Notices
Mercy Care publishes provider notices with up-to-the-minute information you may need to know from our regulators, new coding/claims processing rules or any other new plan information. Our goal is to keep you as well informed about our plan as possible. You can receive provider notices directly via email. Click here to sign up for our mailing list.
Our Claims Processing Manual is located on our Claims web page. Many of our previously listed provider notifications are related to claims processing and have been incorporated into our Claims Processing Manual.
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Current notices
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- Serious Emotional Disturbance (SED) Eligibility Determination Notification Document Date: 05/25/2023 NEW
- Resources available for Individuals affected by the closure of a Sober Living Home or Residential Facility Document Date: 05/24/2023 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: 05/7/2023 NEW
- Utilization Management Criteria Availability Document Date: 05/17/2023 NEW
- New Form - Prior Authorization - Clinical Trial Form Document Date: 05/02/2023 NEW
- Outside Outpatient Services while Members are in Behavioral Health Residential Document Date: 04/27/2023 NEW
- Claim Dispute Reminder Phone Number Correction - April 2023 Document Date: 04/20/2023
- Definitive Urine Drug Tests - HCPCS Codes G0480 - G0483 Document Date: 04/19/2023 NEW
- AHCCCS Notice - Member Cost Sharing Suspension Document Date: 04/18/2023 NEW
- Annual Provider Survey Reminder Document Date: 04/17/2023 NEW
- HIPPA Information Document Date: 04/14/2023 NEW
- Employment Webinar Series - May - June 2023 Document Date: 04/14/2023 NEW
- Mercy Care EFT/ERA Registration Services Document Date: 04/13/2023 NEW
- Learn how to use GrantConnect to Apply for AHCCCS ARP Program Award Document Date: 04/12/2023 NEW
- Federal Block Grant Out-of-Home Services Document Date: 04/11/2023 NEW
- Beyond Labels: Reducing Stigma Related to Maternal Mental Health and Substance Use Disorder Document Date: 04/10/2023 NEW
- AHCCCS Update - ARP Program Awards Webinar Document Date: 04/07/2023 NEW
- AHCCCS Update: New Award System for HCBS Services in Arizona Document Date: 04/05/2023 NEW
- Updated Ambulatory Medical Records Review (AMRR) Tools Document Date: 04/04/2023 NEW
- Social Determinants of Health Diagnosis Code Billing Reminder Document Date: 03/31/2023
- Mercy Care Provider Manual March 2023 Update Document Date: 03/28/2023
- 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
- Claim Date Span Requirements Document Date: 02/23/2023
- Grievance and Appeals New Fax Number Document Date: 02/22/2023
- Appointment Availability Audit Notice Document Date: 02/15/2023
- Psychiatry for Non-Psychiatrists Conference Document Date: 02/14/2023
- Let's Rise Initiative from the CDC Document Date: 02/13/2023
- Reporting Suspicious Activities Document Date: 02/09/2023
- 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 DCS CHP EPSDT Update Document Date: 01/23/2023
- 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
- AHCCCS Alerts Members to Target Activity Document Date: 01/06/2023
- Respecting Member Rights Document Date: 01/02/2023
- The Availity Provider Portal is now open to Mercy Care Providers Document Date: 12/22/2022
- Upcoming Employment Webinars Document Date: 12/12/2022
- Lancets: One Touch Now Preferred Document Dare: 12/01/2022
- New Subacute Detox Admission Form Document Date: 11/22/2022
- Behavioral Health Medical Records Review Audits - On Hold Document Date: 11/15/2022
- DME Required Modifiers Document Date: 11/15/2022
- Additional information for the Request for Information for Pediatric Clinic Document Date: 11/15/2022
- New Prepayment Policies Document Date: 11/10/2022
- AHCCCS Pharmacy Benefit Exclusions Document Date: 10/31/2022
