Becoming a Member & REN Referral Process

How Do I Become A Member?

 Membership is available to those who are both Title 19 & Non-Title 19 and are members of the Regional Behavioral Health Authority (MMIC) Adult System of Care. Other payment options are available.

Great News! We are now accepting General Mental Health & Substance Use Referrals (GMHSU) for the following plans.

  • Care First
  • Mercy Care Plan
  • Banner University
  • Magellan Complete Care
  • Stewart Health Choice AZ
  • United Health Community Plan
  • Arizona Complete Care / Health Net

Do I Qualify? 

REN accepts members with the following:

  • Title 19
  • Non-Title 19
  • SMI (Serious Mental Illness Diagnosis)
  • GMHSU (General Mental Health & Substance Use)

Interested In Becoming a Member?

We invite Clinical Teams to set up a tour on behalf of potential members. 

Attendees will be given an opportunity to ask questions, tour the facility and meet staff. 

To set up a tour contact our Intake & Membership Department at (602) 248-0368 Ext. 1018.

How much does it cost to go to REN?

REN is free for most with no out of pocket costs! 

*Depending on insurance.

Want to try it out? 

A free day is granted per the request of a clinical team!

REN Referral Process

To begin services with REN the following documents are required:

  • Demographic Form (Formerly Form 1013).
  • Most Recent Part E(Assessment) With BHP Signature or Affidavit. 
  • Most Recent Individual Service Plan (ISP) | ISP must be signed by individual and BHP.

Send forms to or fax to (602) 626-8379

Once the referral packet is received, a member services specialist will contact the applicant to set up an intake at 212 East Osborn Road. Phoenix, AZ 85012.



Every REN Member is first referred by you, our Partners. You are an integral part of the recovery journey and as such, your needs and satisfaction are important to us. We are committed to working directly with our clinical healthcare providers to provide an excellent continuum of care.

Referral Benefits:

  • Help demonstrate the outcomes required by the Substance Abuse and Mental Health Services Administration (SAMHSA)
  • Provide Individual Service Plans (ISPs) that track Member progress
  • Assist in setting goals for the year with Members and note achievements
  • Share detailed information with you about Member care

We are here to help and encourage you to contact us with any questions or suggestions for how we may better serve you.


Download Our REN Referral Form