Subject: SMI Determination Reminder

Dear Provider,

The Arizona Department of Health Services/Division of Behavioral Health Services recently conducted an audit of the new processes related to SMI Determination in Maricopa County.  As a result, Magellan Health Services would like to remind providers that Crisis Response Network (CRN) must make SMI determinations within three business days of the initial assessment, if there is sufficient information to determine SMI eligibility at that time. 

In order to meet these timelines, providers who conduct SMI Determination assessments  are expected to submit the assessment package to CRN no later than one business day from the date on which the behavioral health recipient signs the consent for the assessment/evaluation or, consent is implied, in cases of court ordered evaluation.

Please see the ADHS/DBHS Provider Manual, Magellan Edition, Section 3.10 for more information on this policy and for information regarding when determination extensions are allowable. If you have any questions, please contact your provider relations liaison.

Thank you.