Measurement-Based Care for Arizona Mental Health Clinics
For AHCCCS network providers, community behavioural health centres, integrated clinics and private practices from Yuma to Flagstaff. Send the PHQ-9, GAD-7 and other validated scales by email or QR code, see each one scored on submission, and follow a client's course on a single chart. Data for US customers is held in Google Cloud US regions.
Arizona Counts Behavioural Health Inside Medicaid
In 2015 Arizona folded its behavioural health services agency into its Medicaid agency, the Arizona Health Care Cost Containment System (AHCCCS). A Commonwealth Fund review based on 34 interviews found the consolidation brought more attention to behavioural health and to integrating it with physical health, and allowed more strategic purchasing. AHCCCS contracts with plans that hold prepaid capitated contracts, and with regional behavioural health authorities that coordinate mental health services in defined parts of the state.
State law ties that system to regular reporting. Under A.R.S. 36-3415, AHCCCS reports each year to the Joint Legislative Budget Committee on people living with serious mental illness, including annual mortality, complaints about access, enrolment, spending by service, average length of stay and readmission rates for inpatient and residential settings, and housing waitlists, broken down by geographic service area. Under A.R.S. 36-3410, regional authorities and providers prepare monthly summaries of clients served and units of service.
Those figures describe the system: who is served, at what cost and how often people return to hospital. Symptom change for an individual client is not among them, and no Arizona statute we found names a symptom scale. That part sits with the care team. HiBoop sends validated scales between visits, scores them on submission and charts each client's course, with exports for your records. It does not report to AHCCCS or to a health plan.
One Agency Since 2015
Physical and behavioural health purchasing brought together in AHCCCS
Annual Reporting on Serious Mental Illness
Mortality, readmissions, access complaints and housing waitlists by service area, under A.R.S. 36-3415
Client-Level Change
Not named in statute, and the piece a care team can measure for itself
What HiBoop Adds for Arizona Clinics
Arizona purchases most public behavioural health through AHCCCS and requires a parent's consent before a minor's mental health treatment. HiBoop sends and scores the scales; your clinicians interpret them.
Scores in Hand at Intake
Clients complete the PHQ-9, GAD-7 or C-SSRS Screener before they arrive, and the scored results are waiting when the session starts.
A Course of Care on One Chart
Repeat a scale at regular points in treatment and every result joins the same client chart. Your team sees direction and size of change, and the reading of it stays with the clinician.
Exports for Plans and Audits
Download a client's history as a PDF for a treatment plan review, or as a CSV for the measures your contracts request. Account-wide exports are available at any time.
Integrated Clinics
Where a behavioural health centre has added primary care, or a primary care clinic has added a therapist, both can work from one library of depression, anxiety, trauma and substance use scales.
Several Sites, One Account
Team and Network plans keep every clinician's caseload in one place, with role-based access so each staff member sees only the clients their role covers.
Children, With a Parent's Consent
Arizona law requires a parent's or legal custodian's consent before a minor's mental health treatment, outside emergencies. Once your consent process is complete, HiBoop offers the PHQ-A, the SCARED and its parent-report form, the SCARED-P.
Mental health in Arizona
Research data
Each figure below links to the source it comes from.
24.6%
of Arizona adults had any mental illness in the past year (model-based estimate, average of 2023 and 2024)
16.8%
of Arizonans aged 12 to 17 had a major depressive episode in the past year (2023-2024 average)
20.9%
of Arizona adults received mental health treatment in the past year (2024)
Research from Arizona
Merging Medicaid and behavioural health agencies
Based on published research, agency materials and interviews with 34 people, a review of Arizona's 2015 consolidation of its behavioural health services agency into AHCCCS found increased attention to behavioural health and integration, more strategic purchasing and streamlined regulatory processes.
Bachrach et al., Issue Brief (Commonwealth Fund), 2017 PMID 28574235
PHQ-9 in a Hispanic primary care population
Among 104 adult Hispanic patients of a mobile health program in underserved southern Arizona, classified as depressed at a PHQ-9 of 10 or above, those with both depression and chronic medical illness reported significantly more somatic symptoms than those with either condition alone.
Chong et al., Primary Care Companion to the Journal of Clinical Psychiatry, 2010 PMID 20944771
Primary care inside a rural mental health facility
Of 280 clients who used integrated primary care at a rural Arizona community mental health facility between June 2021 and February 2022, 55.75% had a mental health disorder and 15.10% had co-occurring mental health and substance use disorders, which was significantly associated with missed appointments.
