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Whetstone Mountains, Benson, Cochise County
 
 
Frequently Asked Questions

What is CPSA and what does CPSA do?
How do I get behavioral health or substance use disorder services?
If I contact Member Services, when will I hear from a CPSA Comprehensive Service Provider?
What kinds of behavioral health services are available through a CPSA Comprehensive Service Provider?
Is couples, marriage, or family counseling available?
What happens during an Intake appointment?
What is an Adult Recovery Team?
What is a Child and Family Team?
How do I get psychiatric medications?
Where can I get my medications filled?
Why can’t I have name brand medications instead of generic?
What is “Prior Authorization”?
What if I don’t agree with my provider about something?
What is a Member Advocate?
How do I file a complaint?

What is CPSA and what does CPSA do?

The Community Partnership of Southern Arizona (CPSA) is an oversight agency, also known as a Regional Behavioral Health Authority (RBHA).

  • As the RBHA, CPSA is designated by the state of Arizona to coordinate and manage publicly-funded behavioral health services for children, adults and their families in Pima, Cochise, Graham, Greenlee, and Santa Cruz counties.

  • CPSA coordinates, by way of comprehensive service providers, the delivery of mental health and substance use treatment services, and behavioral health wellness and prevention services.

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How do I get behavioral health or substance use disorder services?
If you or your child have a behavioral health or substance use concern and want to obtain information about behavioral health services in the five-county area, contact CPSA Member Services at (520) 318-6946 or (800) 771-9889 to discuss your needs and how to address them.

  • Select Option 2 if you speak English or a language other than Spanish. Member Services uses a three-way interpreter calling system to assist individuals who speak languages other than English or Spanish.

  • If you need to speak with a Spanish-speaking representative, select Option 9.

  • Individuals with a hearing impairment may call (866) 318-6960 for TTY.

While CPSA Member Services is available 24 hours per day, seven days per week, we encourage you to call during standard business hours (Monday through Friday, 8:00 a.m. to 5:00 p.m.), as this will allow for greater coordination among agencies should that be necessary to better assist you. When you call:

  1. A Member Services Representative will help determine whether you are eligible for behavioral health services, and if so, how to become a member and access services.

  2. You will be asked questions concerning any special needs you may have, such as for someone to provide American Sign Language, the need for a language interpreter, or any mobility issues.  Please tell the Member Services Representative if you need services immediately, if you are pregnant, and/or if you are using drugs or alcohol. The representative will speak with you about your options and make an appropriate referral.

  3. If you are eligible for services, the Member Services Representative will help you select a CPSA Comprehensive Service Provider and Intake site based on your eligibility and preference. To learn more about the CPSA Comprehensive Service Providers from which you can choose, you can review the CPSA Comprehensive Service Providers and Intake Site Maps.

  4. Once a CPSA Comprehsensive Service Provider has been selected, you may voice your preferences regarding gender (male or female), specialty (type of treatment provided), and languages spoken so you may be matched with a clinician or case manager who may best understand your needs.

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If I contact Member Services, when will I hear from a CPSA Comprehensive Service Provider?
Following your request for services, a CPSA Comprehensive Service Provider will contact you to offer an appointment for an Intake appointment – a meeting to evaluate and assess your needs and identify your cultural preferences. If you do not need urgent services, an appointment will be scheduled within seven calendar days from the date that you first requested services.

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What kinds of behavioral health services are available through a Comprehensive Service Provider?

  • CPSA’s Comprehensive Service Providers offer an array of mental health and substance use treatment services to children and adults who are eligible for services.

  • Services that are available within the behavioral health system include:
    • Counseling/therapy, assessments, screenings
    • Rehabilitation services
    • Medications, lab tests, radiology exams
    • Support services, such as case management, transportation, supported housing, peer assistance, and respite care
    • Crisis services
    • Inpatient services
    • Residential services
    • Behavioral health day programs

  • Services are based on need, insurance, and discussions that occur at a service planning meeting between the member, support system, and provider.

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Is couples, marriage, or family counseling available?
Yes. Couples/marital/family counseling is available through your CPSA Comprehensive Service Provider. That service is listed under Family Counseling in the Arizona Department of Health Services/Division of Behavioral Health Services Covered Services Guide and is a covered behavioral health benefit. At least one member of the couple or family must be enrolled in the behavioral health system and be eligible to receive the service.

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What happens during an Intake appointment?
In order for behavioral health services to be provided to you, an Intake appointment must be completed. Following your request for services, a CPSA Comprehensive Service Provider will contact you to offer an appointment for an evaluation and assessment of your needs, and to identify your cultural preferences. If you do not need urgent services, an intake appointment will be scheduled within seven days of the initial request for services.

  1. The Intake appointment is an opportunity for a new member and his or her provider to get to know each other. Intake appointments take approximately 1½ to 2 hours and you will exchange a lot of information with the provider.

  2. You will meet with a clinical staff member and complete an initial assessment called a Core Assessment. In this manner, the provider can get to know your strengths, needs and cultural preferences, and work with you to develop an initial Service Plan to identify your immediate needs and services as well as the person responsible for follow-up actions.

