Timeline/Steps of SED/SMI Determination
We are here to help in this process; please contact us if you have any questions and/or need technical assistance.
An individual, their guardian, designated representative or family member can ask his/her current AHCCCS provider or they can call the T/RBHA to ask for an SED/SMI Determination.
An evaluation is required to occur no later than seven days after a request is made.
The individual meets with a qualified assessor.
The assessor sends the required paperwork (assessment) to Solari.
Solari has either 3, 20, 30, or 60 days to make a decision depending on each individual case.
After a decision has been made, a notice is sent to the individual with the results (determination) and information on how to receive services (when applicable).
Each applicant has the right to appeal their eligibility determination.
To appeal, an individual must fill out and send the appeal form and include the original determination (decision). Or, they can call Solari and file by phone at 855-832-2866.
The individual will be able to meet with a second reviewing psychologist in an informal meeting within seven days of filing the appeal. Any additional information about the individuals treatment history will be considered.
Solari will make the second decision within 3, 20, 30 or 60 days depending on the need for more information.
The individual will get a notice in writing with the final decision.
If the individual wishes to appeal the second decision, they have the right to ask for an administrative hearing.