B CRS Application and Designation
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B CRS Application and Designation

 

 

Revised 11/26/2019

Policy

1) Children's Rehabilitative Services (CRS) Application and Designation

A CRS application must be filled out and submitted with medical records from the specialist who is treating the CRS condition. The medical records need to include information about the person’s medical condition and the need for treatment within 18 months.

Anyone can complete a CRS application for the customer, including a family member, doctor, or health plan representative. The completed application along with the medical records can be mailed, faxed or dropped off in person to the CRS Unit.

A copy of the CRS application with instructions and contact information for the CRS Unit are available on the AHCCCS website at: https://azahcccs.gov/PlansProviders/CurrentProviders/CRSreferrals.html

 

2) Processing Timeframes

The CRS designation decision must be completed within 60 days of the date that a complete CRS application is submitted to the CRS Unit. The customer and the AHCCCS Complete Care (ACC) plan are sent a letter with the CRS decision. The CRS designation starts the date the decision is made. 

An AHCCCS provider or health plan may ask for a rush on the CRS decision when the customer has an urgent need for treatment. The CRS Unit reviews these requests and works with the health plan to coordinate the process as needed.

See CRS Expedited Procedure for details.

 

3) Responsibility for covering CRS Services

Customers with a CRS designation get CRS services through their AHCCCS Complete Care plan. DDD customers get their CRS services through their DDD Health Plan.

If the customer opts out of their CRS designation, the customer will get the same services through their AHCCCS Complete Care (ACC) plan.

 

Definitions

Term

Definition

Department of Economic Security Division of Developmental Disability (DES/DDD)

 

The ALTCS program contractor for all developmentally disabled persons statewide. DDD is responsible for:

  • Providing a variety of services to persons who have specific disabilities;

  • Screening and referring developmentally disabled participants to AHCCCS for an ALTCS eligibility determination.

NOTE     DDD also administers a 100% state-funded program for persons with a developmental disability who are not eligible for ALTCS.

 

Legal Authority

This requirement applies to the following program:

Program

Legal Authorities

Children’s Rehabilitative Services (CRS)

ARS 36-2912

9 AAC 22, Article 13