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Having trouble submitting packets via this portal? Please call 480-284-0214. You may submit via fax at 844-611-4752 – however, please ensure you have all the required forms listed above under 'Complete Application'.
Please check that the following documents are included in the submission:
If determined to be eligible for SMI services, the T/RBHA will assign the applicant to an SMI clinic. Applicants can choose which clinic they would like to attend.
Serious Mental Illness (“SMI”) is a description used in Arizona for people who need additional support because their mental illness impacts their ability to function.
To be eligible for SMI services (to get an SMI determination) a person must have both an SMI diagnosis and functional impairment caused by the qualifying diagnosis. SMI Criteria
If you are would like to be assessed for SMI services, please call your provider or local T/RBHA. Your T/RBHA or provider will then arrange for a qualified assessor to meet with you and complete an application for SMI services.
If you are already receiving services with an AHCCCS provider, you may ask your provider to submit an application for SMI services.
If you are a provider, you may submit applications through this website on the SMI Assessment Submission Portal page.
SMI services are voluntary. You may choose not to receive services. Or, you can ask your clinical team about closing or dis-enrolling.
He calmed me down and was so kind. He gave me some information and resources that I needed. I felt really good after calling.”
Members need to use behavioral health services properly. It is considered fraud if a member or provider is dishonest in order to:
Abuse happens if a member causes unnecessary costs to the system on purpose, for example:
Misuse of your AHCCCS identification card, including loaning, selling or giving it to others, could result in your loss of AHCCCS eligibility. Fraud and abuse are felony crimes and are punishable by legal action against the member or provider.
CRN has a zero tolerance policy against fraud, waste and program abuse.
If you think somebody is committing fraud or abuse, please contact ADHS/Division of Behavioral Health Services – Bureau of Corporate Compliance: