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 Information 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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Long Term Care Current Notices
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- Arizona Regulatory Compliance Addendum Document Date: 07/07/2020 NEW
- HHS Webinar for Provider Relief Fund - July 8, 2020 Document Date: 07/02/2020 NEW
- Home assessment authorization requirements for Power Mobility Devices and Manual Wheelchairs Document Date: 06/29/2020 NEW
- HHS Webinar for Provider Relief Fund Document Date: 06/22/2020 NEW
- New Process - Adult Behavioral Health Residential Facilities (BHRF) Prior Authorization Document Date: 06/19/2020 NEW
- New Process - Child and Adolescent BHIF, BHRF and TFH Prior Authorization Document Date: 06/19/2020 NEW
- Governor's Office Awards $375K to Arizona Programs Supporting and Serving Victims of Child Abuse and Neglect Document Date: 06/18/2020 NEW
- Electronic Prescribing of Controlled Substances (EPCS) Click for Control trainings available Document Date: 06/17/2020 NEW
- HHS Announces Enhanced Provider Portal, Relief Fund Payments for Safety Net Hospitals, Medicaid and CHIP Providers Document Date: 06/17/2020 NEW
- AHCCCS Notice - Electronic Visit Verification webinar clarification Docum5ent Date: 06/15/2020 NEW
- CVS no-cost COVID-19 testing Document Date: 06/11/2020 NEW
- Lifewell Behavioral Wellness Clinic Transition Document Date: 06/08/2020 NEW
- AHCCCS Notice - Differential Adjusted Payments Effective 10/01/2020-09/30/2021 Dates of Service Document Date: 06/08/2020 NEW
- Advance Directives and End of Life Care Provider Reference Guide Document Date: 05/26/2020 NEW
- COVID-19 - Non-emergency transportation Document Date: 05/22/2020 NEW
- AHCCCS Notice - Provider Enrollment Portal (APEP) Postponement Document Date: 05/21/2020 NEW
- AHCCCS Notice - Electronic Visit Verification Postponement Document Date: 05/21/2020 NEW
- AHCCCS Notice - HCBS Differential Adjusted Payment Document Date: 05/18/2020 NEW
- COVID-19 Fraud Prevention Document Date: 05/15/2020 NEW
- COVID-19 Uninsured Program Portal Document Date: 05/12/2020 NEW
- Eviction Moratorium Document Date: 05/08/2020 NEW
- 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
- Skilled Nursing Facilities - Dialysis Patients Document Date: 04/21/2020
- COVID-19 - Mercy Care Claims Configuration Document Date: 04/21/2020
- AHCCCS Communication - COVID-19 ALTCS-EPD Retention Payments - Guidelines Document Date: 04/20/2020
- 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 Authorization for Inpatient Behavioral Health 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
- Speciality Pharmacy Change Document Date: 01/30/2020
- TAPI: Recent outbreak of the Coronavirus Document Date: 01/23/2020
- Phone Interpretation Services - Transitioning to Lanuage Line Reiteration Document Date: 01/22/2020
- Home and Community Based Settings (HCBS) Rules Document Date: 01/20/2020
- 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: 12/11/2019
- 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: 11/4/2019
- 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
- Direct Care Services - Policy Guidance regarding background check requirements effective 10/01/2019 Document Date: 09/20/2019
- Electronic prescribing of controlled substances Document Date: 09/19/2019
- AHCCCS Fee for Service (FFS) rates update for Home and Community Based Services and Nursing Facilities effective 10/01/2019 Document Date: 09/16/2019
- Synagis (palivizumab) injections Document Date: 09/10/2019
- Provider Vaccine Booklet Document Date: 09/06/2019
- AHCCCS Fee for Service (FFS) rates for Home & Community Based Services and Skilled Nursing Facilities Effective 10/01/2019 Document Date: 09/03/2019
- 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
- Interpretation services completed in a physician's office Document Date: 08/08/2019
- Prescription for Change Opioid Conference Document Date: 08/08/2019
- Awardees identified for Request for Information (RFI) Proposal for a Recruitment, Training and Job Placement Program Document Date: 08/05/2019
- 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
