August 01, 2022

Arizona Medicaid: Maternity requirements for substance use screening

The Arizona Health Care Cost Containment System (AHCCCS) updated its Substance Use Disorder (SUD) screening requirements specific to Medicaid members who are pregnant. 

Maternity requirements for SUD screening
Providers are required to give a brief verbal screening and intervention for substance use for all pregnant members using the following guidelines: 

  • Screen all pregnant members through the Controlled Substances Prescription Monitoring Program (CSPMP) once a trimester
  • Provide appropriate intervention and counseling for members receiving opioids, including referral for behavioral health services as indicated for SUD assessment and treatment

Providers are also expected to educate patients about healthy behaviors during pregnancy, including:

  • Avoidance of alcohol and other harmful substances, including illegal drugs
  • Dangers of lead exposure to mother and child
  • Family planning options as specified in the AHCCCS Medical Policy Manual (AMPM) Policy 420
  • Postpartum follow-up
  • Prescription opioid use
  • Proper nutrition
  • Screening for sexually transmitted infections
  • The physiology of pregnancy, process of labor and delivery, breastfeeding, and other infant care information
  • Tobacco cessation

For questions about coverage, call UnitedHealthcare Provider Services at 800-445-1638.