Arizona
Arizona Auditor General
Published September 29, 2022

Arizona Health Care Cost Containment System—Review of Selected Behavioral Health Services

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Overall Conclusion

AHCCCS did not ensure all peer specialists met qualification and supervision requirements; some peer specialists were not supervised, potentially jeopardizing the quality of peer support services. The agency should enhance oversight and monitoring of contracted health plans to ensure compliance.

Source Document

Audit Scope

Scope: AHCCCS administration of behavioral health services, including peer and recovery support specialists’ qualification and supervision requirements, the AHCCCS Housing Program (including Scattered Site and Community Living Program), and related reporting and governance; time frame largely FY2021 with specific datapoints through March 2022 (peer specialist sample from Oct-Dec 2021; housing waitlist data through Mar 2022).

Key Findings Summary

1

Contracts with a Housing Administrator to manage the Housing Program and has established performance measures for assessing Housing Administrator performance.

2

Administers various committees, councils, task forces, and workgroups related to behavioral healthcare services.

3

AHCCCS provided behavioral health services to more than 583,000 members in fiscal year 2021 and spent over $2.7 billion, but did not ensure all peer specialists met qualification and supervision requirements, potentially jeopardizing the quality of services.

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AI-Assisted

Generated by gpt-5-nano

AI Scope Summary

Build on this report by applying a similar scrutiny to other Medicaid programs to ensure peer specialist qualifications and supervision are consistently enforced, and expand oversight of housing-related programs to improve access and outcomes for members with serious mental illness.

AI-Generated Insight

The report identifies critical oversight gaps in AHCCCS's behavioral health services, particularly around peer specialist qualifications and supervision, and highlights housing program management issues. Implementing monitoring processes and standardizing oversight across contracted plans could improve service quality and accountability.