- Billing Appropriate rates for Home and Community Based Services Date: 06/25/2019
- 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
- Pharmacy Changes Effective May 1, 2019
- UPDATE: AHCCCS Electronic Visit Verification Provider Survey Date: 05/03/19
- AHCCCS Electronic Visit Verification Provider Survey Date: 04/24/2019
- Non-Emergency Transportation - trips over 100 miles and multi-leg trips Date: 04/15/2019
- Q&A for Optum Care Termination Date: 04/12/2019
- Mercy Care wins statewide BH/PH Integrated DDD contract Date: 04/03/19
- Optum Care Termination April 30, 2019 Date: 3/29/19
- 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
- AHCCCS Fee-For-Service (FFS) rates for HCBS and Nursing Facilities Date: 1/10/2019
- 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 Date: 12/12/2018
- Dual eligibility - MCA cost sharing and coordination of benefits Date: 11/30/2018
- Pharmacy is offering electronic prior authorization (ePA) Date: 11/02/2018
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Long Term Care Archived Notifications
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- 2017 AHCCCS Provider Survey Document Date: 12/04/2017
- 5-day supply limit of prescription opioid medications Document Date: 11/27/2017
- Action Alert - Impending opioid e-prescribing mandate guidance Date: 10/16/2018
- AHCCCS Complete Care award Document Date: 05/03/2018
- AHCCCS Complete Care message Date: 09/14/2018
- Alternative non-emergency transportation billing Date: 10/31/2018
- Arizona State Immunization Information System (ASIIS) Date: 12/18/2018
- Behavioral health inpatient admission triage line change Date: 09/14/18
- Behavioral health treatments by PCPs Document Date: 04/30/2018
- Change in prior authorization requirements Document Date: 01/12/2018
- Consolidation of Site IDs and Health Plan IDs Date: 10/18/2018
- Discarded physician-administered medications Document Date: 01/18/2018
- 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 Date: 06/29/2018
- FY19 Substance abuse block grant allocations received Date: 09/14/2018
- Gabapentin abuse Date: 07/27/2018
- Important provider notice regarding AHCCCS eligibility and enrollment Date: 09/24/2018
- Infusion network change Document Date: 03/02/2018
- Lorry Bottrill - President and CEO of Mercy Care Date: 10/08/2018
- Mercy Care Medication Assisted Treatment (MAT) service providers Date: 10/04/2018
- Mercy Care Long Term Care rate increases effective 10/1/2018 Date: 10/01/2018
- Non-emergent transportation - documentation required for trips 100 miles or more Document Date: 01/10/2018
- Non-emergency transportation program integrity review update Document Date: 04/03/2018
- Obstetric Billing Date: 10/18/2018
- 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
- Pima County provider services after 10/01/2018 Date: 10/31/2018
- Post Office box change for refunds Document Date: 02/01/2018
- Prior authorization change Date: 09/25/2018
- Provider Manual Updates - July 2018 Opens In New Window Date: 07/02/2018
- Secure Web Portal - submitting attachments Date: 07/10/2018
- Smoke-free HUD public housing policy Document Date: 02/22/2018
- Social Determinants of Health - NORC study Document Date: 03/09/2018
- Substance use treatment dollars available for non-Medicaid members Date: 09/14/2018
- Synagis - Information for 2018-2019 Date: 10/10/2018
- Use of Social Determinants of health codes for member outcomes update Document Date: 02/08/2018
- Vaccine for Children re-enrollment by June 30, 2018 Date: 06/08/2018
- Void Request Document Date: 04/06/2018
- Welcome to Mercy Care! Date: 07/01/2018
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Long Term Care AHCCCS Minimum Subcontract Provisions
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- Mercy Care Minimum Subcontract Provisions Effective 10/01/2017
- Mercy Care Minimum Subcontract Provisions Effective 10/01/2016
- Mercy Care Minimum Subcontract Provisions Effective 07/01/2016
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Regulatory Compliance Addendum
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- Regulatory Compliance Addendum Effective Date: 10/01/2019