If children in CPS/DES custody referred through the 72 hour behavioral health response require ongoing behavioral health services, who is responsible for payment if TXIX eligibility is pending?
For medically necessary behavioral health services after the 72 hour period but before TXIX eligibility has been approved, the behavioral health provider should contact CMDP Member Services for TXIX eligibility determination. Specifically, please dial 602-351-2245, press 1 (for English), press 2 (if you are a provider), and press 1 for Member Services (assistance with eligibility). If TXIX is approved retroactively, the RBHA will be responsible for payment, if TXIX eligibility is not approved CMDP will be responsible for payment. Regardless of who is responsible for payment, it is important that all parties remain involved in the coordination of care for the child.
