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.
- Maricopa County Sheriff's Office (MCSO) - Jail Releases Document Date: 01/27/2023 NEW
- Mercy Care Available Referral Options Document Date: 01/25/2023 NEW
- Mercy Care Provider Outreach Manual: Select HEDIS, CMS Core and CMS Star Measures - 2023 Document Date: 01/17/2023 NEW
- Utilization Management Document Date: 01/11/2023 NEW
- New Medicare Part B Drug Step Therapy List Effective January 1, 2023 Document Date: 01/10/2023 NEW
- Mercy Care Advantage (MCA) Provider Manual January 2023 Update Document Date: 01/06/2023 NEW
- The Availity Provider Portal is now open to Mercy Care Providers Document Date: 12/22/2022 NEW
- New Medicare Part D Requirements Effective January 1, 2023 Document Date: 12/15/2022 NEW
- DME Required Modifiers Document Date: 11/15/2022 NEW
- New Prepayment Policies Document Date:11/10/2022 NEW
- Acute Skilled Nursing (SNF) Authorization Process Change Document Date: 10/18/2022 NEW
- Mercy Care Advantage (MCA) CY 2023 Benefit and Formulary Changes Effective January 1, 2023 Document Date: 10/11/2022 NEW
- On-line Provider Directory accuracy reminder September 2022 Document Date: 09/09/2022 NEW
- Update on Multiple Communicable Diseases Document Date: 09/07/2022 NEW
- Cotiviti COB for Medicare Primary Members Document Date: 08/24/2022 NEW
- Transition from Organizational to Individual Credentialing for Therapy Providers Document Date: 08/17/2022 NEW
- 15th Annual Arizona HIE Summit and Trade Show Document Date: 08/15/2022 NEW
- Prior Authorization: Therapy and Home Health Request Form Update Document Date: 08/08/2022 NEW
- Mercy Care Advantage - Updating and Certifying Provider Data in the CMS NPPES Document Date: 08/05/2022 NEW
- Mercy Care Advantage (MCA) 2022 Model of Care Training and Attestation Document Date: 08/05/2022 NEW
- Outpatient Rehabilitation Therapy Modifiers Document Date: 06/29/2022 NEW
- Utilization Management Document Date: 06/21/2022 NEW
- Suicide Prevention Lifeline - 988 Document Date: 06/20/2022 NEW
- Excessive Heat Warning - 06/10/2022 - 06/12/2022 Document Date: 06/10/2022 NEW
- Adult/Child Mental Health First Aid (MHFA) Training Opportunities Document Date: 06/09/2022 NEW
- TBI & Domestic Violence Primary Care Provider Course Document Date: 06/09/2022 NEW
- Reminder: 2022 Mercy Care Honor event Document Date: 06/09/2022 NEW
- Tobacco Cessation Document Date: 06/02/2022 NEW
- Reminder: Negative Balance Collection Remittance Process Document Date: 06/02/2022 NEW
- On-line Provider Directory accuracy reminder June 2022 Document Date: 06/02/2022 NEW
- Visibility Matters Document Date: 05/27/2022 NEW
- Clinical Considerations for Providers Caring for Newcomers from Ukraine Document Date: 05/18/2022 NEW
- ClaimCheck transitions to ClaimsXten Document Date: 04/22/2022 NEW
- Reminder: Two new oral agents to treat COVID-19 Document Date: 04/11/2022 NEW
- Genetic Testing - Experimental, Investigational and Unproven (EIU) Document Date: 03/01/2022 NEW
- Upcoming Clinical, Payment and Coding Policy Position Document Date: 03/01/2022 NEW
- AHCCCS Update - Abuse & Neglect Prevention Task Force Document Date: 02/02/2022 NEW
- Mercy Care Provider Outreach Manual: Select HEDIS, CMS Core, and CMS Star Measures - February 2022 Document Date: 02/14/2022 NEW
- Two new oral agents to treat COVID-19 Document Date: 01/24/2022
- Referring, Ordering, Prescribing, Attending (ROPA) AHCCCS Update 1/3/2022 Document Date: 01/18/2022
- Mercy Care is enhancing its editing process from SNIP Level 2 up to SNIP Level 4 process validation Document Date: 01/05/2022
- Mercy Care's Tobacco Basic Training Course Document Date: 01/04/2022
- Ivermectin is not an approved treatment for COVID-19 Document Date: 01/04/2022
- Mercy Care Advantage (MCA) Provider Manual January 2022 Update Doument Date: 12/27/2021