Santos et al., Journal of Evaluation in Clinical Practice, 2024 PMID 37933799
Client views of integrated care
In interviews with 10 clients with substance use disorders at a rural-serving Arizona behavioural health organization, themes included the importance of integrated primary care, low awareness that it was available at the facility, and challenges in attending appointments.
Santos et al., Journal of Integrated Care, 2024 PMID 38516678
How Arizona's Public System Is Organized
HiBoop operates independently of AHCCCS and the bodies below and has no link to state systems. This is the framework your plans and licensing board work in.
AHCCCS
MedicaidThe Arizona Health Care Cost Containment System administration runs the state's Medicaid program. Its contractors hold prepaid capitated contracts to provide care to members, either directly or through subcontracts, and since 2015 it has also been responsible for behavioural health services that a separate agency once handled.
Capitated contractsIntegrated purchasingSince 2015Regional Behavioral Health Authorities
A.R.S. 36-3410A regional behavioral health authority is an organization under contract with AHCCCS to coordinate mental health services in a specific geographic area. State law limits these authorities to managed care functions, so they do not deliver services to clients directly except briefly when a provider's contract fails, and they file monthly summaries of clients served, units of service and funding.
Managed care onlyMonthly summariesGeographic areasReporting on Serious Mental Illness
A.R.S. 36-3415Each year AHCCCS reports Medicaid and non-Medicaid behavioural health spending to the Joint Legislative Budget Committee. For people with serious mental illness the report covers mortality, access complaints, enrolment, demographics, per capita spending, length of stay and readmission rates for Level I, subacute and residential settings, and, since fiscal 2022-2023, housing waitlists.
Readmission ratesBy service areaAnnualBoard of Behavioral Health Examiners
LicensingArizona's Board of Behavioral Health Examiners includes licensed members from social work, counselling, marriage and family therapy and addiction counselling, alongside public members appointed by the governor. Clinicians licensed elsewhere who want to see Arizona clients by telehealth register with the matching Arizona board under A.R.S. 36-3606.
LCSW and LPCLMFT and LIACTelehealth registration
Arizona Care Teams, Desert to High Country
HiBoop runs in any web browser, so a Phoenix group practice and a clinician in a rural county use the same tools.
Phoenix Metro
Multi-site group practices and outpatient clinics across the Valley can bring every clinician's caseload into one Team or Network account.
Tucson and Southern Arizona
A University of Arizona study used the PHQ-9 with 104 Hispanic patients of a mobile health program serving underserved southern Arizona.
Flagstaff and Northern Arizona
A rural Arizona community mental health facility added integrated primary care in 2021, and Northern Arizona University researchers have studied the clients who use it.
Yuma and the Border
Clinics along the Colorado River and the border can send check-ins by email between appointments to clients who travel far for care.
Prescott and Central Arizona
Practices in the central highlands can share one scale library across offices and telehealth caseloads.
Tribal Communities
In a study at a rural Arizona community mental health facility, 23.6% of clients using integrated primary care were Native American, and they missed fewer appointments than White clients.
Data sovereignty
Regions hereOther regionsLow CO₂ (Google)Local guides
Hosted in the United States
HiBoop runs on Google Cloud, and US customers' data is hosted in Google Cloud US regions. These are Google's regions in the United States. Google Cloud locations
Google Cloud regions
- Council Bluffs, Iowa Low CO₂ · 88% carbon-free
us-central1 - Moncks Corner, South Carolina
us-east1 - Ashburn, Virginia
us-east4 - Columbus, Ohio
us-east5 - Dallas, Texas Low CO₂ · 83% carbon-free
us-south1 - The Dalles, Oregon Low CO₂ · 83% carbon-free
us-west1 - Los Angeles, California
us-west2 - Salt Lake City, Utah
us-west3 - Las Vegas, Nevada
us-west4
Low CO₂ is Google's label for a region that ran on carbon-free energy at least 75% of the time in 2025. Google's figures
- Council Bluffs, Iowa Low CO₂ · 88% carbon-free
Why Arizona clinics choose HiBoop
Measurement Support for Arizona Teams
- Google Cloud US regions host data for US customers, encrypted while stored and while moving
- HIPAA compliant with a BAA on request, and certified to SOC 2 Type II
- Access to client records follows staff roles, and each view or export is logged
- Care is $25/month on a monthly plan, and you can start without a credit card
- Clients reply on their own phone, from an email or a QR code posted in the clinic
USD pricing & support
Transparent pricing in USD with flexible payment options for clinics of every size.
