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(Alcanza Servicios de Familia)
125 N. 2nd Street Suite 110-302
Phoenix, AZ 85004
(mailing address only)
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Submit Referrals & Questions To: [email protected]
or visit the AHCCCS Website at www.mercycareaz.org
Reach Family Services, Inc.
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(Alcanza Servicios de Familia)
125 N. 2nd Street Suite 110-302
Phoenix, AZ 85004
(mailing address only)
-
Submit Referrals & Questions To: [email protected]
Visit the AHCCCS Website at www.AZAHCCCS.org for more information
For Providers
Referral Process: Mercy Care, United Healthcare, Banner University, Molina - Maricopa County
Referral packet is sent to [email protected]
The following documentation is required for the referral process:
- Referral
- Current Assessment - dated within the last year and must be signed by BHP within 72 hours of date - can be a core assessment or annual updated (Part D for birth to 5, Part E for over 5) with 5 digit diagnosis Refer to www.icd9data.com
- Provider Service Plan dated within the last year with Reach Inc. service listed. Examples: Reach Inc. Family Support Partner = 5x a week for 6 months. Services Plan must be signed by a guardian and CM plus list the frequency of service.
If unable to collect all paperwork within the 7 days, then the referral with be denied.