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 available on our website 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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DD Current Provider Notices
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- Differential Adjusted Payment CYE 2021 and HIE SDOH Incentive April 2021 Update Document Date: 04/05/2021 NEW
- Children's System of Care Deliverables Document Date: 04/05/2021 NEW
- ADHS - Newborn Screening results Document Date: 04/06/2021 NEW
- AHCCCS Electronic Visit Verification March 2021 Updates Document Date: 03/19/2021 NEW
- AHCCCS Notice - COVID-19 Vaccine Administration Billing Guidelines Update Document Date: 03/17/2021 NEW
- AHCCCS Notice - COVID-19 Vaccine Administration Billing Guidelines Document Date: 03/04/2021 NEW
- AHCCCS Bed Capacity Survey - Behavioral Health Residential Facilities and Residential Treatment Centers Document Date: 02/25/2021 NEW
- On-line Provider Directory accuracy reminder Document Date: 02/10/2021 NEW
- Electronic Visit Verification (EVV) Post-Live Updates Document Date: 02/08/2021 NEW
- HHS Announces Provider Relief Fund Reporting Portal Registration Document Date: 01/29/2021 NEW
- Social Determinants of Health Diagnosis Code Billing for 2021 Document Date: 01/28/2021 NEW
- Referring, Ordering, Prescribing, Attending (ROPA) Provider Updates Document Date: 01/28/2021 NEW
- Pandemic Volunteer Opportunities Document Date: 01/04/2021 NEW
- AHCCCS PA and CR Standards - COVID-19 Document Date: 12/22/2020 NEW
- AHCCCS Notice - Phase 1A of COVID-19 Vaccine arrives in Arizona Document Date: 12/18/2020 NEW
- Healthcare Workers receiving the COVID-19 Vaccine Document Date: 12/18/2020 NEW
- Therapeutic Foster Care for Children and Adult Behavioral Health Homes Document Date: 12/18/2020 NEW
- Pandemic Vaccine Provider Onboarding Tool Document Date: 12/08/2020 NEW
- Differential Adjusted Payment (DAP) CYE 2021 Document Date: 12/07/2020 NEW
- Virtual Doctors' Lounge Flyer Document Date: 12/02/2020 NEW
- Mercy Care Fee Schedules Updated - 11/13/2020 Document Date: 11/13/2020 NEW
- Referring, Ordering, Prescribing, Attending (ROPA) - new registration deadline Document Date: 11/10/2020 NEW
- AHCCCS Update - Electronic Visit Verification Document Date: 11/05/2020 NEW
- COVID-19 Vaccine Distribution Planning Document Date: 11/05/2020 NEW
- Recently rejected claims resolution Document Date: 11/04/2020 NEW
- CARES Act Provider Relief Fund - Phase 3 - Revision Document Date: 11/03/2020 NEW
- E-mail Encryption User Guide Document Date: 11/02/2020 NEW
- New Ransomware Attacks - be careful of phishing e-mails Document Date: 10/30/2020 NEW
- Deliverable Suspension - Behavioral Health Clinical Chart Audit Findings/Summary Document Date: 10/28/2020 NEW
- Referring, Ordering, Prescribing, Attending (ROPA) - AHCCCS provider registration Document Date: 10/12/2020 NEW
- Letter from DDD to PCP's: Certified Plan of Care for ongoing Therapy Services Document Date: 10/06/2020 NEW
- Synagis (palivizumab) injections 2020 - 2021 season Document Date: 10/02/2020 NEW
- Negative Balance Collection Remittance Update Document Date: 10/02/2020 NEW
- Provider Manual October 2020 Update Document Date: 10/01/2020 NEW
- Workforce Development Training and Resource Site Document Date: 09/24/2020 NEW
- ProPat reminder Document Date: 09/23/2020 NEW
- Radiology Network Change Update Document Date: 09/23/2020 NEW
- Flu Vaccinations for the 2020-2021 Flu Season Document Date: 09/11/2020 NEW
- Behavioral Health Covered Services Provider Reference Guide Document Date: 09/02/2020 NEW
- AHCCCS Notice - Electronic Visit Verification readiness activities Document Date: 08/26/2020 NEW
- Accessing the Gaps in Care Reports within Provider Deliverable Manager Document Date: 08/24/2020 NEW
- Licensed Arizona Dentists - Request Your Free PPE by 08/31/2020 Document Date: 08/19/2020 NEW
- HHS Webinar for Provider Relief Fund - August 28, 2020 Document Date: 08/14/2020 NEW
- AHCCCS Provider Enrollment Portal (APEP) launches August 31, 2020 Document Date: 08/13/2020 NEW
- New ABA Fee Schedule Document Date: 08/13/2020 NEW