CareOne clinician, monthly plan$25USD/monthTeamStarting price, any number of clinicians$200USD/monthNetworkOrganizations with multiple sitesCustomEnterprise pricing
100+ validated scales for Arizona clinics
Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.
Depression, Anxiety and Suicide Risk
- PHQ-9 (Depression)
- GAD-7 (Anxiety)
- C-SSRS Screener (Suicide Risk)
Mood, Trauma and Substance Use
- MDQ (Bipolar Spectrum Screen)
- PCL-5 (PTSD)
- CAGE-AID (Alcohol and Drugs)
Children and Adolescents
- PHQ-A (Adolescent Depression)
- SCARED (Child Anxiety)
- SCARED-P (Child Anxiety, Parent Report)
Arizona Rules on Records, Minors and Telehealth
HIPAA is the national baseline. Arizona adds a confidentiality statute for health records, a parental consent rule for minors and a registration route for out-of-state telehealth. None of them certifies software; the duties are your organization's, and HiBoop's role is to support them.
What Arizona law asks
- Keep records confidential and disclose them only as state or federal law allows, including the HIPAA privacy standards, or on the grounds listed in A.R.S. 36-509
- Obtain the written or oral consent of a parent or legal custodian before mental health treatment of a minor, or mental health screening in a nonclinical setting, verifying the parent's identity when consent is given by telehealth (A.R.S. 36-2272)
- If you are licensed in another state and treat clients located in Arizona by telehealth, register with the Arizona board for your profession, follow Arizona's standards of care and report your Arizona encounters each year (A.R.S. 36-3606)
- Keep HIPAA safeguards and breach notification in place, and sign a business associate agreement with every vendor that handles protected health information
What HiBoop brings
- A signed BAA for HIPAA covered entities
- Storage in Google Cloud's US regions, encrypted at rest and in transit
- Role-based permissions so staff reach only the clients they serve
- A log of who viewed or exported client data, plus the SOC 2 Type II controls set out on our trust page
Reviewing HiBoop for an Arizona clinic?
Our trust page explains hosting, encryption, access controls and our SOC 2 Type II certification. Contact us for a BAA or for help with a vendor security questionnaire.
Grants & funding for Arizona mental health clinics
Funding Guide
Public and private funding programs that support measurement-based care implementation.
- Tech eligible
SAMHSA — Substance Abuse and Mental Health Services Administration
Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants
SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.
$1M–$5M/yearLearn more - Tech eligible
SAMHSA
Mental Health Block Grant (MHBG)
States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.
State-distributedLearn more - Tech eligible
SAMHSA
Primary and Behavioral Health Care Integration (PIPBHC)
SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.
$500K–$900K/yearLearn more - Tech eligible
HRSA — Health Resources and Services Administration
Rural Health Network Development Program
HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.
$250K–$500K/yearLearn more - Tech eligible
HRSA
Behavioral Health Workforce Development Program
Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.
$250K–$1MLearn more - Tech eligible
CMS Innovation Center (CMMI)
ACCESS Model — Behavioral Health Track
The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.
Enhanced per-patient paymentsLearn more
Resources for Arizona practitioners
Billing guides, compliance documentation, and clinical practice resources.
- DepressionPHQ-9 Clinical Guide
Item content, scoring and severity bands for repeat use
- Child anxietySCARED Guide
The child and parent forms, and how teams compare the two reports
- IntegrationMeasurement in Primary Care
How primary care teams add validated scales to routine visits
- LibraryFull Assessment Library
Every scale described on HiBoop, each with its references
Arizona Statutes and Medicaid Resources
Official bodies, clinical guidelines, and regulatory references. Arizona.
- A.R.S. 36-3415, Behavioral health expenditures; annual reports
Arizona State Legislature
What AHCCCS must report each year on behavioural health spending and on people with serious mental illness.
- A.R.S. 36-3410, Regional behavioral health authorities
Arizona State Legislature
Monthly summaries, the managed-care-only rule and contracting with regional authorities.
- A.R.S. 36-2272, Consent of parent for minors' mental health screening or treatment
Arizona State Legislature
The parental consent requirement, its emergency exception and the telehealth identity check.