  3. The services you receive are based on clinical needs, cultural preferences, and your benefits package. Information about your benefits and covered behavioral health services may be found in the CPSA Member Handbook which you will receive at your Intake appointment, or by contacting your case manager or CPSA Member Services

  4. Part of the assessment will include assisting you in you identifying people in your life who are important to you and can help you reach your goals. These people will become a part of your Adult Recovery Team or your child’s Child and Family Team.

  5. Because it takes longer than one session to get to know you, follow-up sessions and appointments with other provider staff members (for example, a nurse, psychiatrist, or case manager, etc.) will be arranged.

  6. Because it takes longer than one session to get to know you, follow-up sessions and appointments with other provider staff members (for example, a nurse, psychiatrist, or case manager, etc.) will be arranged.

  7. You and your provider will work together to develop an Interim Service Plan. That plan will address your immediate needs. In future meetings, you will work together to develop a more comprehensive Individual Service Plan that will identify steps necessary to reach your long-range goals.

  8. It will be helpful to you to keep any written information you are given for future reference, including your copy of the CPSA Member Handbook.

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What is an Adult Recovery Team?
It is a group of individuals that establish and prioritize service goals and identify the supports necessary to reach those goals. The Adult Recovery Team uses a team-based concept for service planning and it is for all members 18 years of age and older. At a minimum, the team includes you (the CPSA member) and a qualified behavioral health representative. The size of the team can get larger or smaller according to your needs and the individuals invited to the meeting to develop and coordinate an effective service plan. Team members can include family, friends, peers, a psychiatrist, a nurse, a case manager or any other professionals and paraprofessionals.

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What is a Child and Family Team?
The Child and Family Team uses a team-based concept for service planning and it is for all members younger than 18 years of age. The Team is a group of individuals that establish and prioritize service goals and identify the supports necessary to reach those goals.  At a minimum, the team includes the child receiving services, his/her family, and a qualified behavioral health representative. The team may also include any other persons that are important in the child’s life, such as a teacher, extended family members, family support partners, church representatives, and coaches, etc. Other organizations involved with the child, such as the Division of Development Disabilities or Child Protective Services, are also encouraged to participate.

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How do I get psychiatric medications?
To obtain psychiatric medications from the behavioral health system, you must be enrolled with a CPSA Comprehensive Service Provider, meet eligibility criteria, and have a prescription written by a contracted psychiatrist, nurse practitioner, or physician’s assistant.

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Where can I get my medications filled?
Locations of CPSA Network Pharmacies are listed on the CPSA Web site and in the CPSA Member Handbook. CPSA contracts with pharmacies in Pima, Cochise, Graham, Greenlee, and Santa Cruz counties. The pharmacies include independent pharmacies and most major pharmacy chains, such as Fry’s, Albertson’s, Albertson’s/Osco, Safeway, and Walgreens. Additionally, all CPSA members have access to pharmacies in most major Arizona cities. Your prescription must be written by a contracted psychiatrist, nurse practitioner, or physician’s assistant in order to have CPSA cover the cost of your psychiatric medications.

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Why can’t I have name brand medications instead of generic?
The CPSA Medication Formulary is a mixture of brand name and generic medications. If you have a reason to want to use brand name medication, speak with the individual who prescribed your medication. If that person agrees with your request, he or she can submit a Prior Authorization form to CPSA requesting brand name consideration. CPSA will review the Prior Authorization form and make a decision within one business day.

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What is “Prior Authorization”?
Prior authorization means an action taken by ADHS/DBHS, CPSA, or a contracted provider that approves the provision of a covered service prior to the service being provided.

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What if I don’t agree with my provider about something?
If you don’t agree with your provider, and you have already spoken to the case manager or supervisor, please feel free to contact CPSA Member Services at (520) 318-6946 or (800) 771-9889, Option 2, and ask to speak with a Member Advocate. The Advocate will assist you with reviewing your concerns and resolving them.

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What is a Member Advocate?
Member Advocates/Member Advocate Assistants/ Member Service Specialists assist CPSA members, guardians, family members, potential members and others in protecting members' rights in accordance with the Arizona Department of Health Services Division of Behavioral Health Services (ADHS/DBHS) rules and policies.

They also answer questions, attend appointments, find additional resources, and assist with the resolution of problems. Additionally, they may attend Child and Family Team and Adult Recovery Team meetings.

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How do I file a complaint?
A complaint is any dissatisfaction with your care about anything that is NOT related to a service that has been denied, reduced, suspended or terminated. A complaint can be made orally or in writing. If you are not satisfied with your services or your behavioral health care, please try to resolve your problem by speaking directly with your case manager or a supervisor. You may wish to view Complaints, Grievances and Appeals, an Audiovisual presentation.

You may wish to view Complaints, Grievances and Appeals, an audiovisual presentation explaining the complaint, grievance and appeal process.

A verbal complaint can be made to CPSA Member Services by calling (520) 318-6946 or (800)771-9889, Option 2, or CPSA Office of Grievance and Appeals at (520) 325-4268. A written complaint can be mailed to CPSA Member Services, 535 N. Wilmot, Suite 201, Tucson, Arizona 85711.

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CPSA receives funding from the Arizona Department of Health Services/Division of Behavioral Health Services (ADHS/DBHS), Arizona Health Care Cost Containment System (AHCCCS), and Substance Abuse and Mental Health Services Administration (SAMHSA).
© CPSA 2010. Disclaimer/Copyright Privacy Policy Updated: 09/02/2010 Powered By: simpleview
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