- Reminder - Mercy Care Advantage Formulary Changes Effective January 1, 2022 Document Date: 12/16/2021
- Reminder - COVID-19 Vaccine Billing for Medicare Advantage Enrollees in 2022 Document Date: 12/15/2021
- COVID-19 Vaccine Billing for Medicare Advantage Enrollees in 2022 Document Date: 11/19/2021
- Mercy Care Advantage Formulary Changes Effective January 1, 2022 Document Date: 11/17/2021
- Mercy Care New P.O. Box Address and Vendor for Paper Claim and Claim Correspondence Effective 1/14/2022 Document Date: 11/12/2021 NEW
- COVID-19 vaccination rates for nursing staff and residents Document Date: 10/13/2021
- Mercy Care Advantage CY2022 Benefit and Formulary Changes effective 01/01/2022 Document Date: 10/04/2021
- CMS will pay for COVID-19 booster shots Document Date: 10/04/2021
- ACHIEVE 2021 - 14th Annual Health Current Summit and Trade Show Document Date: 10/01/2021
- Health Current - Arizona's SDOH Referral System Document Date: 09/24/2021
- CMS Update - Expanded Vaccine Requirements for Providers Document Date: 09/16/2021
- Pfizer-BioNTech COVID-19 Vaccine now FDA approved Document Date: 08/26/2021
- COVID-19 Vaccine Event by Touchstone Document Date: 08/18/2021
- New AzAHP Credentialing Forms for 2021 Document Date: 08/16/2021
- Introducing PYX Health for our Members Document Date: 08/04/2021
- Coming Soon - new electronic contract management system - APTTUS Document Date: 07/12/2021
- Gender Specific Treatment for Women with Substance Use Disorder - Webinar Series Document Date: 07/07/2021
- ConnectCenter User Manual Document Date: 06/22/2021
- AHCCCS extends ROPA registration through public heath emergency Document Date: 05/28/2021
- Regulatory Compliance Addendums (CYE2021) Effective 10/01/2021 Document Date: 05/07/2021
- Nursing Home Project ECHO Training Events Document Date: 05/07/2021
- Billing claims for an outpatient date span Document Date: 04/29/2021
- Mercy Care Advantage (MCA) Model of Care Training and Attestation Document Date: 04/26/2021
- 2021 AHCCCS Provider Survey Document Date: 04/26/2021
- Verifying Member Eligibilty Document Date: 04/14/2021
- ClaimConnect is Getting an Upgrade! Document Date: 04/09/2021
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Archived Mercy Care Advantage Notices
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- On-line Provider Directory accuracy reminder Document Date: 02/10/2021
- Electronic Visit Verification (EVV) Post-Live Updates Document Date: 02/08/2021
- Social Determinants of Health Diagnosis Code Billing for 2021 Document Date: 01/28/2021
- Referring, Ordering, Prescribing, Attending (ROPA) Provider Updates Document Date: 01/28/2021
- Mercy Care Advantage (MCA) Provider Manual January 2021 Update Document Date: 01/22/2021
- Pandemic Volunteer Opportunities Document Date: 01/04/2021
- AHCCCS Notice - Phase 1A of COVID-19 Vaccine arrives in Arizona Document Date: 12/18/2020
- Healthcare Workers receiving the COVID-19 Vaccine Document Date: 12/18/2020
- HPMS Memo - COVID-19 Vaccine Significant Cost Determination Document Date: 12/08/2020
- Pandemic Vaccine Provider Onboarding Tool Document Date: 12/08/2020
- Virtual Doctors' Lounge Flyer Document Date: 12/02/2020
- Referring, Ordering, Prescribing, Attending (ROPA) - new registration deadline Document Date: 11/10/2020
- COVID-19 Vaccine Distribution Planning Document Date: 11/05/2020
- Provider Outreach Manual - Medicare Advantage Part C Star Measures - 2020 Document Date: 11/06/2020
- Recently rejected claims resolution Document Date: 11/04/2020
- CARES Act Provider Relief Fund - Phase 3 - Revision Document Date: 11/03/2020
- E-mail Encryption User Guide Document Date: 11/02/2020
- Referring, Ordering, Prescribing, Attending (ROPA) - AHCCCS provider registration Document Date: 10/12/2020
