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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Complete Care Current Notices
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- Medicaid resumes regular renewal process beginning April 1, 2023 Document Date: 02/07/2023 NEW
- 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
- Dual Members - Non-Covered Medicare Services and Provider Types Document Date: 01/13/2023 NEW
- Utilization Management Document Date: 01/11/2023 NEW
- AHCCCS Alerts Members to Target Activity Document Date: 01/06/2023 NEW
- Respecting Member Rights Document Date: 01/02/2023 NEW
- 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 Date: 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
- 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
- Mental Health Block Grant Funds for Individuals with Serious Emotional Disturbance (SED) 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
- 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
- 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: 07/28/2022
- AHCCCS Planning for the End of the Public Health Emergency Document Date: 07/21/2022
- Mercy Care Providers Manual July 2022 Update Docuemnt 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: 06/22/202
- Utilization Management Document Date: 06/21/2022
- Suicide Prevention Lifeline - 988 Document Date: 06/20/202
- 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: 06/09/202
- Reminder: 2022 Mercy Care Honor event Document Date: 06/09/2022
- Eyeglass Replacements/Repairs for Members Covered by EPSDT Document Date: 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
- Prior Authorization process change for Mercy Care - Updated Link Document Date: April 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
- ClaimCheck transitions to ClaimsXten Document Date: 04/22/2022
- Mental Health Block Grant (MHBG) covered services and prohibited expenditures Document Date: 04/15/2022
- Mercy Care provider webinars 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
- 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 or 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: 02/18/2022
- AHCCCS Update - Abuse & Neglect Prevention Task Force Document Date: 02/02/2022
- 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
- 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
- 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: 01/05/2022
- 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
- AHCCCS EVV Updates December 2021 Dcument 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
- Pharmacy 90 Day Supplies on Chronic Medications Document Date: 12/03/2021
- Updated Effective Date for New 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
- New Encounter Edit for CTDS Coding for School Based Services Effective 1/1/2022 Document Date: 11/19/2021
- Aetna Family Planning New P.O. Box Address and Vendor for Paper Claim and Claim Correspondence Effective 1/14/2022 Document Date: 11/12/2021
- Mercy Care New P.O. Box Address and Vendor for Paper Claim and Claim Correspondence Effective 1/14/2022 Document Date: 11/12/2021
- CALOCUS Communication Document Date: 10/12/2021
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Complete Care Archived Notices
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- AHCCCS Pharmacy Benefit Exclusions - ACC, DD, ACC-RBHA, LTC, DCS CHP
- QuitLine Provider Transition - ACC, DD, ACC-RBHA, LTC, MCA
- Additional Information for the Request for Information for Pediatric Clinic - ACC, LTC, ACC-RBHA, DD, DCS CHP
- Synagis Billing Instructions - ACC, LTC, DD, DCS CHP
- Recovery center offers medical care to opioid-exposed newborns Document Date: 02/26/2021
- AHCCCS Bed Capacity Survey - Behavioral Health Residential Facilities and Residential Treatment Centers Document Date: 02/25/2021
- On-line Provider Directory accuracy reminder Document Date: 02/10/2021
- Electronic Visit Verification (EVV) Post-Live Updates Document Date: 02/08/2021
- HHS Announces Provider Relief Fund Reporting Portal Registration Document Date: 01/29/2021
- 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
- Pandemic Volunteer Opportunities Document Date: 01/04/2021
- AHCCCS PA and CR Standards - COVID-19 Document Date: 12/22/2020
- 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
- Therapeutic Foster Care for Children and Adult Behavioral Health Homes Document Date: 12/18/2020
- Pandemic Vaccine Provider Onboarding Tool Document Date: 12/08/2020
- Differential Adjusted Payment (DAP) CYE 2021 Document Date: 12/07/2020
- Emergency Solutions Grant (ESG) - Homeless Prevention Funding Update Document Date: 12/03/2020
- Virtual Doctors' Lounge Flyer Document Date: 12/02/2020
