Referral Process – MMIC– Maricopa County
Referral packet is sent to Medical Records at Referrals@Reachfs.org
The following documentation is required for the referral process:
b. *Current Assessment – dated within the last year and must be signed by BHP within 72 hours of date – can be a core assessment
or annual update (Part D for birth to 5, Part E for over 5) with 5 digit diagnosis Refer to: www.icd9data.com
c. *Provider Service Plan dated within the last year with REACH INC. service listed. Examples: REACH INC. Family Support Partner – 5x a week for 6 months. Service Plan must be signed by guardian and CM plus list the frequency of service.
If unable to collect all paperwork within the 7 days, then the referral will be denied to the provider.
For faster processing please include availability and if services will be provided in office or in the home.
Call Us (602) 512-9000
Please include your phone number
**For your protection, please do not submit any personal information;such as, social security numbers or date of birth**
Reach Family Services, Inc.
(Alcanza Servicios de Familia)
3535 W. Southern Ave Suite 128
Phoenix, AZ 85041
Phone: (602) 512-9000
Fax: (602) 276-9985
Referrals and Questions to : Referrals@Reachfs.org
Helping children and their families
by improving life, knowledge and understanding.