ARIZONA COMPLETE HEALTH ATTACHMENT A (FINAL).DOCX

Attachment A
MARICOPA COUNTY CORRECTIONAL HEALTH SERVICES
AND ARIZONA COMPLETE HEALTH-COMPLETE CARE PLAN
COLLABORATIVE UNDERSTANDING
I. Background
The Maricopa County Correctional Health Services (CHS) enhances community safety
by working in a collaborative partnership with AHCCCS, Arizona Complete Health-
Complete Care Plan (Arizona Complete Health) and its contracted providers to provide
research-based prevention and intervention services. Arizona Complete Health’s
contracted providers deliver a range of health care services and treatment programs for
adults and youth with physical health needs, serious mental illness and other mental health
and/or substance use disorders.
To facilitate the transition of members transitioning out of jails and back into our
community, collaboration between CHS and Arizona Complete Health is critical to
reentry activities. Specifically, Arizona Complete Health will collaborate with CHS to
accomplish “reach-in” care coordination for members who have been incarcerated in the
Maricopa County Jail for 30 days or longer and have an anticipated release date. “Reach-
in” care coordination activities shall begin upon knowledge of a member’s anticipated
release date. Arizona Complete Health) will collaborate with CHS to identify justice-
involved members with physical and/or behavioral health chronic and/or complex care
needs prior to member’s release.
II. Data Sharing and Coordination
Arizona Complete Health and CHS will partner to:
a) Communicate timely data necessary for coordination of care in conformance with all
applicable administrative orders, state laws and regulations, 42 CFR Part 2, and
Health Insurance Portability and Accountability Act (HIPAA) requirements that
permit the sharing of written, verbal and electronic information, and
b) Utilize data sharing agreements and administrative orders that permit the sharing of
written, verbal and electronic information at the time of admission into the facility
and at the time of discharge.
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III. Collaborative Protocols
When Arizona Complete Health becomes aware that a member is incarcerated, and is
subject to the “Reach-In” requirements, described above:
1. The Arizona Complete Health Point of Contact or designee will complete a Justice
Transition Form (JTF) for members with designated chronic conditions and send the
JTF to CHS:
a. CHS will confirm diagnosis/chronic condition in TechCare.
b. CHS will complete the CHS section of the JTF and return it to Arizona
Complete Health – scan it into TechCare.
2. If CHS identifies newly diagnosed chronic care conditions, CHS will complete a JTF
and send it to the Arizona Complete Health Point of Contact or designee.
3. If member has a diagnosis of HIV+, Medication Assisted Treatment (MAT), or
Substance Use/Misuse, the member’s written consent to release and share information
must be completed and uploaded into TechCare prior to disclosure of the member’s
identifying information.
4. If member is in jail 30 days or more, the Arizona Complete Health Point of Contact
or designee will initiate a video or in person visit with the member.
5. An Appointment will be made with member’s Primary Care Physician (PCP) to occur
within 7 days of release.
6. The Arizona Complete Health Point of Contact or designee will forward to CHS an
“Introduction Letter,” via secure email, with the following information:
a. Appointment day/time
b. Clinic name and location
c. Health Plan Point of Contact (or designee) contact information
7. CHS will place this introduction letter into the member’s property which will be
provided upon jail release.
8. CHS and the Arizona Complete Health Point of Contact or other health staff may
coordinate special needs prior to jail release (such as courtesy release, medical
equipment, or specific medications).
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IV. Provide mechanisms for communication and resolving problems
CHS and Arizona Complete Health will have quarterly steering committee meetings
to build and strengthen relationships and address any problems or conflicts.
Additionally, Arizona Complete Health will identify and extend invitations to CHS, to
provider level meetings appropriate for CHS participation.
Meetings shall include opportunities for agency cross-training and for identifying,
communicating and resolving problems to increase understanding and knowledge of
each other's mission, goals and how, through agency collaboration, members are
provided identified services to improve their health and well-being and reduce
recidivism.
Arizona Complete Health and CHS will work together to ensure processes from both
agencies are being practiced. On-going improvement efforts will focus on reducing
redundancies and providing timely, accurate and relevant information to coordinate
services and evaluate outcomes of those services.
Arizona Complete Health and CHS will identify key staff who have the authority to
assist with disputes and find resolutions based on the agreements and best interest of
the populations jointly served. If necessary, this may include the Arizona Complete
Health Chief Medical Officer (or designee) and the CHS Mental Health Director.
Meetings shall include opportunities to report identified gaps and discuss and act on
resolutions.
V. Identify and address joint training needs
Arizona Complete Health and its contracted providers and CHS will provide cross
training opportunities as mutually agreeable needs are identified.
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