- Negative Balance Collection Remittance Update Document Date: 10/02/2020
- Workforce Development Training and Resource Site Document Date: 09/24/2020
- Flu Vaccinations for the 2020-2021 Flu Season Document Date: 09/11/2020
- Mercy Care Advantage (MCA) vaccine coverage Document Date: 09/03/2020
- Accessing the Gaps in Care Reports within Provider Deliverable Manager Document Date: 08/24/2020
- Licensed Arizona Dentists - Request Your Free PPE by 08/31/2020 Document Date: 08/19/2020
- Preferred Interpreter Document Date: 07/24/2020
- Prior Authorization Changes Effective 8/1/2020 Correction Document Date: 07/14/2020
- Home assessment authorization requirements for Power Mobility Devices and Manual Wheelchairs Document Date: 06/29/2020
- Electronic Prescribing of Controlled Substances (EPCS) Click for Control trainings available Document Date: 06/17/2020
- CVS no-cost COVID-19 testing Document Date: 06/11/2020
- Suspension of Sequestration for Mercy Care Advantage Document Date: 06/09/2020
- Advance Directives and End of Life Care Provider Reference Guide Document Date: 05/26/2020
- COVID-19 Fraud Prevention Document Date: 05/15/2020
- Gaps in Care Technical Specifications and PCP Billing Guide-2020 Document Date: 04/27/2020
- CARES ACT Funding Document Date: 04/23/2020
- COVID-19 - Mercy Care Claims Processing Configuration Document Date: 04/21/2020
- Federal CARES Act Funding Notification Document Date: 04/02/2020
- COVID-19 Emergency Medical Coding Guidance from AHCCCS Document Date: 03/19/2020
- Paper and electronic (835) remit issues update Document Date: 03/18/2020
- COVID-19 Important Updates for Providers Document Date: 03/13/2020
- Mercy Care's Online Prior Authorization Search Tool (ProPat) Document Date: 02/21/2020
- Paper and electronic (835) remit issues Document Date: 02/21/2020
- TAPI: Recent outbreak of the Coronavirus Document Date: 01/24/2020
- Interpreter standards Document Date: 01/10/2020
- J3145 - Injection, testosterone undecanoate Document Date: 01/06/2020
- Chimeric Antigen Receptor (CAR) T-Cell therapy Document Date: 11/21/2019
- Social Determinants of Health Diagnosis Code Billing Document Date: 11/21/2019
- Vaping Related Repiratory Illness Document Date: 11/20/2019
- Phone Interpretation Services - Transitioning to Language Line Document Date: 11/11/2019
- Acute Skilled Nursing Facility authorization process change effective 11/1/2019 Document Date: 10/25/2019
- Provider Outreach Manual - Medicare Advantage Part C Star Measures Document Date: 10/08/2019
- New Medicare Card: Transition Period Ends January 1, 2020 Document Date: 09/05/2019
- Change in Methodology for CMS PDPM Document Date August 15, 2019
- AzAHP Credentialing Forms Document Date August 12, 2019
- Revised - Interpretation Services completed in a physician's office Document Date August 8, 2019
- Prescription for Change Opioid Conference Document Date August 8, 2019
- Allergy Services Document Date August 2, 2019
- Enhanced Clinical Editing Processes Document Date July 23, 2019
- Health Advisory - Hepatitis A in Arizona Document Date June 11, 2019
- Mercy Care Advantage 2019 Model of Care Training Document Date May 17, 2019
- AHCCCS Electronic Visit Verification Provider Survey Document Date May 3, 2019
- Q&A for Optum Care Termination Document Date April 12, 2019
- Optum Care Termination April 30, 2019 Document Date March 29, 2019
- Acute Skilled Nursing Facility authorization process change Document Date March 13, 2019
- On-line Provider Directory accuracy Document Date March 13, 2019
- Public Health Agencies announced confirmed measles case in Pima County Document Date March 12, 2019
- Enhanced Billing for MCA Skilled Nursing Facilities Document Date March 1, 2019
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Medicare Advantage Regulatory Compliance Addendums