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:
- 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.