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Arizona officials outline braided‑funding model, crisis network and court‑ordered treatment arrangements
Summary
Arizona presenters described a long‑running regional behavioral health authority model that braids Medicaid, state and grant dollars to fund crisis lines, mobile teams and stabilization units and to support a 'no wrong door' approach; presenters also explained county variability in court‑ordered evaluation and treatment under Title 36.
Arizona officials spent the latter part of the task force meeting describing an integrated, braided funding and regional‑authority approach intended to simplify access and expand crisis coverage.
CJ Loiselle, assistant director at ACCESS, and Dr. Therese Costales, chief medical officer for Arizona Medicaid, said ACCESS functions as the Medicaid agency, the state mental‑health authority and the single state agency — enabling the state to combine (braid) Medicaid payments, state non‑title dollars and grant funds and pass them to Regional Behavioral Health Authorities (REBAs).
Loiselle described a "no wrong door" model: REBAs maintain a provider network and can issue block awards or use…
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