- 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 Document Date: 07/14/2020
- Behavioral Health Resid/0ential Facility (BHRF) Documentation and Billing 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 Website 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: 06/18/2020
- 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
- CARE ACT Funding Document Date: 04/23/2020
- COVID-19 - Mercy Care Claims 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
- Provider Manual February 2020 Update Document Date: 03/02/2020
- 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 Authoirzation for Inpatient Behavioral Health Provider 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: 02/06/2020
- Specialty Pharmacy Change Document Date: 01/30/2020
- Certified Plan of Care (POC) for therapy services Document Date: 01/29/2020
- TAPI: Recent outbreak of the Coronoavirus Document Date: 01/23/2020
- Phone Interpretation Services - Transitioning to Lanugage Line Reiteration Document Date: 01/22/2020
- On-line Provider Directory accuracy reminder Document Date: 01/15/2020
- Interpreter services Document Date: 01/10/2020
- J3145 - Injection, testosterone undecanoate Document Date: 01/06/2020
- AzAHP Updated Credentialing Forms Document Date: 01/02/2020
- Preventive Pediatric Services Document Date: 12/12/2019
- Pharmacy Network Changes Document Date: 12/12/2019
- Data Collection for the AZ CYE 2018 Hybrid Performance Measure Study Document Date: 12/12/2019
- Provider Enrollment Portal Update Document Date: 12/12/2019
- Memorandum from The Division of Developmental Disabilities Document Date: 11/21/2019
- Social Determinants of Health Diagnosis Code Billing Document Date: 11/20/2019
- St. Luke's Medical Center to Close Document Date: 11/20/2019
- 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 changed effective 11/01/2019 Document Date: 10/25/2019
- Differential Adjustment 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
- Synagis (palivizumab) injections Document Date: 09/10/2019
- 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
- AzAHP Forms for Credentialing Document Date: 08/12/2019
- 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
- Prescription for Change Opioid Conference Document Date: 08/08/2019
- Oxford House offering NEW sober living options in Maricopa County Document Date: 08/06/2019
- Appropriate billing for T1016 - Case Management 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: 7/18/19
- Behavioral Health Residential Facility Requirements Document Date: 07/11/2019
- Home Visit Resources in Arizona Document Date: 07/11/2019
- Health Advisory – Hepatitis A in Arizona Provider Notification from ADHS Date: 6/13/2019
- HCPCS H0038-GT performed in a Telehealth location Date: 6/7/2019
- AHCCCS Medical Coding Resources Date: 6/7/2019
- Prior Authorization for Residential Substance Abuse for Adults Date: 6/7/2019
- Timely filing reduction Date: 5/28/2019
- EPSDT Standards and Tracking Forms Date: 5/20/2019
- Update: AHCCCS Electronic Visit Verification Provider Survey-Due Date: 5/28/2019
- Pharmacy Changes Effective May 1, 2019
- UPDATE: AHCCCS Electronic Visit Verification Provider Survey Date: 05/03/19
- Mandatory use of OPI or VRI for interpretation sessions one hour or less Date: 05/03/19
- Non-Emergency Transportation - trips over 100 miles and multi-leg trips Date: 04/15/19
- Mercy Care wins statewide BH/PH Integrated DDD contract Date: 04/03/19
- Implementation date change - Notification of change to inpatient claim submission requirements Date: 3/28/19
- Acute Skilled Nursing Facility authorization process change Date: 3/19/19
- Online Provider Directory accuracy Date: 3/19/19
- Public Health Agencies announced confirmed measles case in Pima County Date: 3/18/19
- Addressing the increase of Syphilis in Arizona Date: 2/9/19
- Notification of Change to Inpatient Submission Requirements Date: 1/30/19
- Member Handbook Updates Date:1/17/2019
- Billing Mercy Care Advantage and Mercy Care members for non-covered services Date:1/17/2019
- Effective approach to submit attachments to claim resubmissions Date: 12/19/2018