- A.R.S. 36-509, Confidential records
Arizona State Legislature
When a health care entity may disclose mental health records, and to whom.
- A.R.S. 36-3606, Interstate telehealth services
Arizona State Legislature
Registration for out-of-state providers who treat people located in Arizona by telehealth.
- A.R.S. 32-3252, Board of Behavioral Health Examiners
Arizona State Legislature
Membership of the board that licenses social work, counselling, marriage and family therapy and addiction counselling.
- A.R.S. 36-2901, Definitions (AHCCCS)
Arizona State Legislature
Defines the AHCCCS administration and contractors as holders of prepaid capitated contracts.
- A.R.S. 36-3401, Definitions (behavioral health)
Arizona State Legislature
Defines a regional behavioral health authority as an organization under contract with AHCCCS for a geographic area.
Latest in mental health in California
Recent news, research, and policy from trusted sources.
- ResearchEnhancing a Behavioral Intervention Using Rest-Activity Rhythm Monitoring via a Consumer Wearable in Older Dementia Caregivers and People With Dementia: Feasibility and Acceptability Study.
Stahl ST, Rodakowski J, Patira R — JMIR formative research
JMIR formative research
- ResearchChanges in social connection, physical activity, and positive psychological attributes associated with grief-related symptoms and depression among bereaved older women during COVID-19.
Goveas JS, Ray RM, Pai M — Death studies
Death studies
- ResearchTranslation Validation, Software Adaptation, and Usability Testing of a Spanish Contraception Decision Tool: Protocol for a Mixed Methods Pilot Study.
Kang MM, Perez A, Brooks-Greisen A — JMIR research protocols
JMIR research protocols
- ResearchSmartphone-Based Passive Sensing of Activity Levels and Behavioral Activation During Psychosocial Interventions for Older Adults With Depression: Longitudinal Observational Study.
Kim S, Bein O, Carter E — Journal of medical Internet research
Journal of medical Internet research
- ResearchPatient and Provider Perspective of Cranioelectrical Stimulation for the Management of Persistent Mild Traumatic Brain Injury Symptoms in Veterans and Service Members.
Skop KM, Kern M, Ingram A — Military medicine
Military medicine
- FundingRFK Jr. presents $700 million in mental health funding, but experts say grants aren’t new
RFK Jr. presents $700 million in mental health funding, but experts say grants aren’t new STAT
STAT
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Measurement-based care
…starts with what we measure, and how long.
Send your first check-in today, with your own assessments and clients. For teams, we set up your assessments and schedules with you. Prefer a guided start? You can book a walkthrough on the next page.
Start- Everything in HiBoop, by workflow, and what shipped lately.Features
- 100+ validated measures, with scoring guides and sources.Assessments
Frequently Asked Questions
Does Arizona require measurement-based care?
Not by statute, as far as we found. Arizona law requires system-level reporting: AHCCCS reports each year on people with serious mental illness, including mortality and readmission rates, and regional authorities file monthly service summaries. No statute we reviewed names a symptom scale for outpatient care. Your health plan contract may set its own expectations, so check it.
Can I send a PHQ-A to a 15-year-old without a parent's consent in Arizona?
Arizona generally requires the written or oral consent of a parent or legal custodian before mental health treatment of a minor, and before mental health screening in a nonclinical setting, unless an emergency requires action to prevent serious injury or save the child's life. Settle consent through your own process first and confirm the details with your counsel. HiBoop's role-based access lets you control who sees a young client's scores.
I am licensed in another state. Can I use HiBoop with Arizona clients?
HiBoop works wherever your clients are, but Arizona sets the licensing rules. Under A.R.S. 36-3606, a provider licensed elsewhere may treat people located in Arizona by telehealth after registering with the comparable Arizona board, keeping professional liability cover and following Arizona's standards of care, with some exceptions such as fewer than ten encounters a year.
Is HiBoop HIPAA compliant for Arizona clinics?
Yes. HiBoop is HIPAA compliant and provides a business associate agreement to covered entities. Arizona's records statute, A.R.S. 36-509, allows disclosure as authorized by HIPAA's privacy standards or on the grounds it lists. Whether a particular disclosure fits depends on the facts, so ask your counsel.
Official sources for Arizona
Billing and payment routes
- 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
- 2.CMS Physician Fee Schedule look-up · fee schedule
- 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program
Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.
Regulators and licensing
Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.