searchable online provider directory is available on the AHCCCS website.

Unique Program Choices

AI/AN members can switch their enrollment between DDD-THP and a DDD managed health care plan and back again at any time. However, a member can change from one managed health care plan to another (for example, Mercy Care Plan to United Healthcare Community Plan) only once a year.

Contact to Change Enrollment:

• Email DDD Member Transition Enrollment
• Call DDD at 844-770-9500, select language option, then Option 7 health care services, then option 1 health plan change.

Behavioral Health Residential Facility Medical Necessity Criteria

If a member has a diagnosed behavioral health condition that reflects the symptoms and behaviors necessary for a request for residential treatment level of care, the behavioral health condition causing the significant functional and/or psychosocial impairment shall be evidenced in the assessment by the following:

1. At least one area of significant risk of harm within the past three months as a result of:
   • Suicidal/aggressive/self-harm/homicidal thoughts or behaviors without current plan or intent,
   • Impulsivity with poor judgment/insight,
   • Maladaptive physical or sexual behavior,
   • Member’s inability to remain safe within his or her environment despite environmental supports (i.e. informal supports), or
   • Medication side effects due to toxicity or contraindications, and
2. At least one area of serious functional impairment as evidenced by:
   • Inability to complete developmentally appropriate self-care or self regulation due to member’s behavioral health condition(s);
   • Neglect or disruption of ability to attend to majority of basic needs, such as personal safety, hygiene, nutrition or medical care;
   • Frequent inpatient psychiatric admissions or legal involvement due to lack of insight or judgment associated with psychotic or affective/mood symptoms or major psychiatric disorders;
   • Frequent withdrawal management services, which can include but are not limited to, detox facilities, MAT, and ambulatory detox;
   • Inability to independently self-administer medically necessary psychotropic medications despite interventions such as education, regimen simplification, daily outpatient dispensing, and long-acting injectable medications; or
   • Impairments persisting in the absence of situational stressors that delay recovery from the presenting problem.
3. A need for 24-hour behavioral health care and supervision to develop adequate and effective coping skills that will allow the member to live safely in the community;
4. Anticipated stabilization cannot be achieved in a less restrictive setting;
5. Evidence that appropriate treatment in a less restrictive environment has not been successful or is not available, therefore warranting a higher level of care; and
6. Member agrees to participate in treatment. In the case of those who have a health care decision maker, including minors, the health care decision maker also agrees to, and participates as part of, the treatment team.
7. Agreement to participate in treatment is not a requirement for individuals who are court-ordered to a secured BHRF,
8. Member’s outpatient treatment team, shall be part of the pre-admission assessment and treatment plan formulation, including when the documentation is created by another qualified provider. Exception to this requirement exists when the member is evaluated by the Crisis provider, Emergency Department, or Behavioral Health Inpatient Facility, and
9. The BHRF shall notify the member’s outpatient treatment team of admission prior to creation of the BHRF treatment plan.

Members with Questions About THP Can Contact DDD THP:

• Member Services: 1-844-770-9500 ext. 7 TTY/TDD 711 or email DDD Customer Service Center.
• Nurse Triage Line: 480-267-7267
• Find a provider
• Find a pharmacy
• THP formulary
• Autism Spectrum Disorder Providers (search Board Certified Behavior Analysts)
• DDD Clinical Practice Guidelines

DDD Tribal Relations

Information for Fee-for-Service Providers

Individuals eligible for the Arizona Long Term Care System (ALTCS) can receive behavioral health services through their DDD Health Plan or the Tribal Health Program. Available services include:

• Adult Behavioral Health Therapeutic Homes
• Behavior Analysis Services
• Behavior Management (personal care, family support/home care training, peer support)
• Behavioral Health Case Management Services (with limitations)
• Behavioral Health Residential Facility
• Crisis Intervention Services
• Emergency Behavioral Health Care
• Emergency and Non-Emergency Transportation
• Evaluation and Assessment
• Individual, Group and Family Therapy, and Counseling
• Inpatient Hospital Services
• Intensive Outpatient and Behavioral Health Day Programs
• Non-Hospital Inpatient Psychiatric Facilities
• Laboratory and Radiology Services for Psychotropic Medication Regulation and Diagnosis
• Opioid Agonist Treatment
• Partial Care (supervised day program, therapeutic day program, and medical day program)
• Permanent Supportive Housing
• Psychotropic Medication Adjustment and Monitoring
• Rehabilitation Services (living skills training; health promotion; supported employment services)
• Respite Care (with limitations)
• Rural Substance Abuse Transitional Agency Services
• Screening
• Therapeutic Foster Care

Behavioral Health Residential Facility Medical Necessity Criteria

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:

1. At least one area of significant risk of harm within the past three months as a result of:
   • Suicidal/aggressive/self-harm/homicidal thoughts or behaviors without current plan or intent,
   • Impulsivity with poor judgment/insight,
   • Maladaptive physical or sexual behavior,
   • Member’s inability to remain safe within his or her environment despite environmental supports (i.e. informal supports), or
   • Medication side effects due to toxicity or contraindications, and
2. At least one area of serious functional impairment as evidenced by:
   • Inability to complete developmentally appropriate self-care or self regulation due to member’s behavioral health condition(s);
   • Neglect or disruption of ability to attend to majority of basic needs, such as personal safety, hygiene, nutrition or medical care;
   • Frequent inpatient psychiatric admissions or legal involvement due to lack of insight or judgment associated with psychotic or affective/mood symptoms or major psychiatric disorders;
   • Frequent withdrawal management services, which can include but are not limited to, detox facilities, MAT, and ambulatory detox;
   • Inability to independently self-administer medically necessary psychotropic medications despite interventions such as education, regimen simplification, daily outpatient dispensing, and long-acting injectable medications; or
   • Impairments persisting in the absence of situational stressors that delay recovery from the presenting problem.
3. A need for 24-hour behavioral health care and supervision to develop adequate and effective coping skills that will allow the member to live safely in the community;
4. Anticipated stabilization cannot be achieved in a less restrictive setting;
5. Evidence that appropriate treatment in a less restrictive environment has not been successful or is not available, therefore warranting a higher level of care; and
6. Member agrees to participate in treatment. In the case of those who have a health care decision maker, including minors, the health care decision maker also agrees to, and participates as part of, the treatment team.
7. Agreement to participate in treatment is not a requirement for individuals who are court-ordered to a secured BHRF,
8. Member’s outpatient treatment team, shall be part of the pre-admission assessment and treatment plan formulation, including when the documentation is created by another qualified provider. Exception to this requirement exists when the member is evaluated by the Crisis provider, Emergency Department, or Behavioral Health Inpatient Facility, and
9. The BHRF shall notify the member’s outpatient treatment team of admission prior to creation of the BHRF treatment plan.

DDD provides health care coverage to members who are eligible for the Arizona Long Term Care System (ALTCS) through a contract with the Arizona Health Care Cost Containment System (AHCCCS). 

Members can receive physical and behavioral health services as well as Children’s Rehabilitative Services (CRS) from their DDD Health Plan. Certain long-term services and supports are also provided by the DD Health Plan. Currently, these DD Health Plans are Mercy Care or UnitedHealthcare Community Plan.

Members receiving services from Mercy Care or UnitedHealthcare Community Plan can learn more about the prior authorization requirements for each health plan online or by calling the Health Plan’s member services.

In addition, American Indian/Alaska Natives have the option to receive services through the DDD American Indian Health Plan. Members enrolled in the DDD American Indian Health Plan should have their health care provider contact DDD at 1-844-770-9500 ext. 7 before receiving the following services:

• Non-emergency medical or behavioral health inpatient admissions,
• Non-emergency and elective surgeries,
• Nursing home placements,
• Home health services,
• Admission to a Residential Treatment Center (for children only),
• Non-emergency transportation 
• Medical equipment and medical supplies,
• Hospice services, and
• Medically necessary eyeglasses for adults

Need for the following services are driven by the planning process, identifying goals, outcomes, exhausting natural and community supports and funding availability. The amount of service is individually determined by the planning process and based on need. This document is not intended to reflect an individual’s service level minimum and/or maximum. 

To learn more about the services listed below refer to the DES/DDD Arizona Long Term Care System (ALTCS) Member Handbook.

You may also contact your assigned DDD Support Coordinator or the DDD Customer Service Center for more information.

• DDD Customer Service Center
• Toll Free 1 (844) 770-9500 option 7, TTY/TDD 711

DDD Home and Community Based Services Requiring Prior Authorization

• Attendant Care
• Habilitation
• Day Treatment & Training Adults 
• Day Treatment & Training Children (After School and/or Summer)
• Habilitation related Services 
• Habilitation, Communication
• Housekeeping
• Respite
• Center-Based Employment
• Employment related Services
• Group Supported Employment
• Individual Supported Employment
• Employment Support Aide
• Non-emergent Transportation
• Long-term Out of Home Placements (Adult and Child)
• Therapy (speech, occupational, physical)

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).

Mercy Care

• Mercy Care Medication Assisted Treatment
• Member Services: 1 (800) 624-3879

UnitedHealthcare Community Plan

• UnitedHealthcare Community Plan Medication Assisted Treatment
• Member Services: 1 (800) 348-4058

DDD Tribal Health Program (THP)

• DDD Tribal Health Program Medication Assisted Treatment
• Member Services: 1 (844) 770-9500 ext. 7

Health & Wellness

• Immunizations (Shots) fact sheet
• Health-e-Arizona Plus (information about health benefits and services)(link is external)
• Tobacco Free AZ – quit smoking assistance

Monthly Member Emails

Read bi-annual newsletters and monthly Office of Individual & Family Affairs (OIFA) updates.

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.