- Mercy Care Fee Schedules Updated - 11/13/2020 Document Date: 11/13/2020
- Referring, Ordering, Prescribing, Attending (ROPA) - new registration deadline Document Date: 11/10/2020
- AHCCCS Update - Electronic Visit Verification (EVV) Document Date: 11/05/2020
- COVID-19 Vaccine Distribution Planning Document Date 11/05/2020
- 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
- Deliverable Suspension - Behavioral Health Clinical Chart Audit Findings/Summary Document Date: 10/28/2020
- 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
- Behavioral Health Covered Services Provider Reference Guide Document Date: 09/02/2020
- AHCCCS Notice - Electronic Visit Verification readiness activities Document Date: 8/26/2020
- 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: 08/18/2020
- FY21 Substance Abuse Grant Funds allocated update Document Date: 08/14/2020
- HHS Webinar for Provider Relief Fund - August 28, 2020 Document Date: 08/14/2020
- AHCCCS Provider Enrollment Portal (APEP) launches August 31, 2020 Document Date: 08/13/2020
- New ABA Fee Schedule Document Date: 08/13/2020
- Preferred Interpreter Document Date: 07/24/2020
- HHS Provider Relief Fund application date extended to August 3 Document Date: 07/22/2020
- Prior Authorization Changes Effective 08/01/2020 Correction Correction Document Date: 07/14/2020
- Behavioral Health Residential Facility (BHRF) Documentation and Billing Document Date: 07/10/2020
- Prior Authorization Changes Effective 08/01/2020 Document Date: 07/10/2020
- Arizona Regulatory Compliance Addendum Document Date: 07/07/2020
- HHS Webinar for Provider Relief Fund - July 8, 2020 Document Date: 07/02/2020
- Home assessment authorization requirements for Power Mobility Devices and Manual Wheelchairs Document Date: 06/29/2020
- Follow-Up after Crisis Event Document Date: 06/24/2020
- HHS Webinar for Provider Relief Fund Document Date: 06/22/2020
- New Process - Child and Adolescent BHIF, BHRF and TFH Prior Authorization Document Date: 06/19/2020
- New Process - Adult Behavioral Health Residential Facilities (BHRF) Prior Authorization Document Date: 06/19/2020
- Governor's Office Awards $375K to Arizona Programs Supporting and Serving Victims of Child Abuse and Neglect Document Date: 06/19/2020
- Electronic Prescribing of Controlled Substances (EPCS) Click for Control trainings available Document Date: 06/17/2020
- HHS Announces Enhanced Provider Portal, Relief Fund Payments for Safety Net Hospitals, Medicaid and CHIP Providers Document Date: 06/17/2020
- AHCCCS Notice - Electronic Visit Verification webinar clarification Document Date: 06/15/2020
- CVS no-cost COVID-19 testing Document Date: 06/11/2020
- Lifewell Behavioral Wellness Clinic Transition Document Date: 06/08/2020
- AHCCCS Notice - Differential Adjusted Payments effective 10/01/2020-09/30/2021 Dates of Service Document Date: 06/08/2020
- Advance Directives and End of Life Care Provider Reference Guide Document Date: 05/26/2020
- COVID-19 - Non-emergency transportation Document Date: 05/22/2020
- AHCCCS Notice - Provider Enrollment Portal (APEP) Postponement Document Date: 05/21/2020
- AHCCCS Notice - Electronic Visit Verification Postponement Document Date: 05/21/2020
- COVID-19 Fraud Prevention Document Date: 05/15/2020
- COVID-19 Uninsured Program Portal Document Date: 05/12/2020
- Eviction Moratorium Document Date: 05/08/2020
- Prior Authorization Form for Applied Behavioral Analysis (ABA) CPT Codes Document Date: 04/29/2020
- 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
- AHCCCS Communication - Provider Enrollment (APEP) Update Document Date: 04/09/2020
- Federal CARES Act Notification Document Date: 04/02/2020
- Collaborate with Mercy Care regarding Telehealth/Telemedicine Document Date: 03/27/2020
- Electronic Visit Verification (EVV) Update Document Date: 03/23/2020
- 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 Precautions and Justice-Involved Members Document Date: 03/17/2020
- COVID-19 Important Updates for Providers Document Date: 03/13/2020
- Vaccine for Children (VFC) Important Information Document Date: 02/27/2020
- Mercy Care's Online Prior Authorization Search Tool Document Date: 02/21/2020
- Paper and electronic (835) remit issues Document Date: 02/21/2020
- NDC denial issue identified Document Date: 02/19/2020
- Prior Authorization for Inpatient Behavioral Health Providers Update Document Date: 02/13/2020
- AHCCCS Provider Enrollment Portal (APEP) Update Document Date: 02/10/2020
- Providers subject to EVV - Electronic Verification 1% Differential Payment Document Date: 02/06/2018
- Specialty Pharmacy Change Document Date: 01/30/2020
- TAPI: Recent outbreak of the Coronavirus Document Date: 01/23/2020
- Phone Interpretation Services - Transitioning to Language Line Reiteration Document Date: 01/22/2020
