Pima & Yuma County Crisis Medication List (Crisis facility dispensing criteria)
Customize your policy alerts
Sign up for all Arizona Complete Health policy alerts
Know when Arizona Complete Health releases new policies or updates existing guidance.
Monitor payer policy activity
Medications and dose/quantity limits authorized to stabilize Non‑Title XIX/XXI and Non‑SMI adults and children presenting in behavioral health crisis at specified Crisis Residential/Community Observation facilities in Pima and Yuma counties.
No material clinical or coverage changes in this revision.
Coverage Criteria for Crisis Dispensing
Facility crisis dispensing criteria
Covered when used for stabilization in crisis for the specified population at listed facilities and provided within listed dose and quantity limits.
This medication list applies only to adults or children who are Non‑Title XIX/XXI and Non‑SMI presenting in crisis at the named facilities: the CRC Level 1 Subacute Behavioral Health Facility in Pima County or the HHW Community Observation Unit in Yuma County. Use of these medications outside of that population or setting is not covered by this facility crisis dispensing list.
Provider Actions, Documentation & Prior Authorization
Prior authorization not specified
No prior authorization requirements are specified in this document; the list provides medications with dose and 7‑day quantity limits for crisis facility dispensing.
Step therapy not specified
The policy does not describe any step therapy requirements for listed medications.
Documentation note — facility medication list
The document does not provide explicit documentation or prior authorization instructions; it functions as an authorized medication list with dose and quantity limits for facility use and notes that one additional 7‑day supply is allowed.
Scope-based denial risk — out-of-scope use may be denied
Medications on this list are intended only for adults or children who are Non‑Title XIX/XXI and Non‑SMI presenting in crisis at the named facilities; use outside that setting may not be supported and could be denied.
- Applicable sites: CRC Level 1 Subacute Behavioral Health Facility (Pima County) or HHW Community Observation Unit (Yuma County).
Authorized Sites of Care
Site-of-care restriction — designated crisis facilities
Medications are designated for use at the CRC Level 1 Subacute Behavioral Health Facility in Pima County or the HHW Community Observation Unit in Yuma County.
- Intended site(s) of care are the two named crisis/respite facilities only.
Definitions and Target Population
Medication Quantity Limits (per dispensing event)
Background and Purpose
The list includes medications that have been identified as offering clinical safety and efficacy to stabilize individuals in behavioral health crisis and to serve as a bridge to outpatient follow‑up. It is intended for short‑term use in the crisis/respite facility setting, with medication quantity limits specified and one additional 7 day supply allowed to facilitate transition to follow‑up care.
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.