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Loss of Funding for Behavioral Health in Arizona. 2009-2011. 2009 Cuts. Cuts in funding to state supported programs NonXIX SMI General Mental Health Substance Abuse Children’s Services. 2010 Cuts to State Programs. Elimination of State Funding General Mental Health Substance Use
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2009 Cuts • Cuts in funding to state supported programs • NonXIX SMI • General Mental Health • Substance Abuse • Children’s Services
2010 Cuts to State Programs • Elimination of State Funding • General Mental Health • Substance Use • Children’s Services
July 2010-SMI CUTS • Stay in Arnold v. Sarn until July 2012 • Affected >14,000 People with SMI • Generic Medications Only • Limited lab and physician services • No transportation • No counseling • No case management • No inpatient hospital benefit
Decline in NonXIX SMI Enrollment • March 2010 14,537 • December 2011 9,952
July 2011-Freeze on AHCCCS Enrollment • Freeze on enrollment of childless adults GMH/SA populations at risk • 5500 SMI can stay on although they may have to qualify for SSI/MAO • Some will lose coverage • 250,000 enrollees at risk of losing coverage • No new enrollments
Impact of Freeze • 70,719 Childless Adults have been dropped from AHCCCS since July 8 • Projected drop by AHCCCS was 77,336 • Estimate 10% are behavioral health clients • 9,695 people have been moved into SSI category-at least 5500 are SMI
Kidscare-SCHIP Program • Enrollment frozen in January 2010* • Waiting List now in excess of 129,528 • Estimate that 10% of children need behavioral health services *only state to freeze enrollment
Other funding cuts • Capitation rates cuts to providers • 15% reduction over past two years • Provider rate cuts • Reducing reserves for providers • Some small providers cannot sustain lost revenue
Emily Jenkins, President & CEO AZ Council of Human Service Providers ejenkins@azcouncil.com 602-252-9363