- Interpreter services Document Date: 01/10/2020
- J3145 - Injection, testosterone undecanoate Document Date: January 6, 2020
- New SABG Modifier U7 required Document Date: 01/03/2020
- AzAHP Updated Credentialing Forms Document Date: 1/2/2020
- Pharmacy Network Changes Document Date: 12/12/2019
- Data Collecting for the AZ CYE 2018 Hybrid Performance Measure Study Document Date: December 12, 2019
- Provider Enrollment Portal Update Document Date: 12/11/2019
- FY20 Substance Abuse Grant Funds Allocated Update Document Date: 12/10/2019
- Social Determinants of Health Diagnosis Code Billing Document Date: 11/21/2019
- Vaping Related Respiratory Illness Document Date: 11/20/2019
- AHCCCS APEP Project Communication Update Document Date: 11/18/2019
- Opioid Treatment Program (OTP) Requirements Document Date: 11/12/2019
- Phone Interpretation Services - Transitioning to Language Line Document Date: 11/11/2019
- FAQs - Applied Behavioral Health Analysis (ABA) CPT Codes Document Date: 11/04/2019
- Electronic Visit Verification (EVV) Document Date: 10/30/2019
- Physical Therapy Documentation Requirements Document Date: 10/30/2019
- Acute Skilled Nursing Facility authorization process change effective 11/01/2019 Document Date: 10/25/2019
- Differential Adjusted Payment (DAP) Document Date: 10/23/2019
- Prior Authorization for Applied Behavioral Analysis (ABA) CPT Codes Document Date: 10/01/2019
- Electronic prescribing of controlled substances Document Date: 09/19/2019
- Waiver of Crisis Claims Timeliness Requirements Document Date: 09/12/2019
- Provider Vaccine Booklet Document Date: 09/06/2019
- AHCCCS Quality Management System (QMS) Web Portal Application Reminder Document Date: 08/26/2019
- Provider Types 77, IC and 05 - new provider billing requirements Document Date: 08/14/2019
- Mercy Care methodology for Behavioral Health intake medical records Document Date: 08/08/2019
- Interpretation services completed in a physician's office Document Date: 08/08/2019
- Oxford House offering sober living options in Maricopa County Document Date: 08/06/2019
- Appropriate billing for T1016 - Case Management - Revised Document Date: 08/06/2019
- American Society of Addiction Medicine (ASAM) CONTINUUM Tool Document Date: 08/05/2019
- Allergy Services Document Date: 08/02/2019
- ProPat is now available Document Date: 07/26/2019
- Enhanced Clinical Editing Process Document Date: 07/23/2019
- Prior Authorization Required for Specific J Codes Document Date: 7/18/2019
- Behavioral Health Residential Facility Requirements Document Date: 07/11/2019
- Home Visit Resources in Arizona Document Date: 07/11/2019
- New Reference Material Updates - Crisis/State-Only Membership Services Online and Non-Title Enrollment Document Date: 6/14/2019
- Notification of admissions at Sub-Acute facility Document Date: 6/13/2019
- Health Advisory – Hepatitis A in Arizona Provider Notification from ADHS Document Date: 6/13/2019
- HCPCS H0038-GT performed in a Telehealth location Document Date: 6/7/2019
- AHCCCS Medical Coding Resources Document Date: 6/7/2019
- Prior Authorization for Residential Substance Abuse for Adults Document Date: 6/7/2019
- EPSDT Standards and Tracking Forms Document Date: 5/20/2019
- Update: AHCCCS Electronic Visit Verification Provider Survey-Due Date: 5/28/2019 Document Date: 05/20/2019
- Pharmacy Changes Effective May 1, 2019 Document Date: 05/17/2019
- UPDATE: AHCCCS Electronic Visit Verification Provider Survey Document Date: 05/03/19
- Mandatory use of OPI or VRI for interpretation sessions one hour or less Document Date: 05/03/19
- Non-Emergency Transportation - trips over 100 miles and multi-leg trips Document Date: 04/15/19
- Implementation date change - Notification of change to inpatient claim submission requirements Document Date: 03/28/19
- Acute Skilled Nursing Facility authorization process change Document Date: 3/19/19
- Online Provider Directory accuracy Document Date: 3/19/19
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Complete Care AHCCCS Minimum Subcontract Provisions
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- Mercy Care Minimum Subcontract Provisions Effective 10/01/2021
- Mercy Care Minimum Subcontract Provisions Effective 10/01/2020
- Mercy Care Plan Minimum Subcontract Provisions Effective 10/01/2017
- Mercy Care Plan Minimum Subcontract Provisions Effective 10/01/2016
- Mercy Care Plan Minimum Subcontract Provisions Effective 07/01/2016
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Medicaid Regulatory Compliance Addendum
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- Mercy Care Regulatory Compliance Addendum CYE 2021
- Regulatory Compliance Addendum Effective Date: 10/01/2019