- QuitLine Provider Transition Document Date: 10/31/2022
- Synagis Billing Instructions Document Date: 10/31/2022
- Additional Information for the Request for Information for Pediatric Clinic Document Date: 10/25/2022
- DCS CHP Psychiatric Acute Care Services - Outpatient and Inpatient Assessment Forms Update Document Date: 10/20/2022
- Claim Dispute Reminder - October 2022 Document Date: 10/19/2022
- Acute Skilled Nursing (SNF) Authorization Process Change Document Date: 10/18/2022
- Request for Information for Pediatric Clinic Document Date: 10/18/2022
- AHCCCS to Start 10-month Process to Disenroll Non-Compliant Providers Document Date: 10/14/2022
- AHCCCS Receives Federal Approval of 5-Year Waiver Renewal Document Date: 10/14/2022
- Mercy Care Provider Manual October 2022 Update Document Date: 10/03/2022
- EPSDT Evaluation and Management Details Document Date: 09/27/2022
- AHCCCS EVV Notice - Timeline for Hard Edits Extended to January 1, 2023 Document Date: 09/26/2022
- Level 1 Competency ACOM 447 Employment Webinars Document Date: 09/22/2022
- On-line Provider Directory accuracy reminder September 2022 Document Date: 09/09/2022
- Update on Multiple Communicable Diseases Document Date: 09/07/2022
- Early Childhood Learning Intensity Instrument (ECLII) Training and Utilization Document Date: 09/02/2022
- Grievances for Specialty Transportation Providers Document Date: 08/29/2022
- Update to the Mercy Care Children's Network - Final Revision Document Date: 08/26/2022
- Claims Mailing Address for Mercy Care DCS CHP Document Date: 08/25/2022
- Cotiviti COB for Medicare Primary Members Document Date: 08/24/2022
- Non-Title XIX/XXI Behavioral Health Services (Mental Health and/or Substance Use) Document Date: 08/23/2022
- Biosimilar Changes Effective 9/1/2022 Document Date: 08/18/2022
- Metabolic Monitoring for Childhood and Adolescents on Antipsychotics Document Date: 08/17/2022
- Change in Requirements for Assigned Behavioral Health Clinic for Out of County Placed DCS CHP Enrolled Youth Document Date: 08/17/2022
- Transition from Organizational to Individual Credentialing for Therapy Providers Document Date: 08/17/2022
- AHCCCS Housing Program Guidebook - July 2022 Document Date: 08/08/2022
- Prior Authorization: Therapy and Home Health Request Form Update Document Date: 08/08/2022
- AHCCCS EVV Notification - Timeline for Hard Edits Document Date: 7/28/2022
- AHCCCS Planning for the End of the Public Health Emergency Document Date: 07/21/2022
- Mercy Care Provider Manual July 2022 Update Document Date: 07/08/2022
- Outpatient Rehabilitation Therapy Modifiers Document Date: 06/29/2022
- Augmentative and Alternative Communication (AAC) devices for members in a BHRF Document Date: 06/28/2022
- Where to find important pharmacy information Document Date: 06/23/2022
- Removal of Audit Holds Document Date: 06/22/2022
- Utilization Management Document Date: 06/21/2022
- Suicide Prevention Lifeline - 988 Document Date: 06/20/2022
- 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
- Eyeglass Replacements/Repairs for Members Covered by EPSDT Document ate: 06/02/2022
- AHCCCS Provider Participation Modifier Deadline Extended to October 1, 2022 Document Date: 06/02/2022
- 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
- Preventive Codes for EPSDT Visits Document Date: 05/18/2022
- Emergent Behavior Health Referrals for Children Process Document Date: 05/17/2022
- Grievances, Disputes and Appeals Mailing Address Document Date: 05/12/2022
- AHCCCS Update - "Get Ready to Renew" Messaging Toolkit Document Date: 05/10/2022
- Non-Emergency Transportation - Pick-up/Drop-off Location Updates Document Date: 05/06/2022
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Archived Notices
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- Prior Authorization process change for Mercy Care - Updated Links Document Date: 04/28/2022
