AZ AHCCCS ABA Program
UnitedHealthcare Community Plan is the selected managed care administrator for Arizona AHCCCS Complete Care and AZ DD membership. Your participation in our network helps to ensure access to comprehensive quality care for covered behavioral health services for enrolled members.
To assist you in your participation in this program, learn more about the process for applying to the network, and the clinical protocols required in this unique network, please review the resource materials below.
- AZ AHCCCS ABA Provider Quick Reference Guide
- AZ AHCCCS ABA Provider Orientation
- AZ AHCCCS Treatment Request Form and Guidelines
- ABA Treatment Request Form Electronic Submission
- Arizona Standard Prior Authorization Request Form – PDF version
Contact Us/Request to Join the Network
Victoria Martinez
victoria.martinez1@optum.com