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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- AHCCCS EVV Updates Document Date: 09/14/2021 NEW
- Addressing Adolescent & Young Adult Depression in Primary Care Document Date: 09/14/2021 NEW
- Ambulance ADHS Rates Document Date: 09/08/2021 NEW
- Provider Manual August 2021 Update Document Date: 09/03/2021 NEW
- Potential shortage of Lead Testing kits Document Date: 08/26/2021 NEW
- Novalog and Humalog Insulins Document Date: 08/27/2021 NEW
- Pfizer-BioNTech COVID-19 Vaccine now FDA approved Document Date: 08/26/2021 NEW
- Abuse and Neglect Prevention Task Force Seeks Survey Input from Long Term Care Providers Document Date: 08/25/2021 NEW
- COVID-19 Vaccine Event by Touchstone Document Date: 08/18/2021 NEW
- New AzAHP Credentialing Forms for 2021 Document Date: 08/16/2021 NEW
- AHCCCS Notice - COVID-19 Vaccine Fee-for-Service Administration Rates Increase Document Date: 08/13/2021 NEW
- AHCCCS Notice - Renters Assistance is Available to Help Renters and Landlords Document Date: 08/12/2021 NEW
- FY22 Substance Abuse Grant Funds Allocated Document Date: 07/29/2021 NEW
- FY22 Mental Health Block Grant Funds Allocated Document Date: 07/29/2021 NEW
- Senate Bill 1388 - Delivery of Respite Services Document Date: 07/23/2021 NEW
- Prior Authorization Form for Substance Use Residential Document Date: 07/22/2021 NEW
- Coming Soon - new electronic contract mangement system - APTTUS Document Date: 07/12/2021 NEW
- Gender Specific Treatment for Women with Substance Use Disorder - Webinar Series Document Date: 07/07/2021 NEW
- ConnectCenter User Manual Document Date: 06/22/2021 NEW
- AHCCCS Announcement: CALOCUS and LOCUS licensing Document Date: 06/08/2021 NEW
- Mercy Care Relocation Document Date: 06/01/2021 NEW
- Provider Manual April 2021 Update Document Date: 05/14/2021 NEW
- Behavioral Health Residential Facilities Document Date: 05/20/2021 NEW
- AHCCCS extends ROPA registration through public health emergency Document Date: 05/28/2021 NEW
- Regulatory Compliance Addendums (CYE2021) Effective 10/01/2020 Document Date: 05/07/2021 NEW
- Nursing Home Project ECHO Training Events Document Date: 05/07/2021 NEW
- Person-Centered Service Planning Document Date: 04/30/2021 NEW
- Billing claims for an outpatient date span Document Date: 04/29/2021 NEW
- 2021 AHCCCS Provider Survey Document Date: 04/26/2021 NEW
- Verifying Member Eligibilty Document Date: 04/14/2021 NEW
- ClaimConnect is Getting an Upgrade! Document Date: 04/09/2021 NEW
- Differential Adjusted Payment CYE 2021 and HIE SDOH Incentive April 2021 Update Document Date: 04/05/2021 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: 02/20/2021 NEW
- 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
- 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
- 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
- New Ransomware Attacks - be careful of phishing e-mails Document Date: 10/30/2020
- 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
- Medicare Open Enrollment 2020 Document Date: 10/07/2020
- 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 Docucment Date: 08/26/2020
- 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: 08/19/2020
- 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
- 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 Residential 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 Webinar for Provider Relief Fund Document Date: 06/22/2020
- New Process - Adult Behavioral Health Residential Facilities (BHRF) Prior Authorization Document Date: 06/19/2020
- New Process - Child and Adolescent BHIF, BHRF and TFH 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 Docum5ent 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
- AHCCCS Notice - HCBS Differential Adjusted Payment Document Date: 05/18/2020
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Notification of Change to Inpatient Submission Requirements Date: 1/30/19
- 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 10/01/2021
- 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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- Regulatory Compliance Addendum CYE 2021
- Regulatory Compliance Addendum Effective Date: 10/01/2019