- 2022 Prevention and Wellness Outreach Manual is now available Document Date: 04/27/2022
- AHCCCS Public Health Emergency (PHE) Unwinding Resource Web Page Document Date: 04/26/2022
- Change in requirements for DCS CHP enrolled youth Document Date: 04/25/2022
- ClaimCheck transitions to ClaimsXten Document Date: 04/22/2022
- Mercy Care provider webinars offered in April and May 2022 Document Date: 04/11/2022
- Reminder: Two new oral agents to treat COVID-19 Document Date: 04/11/2022
- AHCCCS Update - Participating provider information requirement effective June 1, 2022 Document Date: 04/05/2022
- Single Statewide Crisis Phone Vendor Document Date: 04/01/2022
- AHCCCS Update - Non-Emergency Medical Transportation (NEMT) Recertification Training Document Date: 03/31/2022
- Workforce Development Provider Focus Group Document Date: 03/28/2022
- Eyeglass Coverage Document Date: 03/17/2022
- Mercy Care DCS CHP - Eyeglass Coverage Document Date: 03/15/2022
- Telehealth Changes Document Date: 03/08/2022
- AHCCCS Behavioral Health Clinic Chart Audit Process Tool Document Date: 03/07/2022
- Invitation to Respond: Statewide Crisis Phoneline Vendor Update Document Date: 03/02/2022
- Genetic Testing - Experimental, Investigational and Unproven (EIU) Document Date: 03/01/2022
- Upcoming Clinical, Payment and Coding Policy Position Document Date: 03/01/2022
- Behavioral Health Clinic Chart Audit Process Document Date: 02/17/2022
- Health Coach Pilot Program Announced 2/8/2022 Document Date: 02/24/2022
- AHCCCS Update - Employment Differential Adjusted Payment (DAP) Opportunity Document Date: 02/24/2022
- Invitation to Respond: Statewide Crisis Phoneline Vendor Document Date: 02/18/2022
- Mercy Care Provider Manual February 2022 Update Document Date: 02/17/2022
- Mercy DCS CHP - EPSDT Requirements Document Date: 02/10/2022
- Medicaid Arizona Regulatory Compliance Addendum CYE22 Document Date: 02/14/2022
- Mercy Care Provider Outreach Manual: Select HEDIS, CMS Core, and CMS Star Measures - February 2022 Document Date: 02/14/2022
- Mercy DCS CHP - EPSDT
- AHCCCS Update - Electronic Visit Verification (EVV) Differential Adjusted Payment (DAP) Document Date: 02/09/2022
- AHCCCS Update - Abuse & Neglect Prevention Task Force Document Date: 02/02/2022
- AHCCCS Update - Second request for AHCCCS Providers to re-register Document Date: 01/26/2022
- 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
- Checking Eligibility for DCS CHP Members Document Date: 01/14/2022
- On-Demand Video Remote Interpreting (VRI) at Mercy Care Document Date: 01/11/2022
- Mercy Care is enhancing its editing process from SNIP Level 2 up to SNIP Level 4 process validation Document Date: 01/05/2021
- 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
- AHCCCS EVV Updates December 2021 Document Date: 12/16/2021
- Updated Interpretive Service Changes at Mercy Care Document Date: 12/20/2021
- Claim Dispute Update Document Date 12/17/2021
- Provider Manual December 2021 Update Document Date: 12/10/2021
- Non-Emergency Transportation - Pick-up and Drop-off Locations Document Date: 12/09/2021
- Billing Requirement Change for IC, 77 and 05 Provider Types Document Date: 12/08/2021
- Updated Effective Date for Encounter Edit for CTDS Coding for School Based Services Document Date: 12/03/2021
- AHCCCS Provider Enrollment Portal (APEP) Re-registration vs. Revalidation Document Date: 12/03/2021
- CDC Alert for In-Office Lead Screening for Members Document Date: 12/03/2021
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CHP AHCCCS Minimum Subcontract Addendum
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- Minimum Subcontract Provisions Effective October 1, 2021
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CHP Regulatory Compliance Addendum