- Split-billing - non-emergency transportation Document Date: 12/19/2018
- Services Allowed in Place of Service 03 - School Document Date: 12/12/2018
- Dual eligibility - MCA cost sharing and coordination of benefits Document Date: 11/30/2018
- Action Alert - Impending opioid e-presribing mandate guidance Document Date: 10/16/2018
- Alternative non-emergency transportation billing Document Date: 10/31/2018
- Consolidation of Site IDs and Health Plan IDs Document Date: 10/18/2018
- Electronic Fund Transfer (EFT) - Contact Information Change Document Date: 10/02/2018
- Formulary Change Effective 7/1/18 for Mercy Care Opens In New Window Document Date: 06/29/2018
- Important provider notice regarding AHCCCS eligibility and enrollment Document Date: 09/19/2018
- Lorry Bottrill - President and CEO of Mercy Care Opens In New Window Document Date: 10/08/2018
- Mercy Care Medication Assisted Treatment (MAT) service providers Document Date: 10/04/2018
- Obstetric Billing Document Date: 10/18/2018
- Pharmacy is offering electronic prior authorization (ePA) Document Date: 11/02/2018
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DD Archived Provider Notices
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- Action Alert - Impending opioid e-presribing mandate guidance Document Date: 10/16/2018
- Alternative non-emergency transportation billing Document Date: 10/31/2018
- Arizona State Immunization Information System (ASIIS) Document Date: 12/18/2018
- Consolidation of Site IDs and Health Plan IDs Document Date: 10/18/2018
- Electronic Fund Transfer (EFT) - Contact Information Change Document Date: 10/02/2018
- Formulary Change Effective 7/1/18 for Mercy Care Opens In New Window Document Date: 06/29/2018
- Important provider notice regarding AHCCCS eligibility and enrollment Document Date: 09/19/2018
- Lorry Bottrill - President and CEO of Mercy Care Opens In New Window Document Date: 10/08/2018
- Mercy Care Medication Assisted Treatment (MAT) service providers Document Date: 10/04/2018
- Obstetric Billing Document Date: 10/18/2018
- 2017 AHCCCS Provider Survey Document Date: 12/04/2017
- 5-day supply limit of prescription opioid e-prescribing mandate guidance Document Date: 11/27/2017
- AHCCCS Complete Care Award Document Date: 05/03/2018
- Behavioral health treatments by PCPs Document Date: 04/30/2018
- Change in prior authorization requirements Document Date: 01/12/2018
- Discarded physician-administered medications Document Date: 01/18/2018
- Infusion network change Document Date: 03/02/2018
- Non-emergency transportation program integrity review Document Date: 04/03/2018
- Non-emergent transportation - documentation required for trips 100 miles or more Document Date: 01/10/2018
- Oxycontin formulary removal effective 1/1/2018 Opens In New Window Document Date: 11/27/2017
- Parsabiv and Sensipar - approval for renal dialysis services Document Date: 01/05/2018
- Post Office box change for refunds Document Date: 02/01/2018
- Provider Manual Updates - July 2018 Opens In New Window Document Date: 07/02/2018
- Smoke-free HUD public housing policy Document Date: 02/22/2018
- Social Determinants of Health - NORC study Document Date: 03/09/2018
- Use of Social Determinants of health codes for member outcomes update Document Date: 02/08/2018
- Void Request Document Date: 04/06/2018
- Pima County provider services after 10/01/2018 Document Date: 10/31/2018
- Prior authorization update Document Date: 09/25/2018
- Provider Manual Updates - July 2018 Opens In New Window Document Date: 07/02/2018
- Synagis - Information for 2018-2019 Document Date: 10/10/2018
- Vaccine for Children re-enrollment by June 30, 2018 Document Date: 06/08/2018
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DD AHCCCS Minimum Subcontract Provisions
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- 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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DD Regulatory Compliance Addendum
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- Regulatory Compliance Addendum Effective Date: 10/01/2019