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.


New Subacute Detox Admission Form Document Date:  11/22/2022  NEW 

Additional information for the Request for Information for Pediatric Clinic  Document Date: 11/15/2022  

New Prepayment Policies Document Date: 11/10/2022  NEW

AHCCCS Pharmacy Benefit Exclusions  Document Date: 10/31/2022  

QuitLine Provider Transition  Document Date: 10/31/2022  

Additional Information for the Request for Information for Pediatric Clinic  Document Date: 10/25/2022  

Synagis Billing Instructions  Document Date: 10/31/2022  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 Dtae: 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 

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 Provider Manual July 2022 Update Document Date: 07/08/2022 

Share of Cost Document Date: 07/08/2022 

Outpatient Rehabilitation Therapy Modifiers Document Date: 06/29/2022 

Augmentative and Alternative Communications (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 

Augmentative and Alternative Communication (AAC) Benefit  Document Date: 06/13/2022 

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: 06/09/2022 

Reminder: 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 

American Rescue Plan Act 2021 (ARPA) Document Date: 05/24/2022 

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:  02/28/2022 

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   

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 

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 

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 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 Dcoument 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 Lean 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  

Subacute Detox Admission Form Document Date: 10/12/2021  

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  

Opioid Use Disorder Real-Time Service Availability Locator Document Date: 10/22/2021  

Unique Tucson Effort to Bolster Direct Care Workforce Document Date:  10/13/2021  

CMS Extension of 1115 Waiver Authority Document Date: 10/04/2021  

Statewide Housing Administrator 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  

COVID-19 Vaccine Flyer for Members Document Date: 09/21/2021  

Transition to Statewide Housing Administrator Effective October 1, 2021 Document Date: 09/17/2021  

Provider Relief Phase 4 and ARPA Rural Funding Opens September 29, 2021 Document Date: 09/16/2021  

Minimum Subcontract Provisions Effective October 1, 2021  Document Date: 09/16/2021  

CMS Update - Expanded Vaccine Requirements for Providers Document Date: 09/16/2021  

AHCCCS EVV Updates Document Date: 09/14/2021  

Addressing Adolescent & Young Adult Depression in Primary Care  Document Date: 09/14/2021  

Ambulance ADHS Rates Document Date: 09/08/2021  

Provider Manual August 2021 Update Document Date: 09/03/2021  

Potential shortage of Lead Testing kits Document Date: 08/26/2021  

Novalog and Humalog Insulins Document Date: 08/27/2021  

Pfizer-BioNTech COVID-19 Vaccine now FDA approved Document Date: 08/26/2021  

Children's Behavioral Health Services Fund Document Date: 08/23/2021  

COVID-19 Vaccine Event by Touchstone Document Date: 08/18/2021  

New AzAHP Credentialing Forms for 2021 Document Date: 08/16/2021  

AHCCCS Notice - COVID-19 Vaccine Fee-for-Service Administration Rates Increase Document Date: 08/13/2021  

Synagis (palivizumab) injections 2021-2022 season Document Date: 08/12/2021  

AHCCCS Notice - Renters Assistance is Available to Help Renters and Landlords Document Date: 08/12/2021  

Introducing PYX Health for our Members Document Date:  08/04/2021  

FY22 Substance Abuse Grant Funds Allocated  Document Date: 07/29/2021  

FY22 Mental Health Block Grant Funds Allocated Document Date: 07/29/2021  

Senate Bill 1388 - Delivery of Respite Services Document Date: 07/23/2021  

Prior Authorization Form for Substance Use Residential Document Date: 07/22/2021  

Coming Soon - new electronic contract management system - APTTUS New 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 Announcement: CALOCUS and LOCUS licensing Document Date: 06/08/2021  

Mercy Care Relocation Document Date:  06/01/2021  

Perinatal mental health webinars Document Date: 06/01/2021  

Provider Manual April 2021 Update Document Date: 05/14/2021  

Behavioral Health Residential Facilities  Document Date: 05/20/2021  

AHCCCS extends ROPA registration through public health emergency Document Date: 05/28/2021  

Regulatory Compliance Addendums (CYE2021) Effective 10/01/2020 Document Date: 05/07/2021  

Nursing Home Project ECHO Training Events Document Date: 05/07/2021  

Person-Centered Service Planning Document Date: 04/30/2021  

Billing claims for an outpatient date span Document Date 04/29/2021  

2021 AHCCCS Provider Survey Document Date: 04/26/2021  

Continuous Glucose Monitoring Document Date: 04/20/2021  

Verifying Member Eligibility Document Date: 04/14/2021  

ClaimConnect is Getting an Upgrade! Document Date: 04/09/2021  

Differential Adjusted Payment CYE 2021 and HIE SDOH Incentive April 2021 Update Document Date: 04/05/2021  

Children's System of Care Deliverables Document Date: 04/05/2021  

ADHS - Newborn Screening results Document Date: 04/06/2021  

AHCCCS Electronic Visit Verification March 2021 Updates  Document Date:  03/19/2021  

AHCCCS Notice - COVID-19 Vaccine Administration Billing Guidelines Update Document Date: 03/17/2021  

AHCCCS Notice - COVID-19 Vaccine Administration Billing Guidelines  Document Date: 03/04/2021