Notices

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

We have recently posted our new Claims Processing Manual PDF Opens In New Window to our website located on our Claims Information web page. Many of our previously listed provider notifications are related to claims processing and have been incorporated into our Claims Processing Manual. We are in the process of archiving these notifications in order to assure the most relevant information is included in the provider notifications list below.

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

• 2017 AHCCCS Provider Survey  Document Date:  12/04/2017 
• 5-day supply limit of prescription opioid medications  Document Date:  11/27/2017 
• Acute Skilled Nursing Facility Authorization Process Change PDF Opens In New Window  Document Date:  05/17/2016 
• After Hours Updated Call Tree for Prior Authorization and Utilization Management PDF Opens In New Window  Document Date:  06/9/2016 
• AHCCCS Complete Care Award  Document Date:  05/03/2018  NEW
• CareWebQI Direct Entry Prior Authorization Requests PDF Opens In New Window  Document Date:  09/09/2015
• Change Healthcare (Formerly Emdeon) PDF Opens In New Window  Document Date:  01/20/2016 
• Change in prior authorization requirements  Document Date:  01/12/2018 
• CMS Quality Improvement Organization (QIO) Change PDF Opens In New Window  Document Date: 08/08/2014
• Constant Contact - e-mail alerts  Document Date:  11/30/2016 
• Controlled Substances Prescription Monitoring Program registration  Document Date:  04/28/2017 
• Cross claim adjudication technology  Document Date:  02/21/2017 
• Discarded physician-administered medications  Document Date:  01/18/2018  NEW
• D.R.E.A.M. Job Fair - April 2018  Document Date:  03/09/2018  NEW
• Electronic Fund Transfer (EFT) - Contact Information Change Document Date:  10/02/2018  NEW
• Enhancement to Secure Web Portals - attachments  Document Date:  04/07/2017 
• Expedited service authorization requests Opens In New Window  Document Date:  08/31/2017 
• eviCore healthcare - prior authorization for pain management services update  Document Date:  06/27/2017 
• eviCore healthcare - prior authorization for pain management - no prior authorization required until 08/23/2017  Document Date:  08/14/2017 
• Gender Specific Editing Rules PDF Opens In New Window  Document Date:  05/20/2016 
• FQHC reimbursement for case management and behavioral health technicians  Document Date:  03/03/2017 
• FQHC - rendering provider NPI in box 19  Document Date:  04/06/2017 
• Homeland Security update - multiple ransomware infections reported  Document Date:  05/12/2017 
• Hospice Election Coverage While Covered Under Mercy Care Advantage (HMO SNP) PDF Opens In New Window
• ICD-10 Implementation PDF Opens In New Window  Document Date: 09/28/2015
• Implementing the new federal IMD regulation Opens In New Window  Document Date:  09/06/2017 
• Individualized Care Plans for Mercy Care Advantage Acu PDF Opens In New Windowte Members PDF Opens In New Window  Document Date: 07/15/2015
• Infusion network change  Document Date:  03/02/2018  NEW
• Keeping Medicare Advantage Directory Information Up to Date PDF Opens In New Window  Document Date:  04/27/2017
• Long-acting opioids to require prior authorization effective 1/1/2017  Document Date:  12/21/2016 
• Medicare Outpatient Observation Notice (MOON)  Document Date:  12/16/2016   
• Mercy Care Advantage 2018 Model of Care Training  Document Date:  03/16/2018  NEW
• MercyOneSource - New Secure Web Portal PDF Opens In New Window
• MercyOneSource Secure Web Portal and CareWebQI Frequently Asked Questions PDF Opens In New Window  Document Date: 12/09/2014 
• Multiple Petya Ransomware infections reported  Document Date:  06/28/2017  
• Non-emergency transportation program integrity review  Document Date:  04/03/2018  NEW
• Non-emergent transportation - documentation required for trips 100 miles or more  Document Date:  01/10/2018  NEW
• OneLogin - Data Breach Alert  Document Date:  06/02/2017 
• Osteopathic Manipulative Therapy: Prior Authorization Alert  PDF Opens In New Window Document Date: 08/06/2015
• Opioid detox and integrated chronic pain program - Recovia  Document Date:  07/17/2017 
• Outlier inpatient hospital claims  Document Date:  04/04/2017 
• Oxycontin formulary removal effective 1/1/2018  Document Date:  11/27/2017 
• Pain Management Network Change   Document Date:  09/22/2017  
• Parsabiv and Sensipar - approval for renal dialysis services  Document Date:  01/05/2018  NEW
• Physical Therapy Prior Authorization Requirements for MCA PDF Opens In New Window  Document Date:  12/22/2015  
• Post Office box change for refunds Document Date: 02/01/2018  NEW
• Primary Care Physician (PCP) Change Form PDF Opens In New Window  Document Date: 10/07/2014
• Prior authorization is no longer required for wheelchair repairs  Document Date:  01/25/2017 
• Provider Manual Updates - July, 2018 Opens In New Window  Document Date:  07/02/2018  NEW
• Profax - New Capability to Submit Electronic Disputes PDF Opens In New Window  Document Date: 01/22/2015
• Provider Outreach Manual: Medicare Advantage Part C STAR Measures  Document Date:  08/07/2017 
• Provider Reference Guide for new Medicare card MBI change  Document Date:  03/29/2018  NEW
• Radiology Authorizations PDF Opens In New Window
• Reclassification of Hydrocodone Combination Products PDF Opens In New Window  Document Date: 10/02/2014
• Reimbursement for Status B indicators  Document Date:  08/23/2017 
• Sequestration - Impact to Mercy Care Advantage Plan PDF Opens In New Window
• Skilled Nursing Facility Transportation Update PDF Opens In New Window
• Smoke-free HUD public housing policy  Document Date:  02/22/2018  NEW
• Social Determinants of Health - NORC study  Document Date:  03/09/2018  NEW
• Telephone Interpretation Services PDF Opens In New Window
• Transitional Care Management Services PDF Opens In New Window
• Unlisted CPT/HCPCS Codes Opens In New Window  Document Date:  08/02/2017 
• Use of Social Determinants of health codes for member outcomes update - Document Date:  02/08/2018  NEW
• Void Request  Document Date:  04/06/2018  NEW
• Welcome to Mercy Care! Opens In New Window  Document Date:  07/01/2018  NEW