Notices

Provider Notifications are designed to furnish you with any new or important communications from Mercy Care Advantage in order to assure you have the most up to date information from us.

Our Claims Processing Manual is located on the MCA Claims Information webpage. Many of our previously listed provider notifications are related to claims processing and have been incorporated into our Claims Processing Manual.

Please use the below links to review important information and current provider notifications.

Serious Emotional Disturbance (SED) Eligibility Determination Notification Document Date: 05/25/2023 NEW
2023 Mercy Care Honors Document Date: 05/22/2023 NEW
Community Health Workers - ASU Partnership Document Date: 05/18/2023 NEW
Requests for Coverage Determinations, Appeals, Grievances and Complaints Document Date: 05/17/2023 NEW
APS Energy Assistance Program Document Date: 05/15/2023 NEW
Frequently Asked Questions (FAQs) on CMS Waivers, Flexibilities and End of COVID-19 Public Health Emergency Document Date: 05/08/2023 NEW
New HEDIS Guidelines for Blood Pressure Documentation Document Date: 05/05/2023 NEW
Definitive Urine Drug Tests - HCPCS Codes G0480 - G0483 Document Date: 04/19/2023 NEW
Annual Provider Survey Reminder Document Date: 04/17/2023 NEW
HIPPA Information Document Date: 04/14/2023 NEW
Mercy Care EFT/ERA Registration Services Document Date: 04/13/2023 NEW
Social Determinations of Health Diagnosis Code Billing Reminder Document Date: 03/31/2023
On-line Provider Directory accuracy reminder March 2023 Document Date: 03/10/2023
Medicaid and Medicare Arizona Regulatory Compliance Addendum CYE22 Document Date: 03/10/2023
Mercy Care's Claims Processing Manual March 2023 Update Document Date: 02/18/2022
AzAHP Non-Delegated Roster and Practitioner Change Forms Document Date: 03/09/2023
Annual Provider Survey Document Date: 03/07/2023
Eligibility verification Document Date: 03/07/2023
TAPI's Arizona Vaccine Congress IV Document Date: 03/02/2023
COVID-19 Public Health Emergency Transition Roadmap Document Date: 03/01/2023
Psychiatry for Non-Psychiatrists Conference Document Date: 02/14/2023
Let's Rise Initiative from the CDC Document Date: 02/13/2023
Maricopa County Sheriff's Office (MCSO) - Jail Releases - Clarification around Amending Document Date: 01/27/2023
Maricopa County Sheriff's Office (MCSO) - Jail Releases Document Date: 01/27/2023
Mercy Care Available Referral Options Document Date: 01/25/2023
Mercy Care Provider Outreach Manual: Select HEDIS, CMS Core and CMS Star Measures - 2023 Document Date: 01/17/2023
Utilization Management Document Date: 01/11/2023
New Medicare Part B Drug Step Therapy List Effective January 1, 2023 Document Date: 01/10/2023
Mercy Care Advantage (MCA) Provider Manual January 2023 Update Document Date: 01/06/2023
The Availity Provider Portal is now open to Mercy Care Providers Document Date: 12/22/2022
New Medicare Part D Requirements Effective January 1, 2023 Document Date: 12/15/2022
DME Required Modifiers Document Date: 11/15/2022
New Prepayment Policies Document Date:11/10/2022
Acute Skilled Nursing (SNF) Authorization Process Change Document Date: 10/18/2022
Mercy Care Advantage (MCA) CY 2023 Benefit and Formulary Changes Effective January 1, 2023 Document Date: 10/11/2022
On-line Provider Directory accuracy reminder September 2022 Document Date: 09/09/2022
Update on Multiple Communicable Diseases Document Date: 09/07/2022
Cotiviti COB for Medicare Primary Members Document Date: 08/24/2022
Transition from Organizational to Individual Credentialing for Therapy Providers Document Date: 08/17/2022
15th Annual Arizona HIE Summit and Trade Show Document Date: 08/15/2022
Prior Authorization: Therapy and Home Health Request Form Update Document Date: 08/08/2022
Mercy Care Advantage - Updating and Certifying Provider Data in the CMS NPPES Document Date: 08/05/2022
Mercy Care Advantage (MCA) 2022 Model of Care Training and Attestation Document Date: 08/05/2022
Outpatient Rehabilitation Therapy Modifiers Document Date: 06/29/2022
Utilization Management Document Date: 06/21/2022
Suicide Prevention Lifeline - 988 Document Date: 06/20/2022
Excessive Heat Warning - 06/10/2022 - 06/12/2022 Document Date: 06/10/2022
Adult/Child Mental Health First Aid (MHFA) Training Opportunities Document Date: 06/09/2022
TBI & Domestic Violence Primary Care Provider Course Document Date: 06/09/2022
Reminder: 2022 Mercy Care Honor event Document Date: 06/09/2022
Tobacco Cessation Document Date: 06/02/2022
Reminder: Negative Balance Collection Remittance Process Document Date: 06/02/2022
On-line Provider Directory accuracy reminder June 2022 Document Date: 06/02/2022
Visibility Matters Document Date: 05/27/2022
Clinical Considerations for Providers Caring for Newcomers from Ukraine Document Date: 05/18/2022

Archived Mercy Care Advantage Notices

Medicare Advantage Regulatory Compliance Addendums

Medicare Advantage Regulatory Compliance Addendum CYE 2022

Medicare Advantage Regulatory Compliance Addendum CYE 2021