Newsletters, notices and videos

07/08/2026 Pardon our errors

06/24/2026 Update: AHCCCS medical policies

06/05/2026 Issue Alert: Availity® Portal Attachment Functionality

05/27/2026 AHCCCS AMPM updates available

05/27/2026 Build your future workforce

05/13/2026 AHCCCS Solutions Center now live

05/13/2026 Sahar Mohammed named Lead Director, Provider Relations

04/29/2026 ACOM Policy Update Available

04/15/2026 Governor Hobbs launched Arizona Rural Health Transformation Program Website, marking major milestone in $167 million annual investment in rural healthcare

04/07/2026 Important information from AHCCCS

03/18/2026 AHCCCS updates Direct Care Workers (DCW) supervision requirements

03/04/2026 Pending Electronic Visit Verification (EVV) Claims

01/28/2026 Clarification regarding supervision requirements

12/30/2025 40 years: Together we’re building a healthier Arizona

10/01/2025 Governor Katie Hobbs Appoints Virginia “Ginny” Rountree to lead AHCCCS

09/17/2025 Medicaid Members Enrolled in Marketplace Plans without Permission

07/11/2025 Alert: Medicare Fraud Scheme Involving Phishing Fax Requests

06/24/2026 Introducing iCareSpace: Free Job Board for Behavioral Health Talent

05/13/2026 BI reports on Availity updated

12/19/2025 New Prior Authorization Feature in Availity

10/01/2025 Important Electronic Visit Verification (EVV) Updates From AHCCCS

09/05/2025 Availity not currently allowing attachments

08/29/2025 Introducing the Mercy Care Materials HUB

03/18/2026 Behavioral health services for members who are not currently Title XIX/XXI eligible/enrolled

03/04/2026 Behavioral health clinical chart audit (BHCCS) instructions

12/10/2025 Serious Emotional Disturbance (SED) Identification Process

08/06/2025 MHBS SED DUGless portal and Updated FAQ

AHCCCS system updates

07/08/2026 End Dates 07/01/2026

07/08/2026 FFS valid procedure modifiers (RF122) (RF132) 06/29/2026

07/08/2026 ICD-10 Procedure Class Code (RF145) 07/01/2026

07/08/2026 ICD-10 Procedure Class Code (RF145) 06/29/2026

07/08/2026 TB modifier Update 06/29/2026

07/08/2026 Procedures codes and descriptions (RF110) 06/23/2026

07/08/2026 Place of service (RF115) 06/23/2026

07/08/2026 Valid OPFS procedure modifiers (RF121) 06/23/2026

06/24/2026 ICD-10 code has the age limits of 002Y to 019Y 06.18.2026

06/24/2026 ICD-10 code | age limits of 020Y to 999Y 06.18.2026

06/24/2026 Future End Dates | Foster Care 06.15.2026

06/24/2026 Procedure Codes and Descriptions (RF110) 06.15.2026

06/24/2026 Modifier (RF114) and (RF119) 06.11.2026

06/24/2026 Provider Type Rate Schedule (RF618) 06.11.2026

06/24/2026 0402T | FFS Valid Procedure Modifiers (RF122) (RF132) 06.08.2026

06/24/2026 Valid OPFS Procedure Modifiers (RF121) 06.08.2026

06/24/2026 Procedure AHCCCS Coverage (RF123) 06.08.2026

06/24/2026 Revenue Codes-To-Procedure Codes RF773 06.08.2026

06/10/2026 Revenue Codes-To-Procedure Codes RF773 06/04/2026

06/10/2026 Provider Type Rate  Schedule RF618 06.04.2026

06/10/2026 End Date 06.01.2026

06/10/2026 Procedure Code Indicators and Values RF113 | 127  06.01.2026

06/10/2026 Provider Type Rate Schedule RF618 06.01.2026

05/27/2026 FFS Valid Procedure Modifiers (RF122) and MCO Valid Procedure Modifiers (RF132) 5.12.2026

05/27/2026 Valid OPFS Procedure Modifiers (RF121) 5.12.2026

05/27/2026 Provider Type Rate Schedule (RF618) 5.12.2026

05/27/2026 Revenue Codes-To-Procedure Codes RF773 5.18.2026

05/27/2026 FFS Valid Procedure Modifiers (RF122) and MCO Valid Procedure Modifiers (RF132) 5.18.2026

05/27/2026 March-April 2026 Encounter Keys 

05/13/2026 Modifiers 05.11.2026

05/13/2026 Place of Service (RF115) 05.11.2026

05/13/2026 Procedure Code Indicators and Values (RF113/127)

05/13/2026 Provider Type Rate Schedule (RF618) 05.11.2026

05/13/2026 End date 05.04.2026

04/29/2026 Codes 04.27.2026

04/29/2026 Valid OPFS procedure modifiers (RF121) 04.20.2026

04/29/2026 Provider type rate schedule (RF618) 04.20.2026

04/29/2026 Modifiers 04.20.2026

04/29/2026 Procedure AHCCCS coverage (RF123) 04.20.2026

04/29/2026 Valid OPFS procedure modifiers (RF121) 04.16.2026

04/29/2026 Procedure Prior Authorization (RF124) 04.16.2026

04/29/2026 Place of Service (RF115) 04.16.2026

04/29/2026 Code T2033 04.16.2026

04/15/2026 Valid OPFS Procedure Modifiers (RF121) 4.13.2026

04/15/2026 ICD-10 procedure code (RF161) 04.08.2026

04/15/2026 Revenue code (RF773) 04.08.2026

04/15/2026 Procedure code indicators and values (RF113/127) 04.08.2026

04/15/2026 Correct coding (RF128) 4.1.2026

04/15/2026 Provider type rate schedule (RF1618) 3.30.2026

04/01/2026 Correct Coding (RF128) 3.11.2026

04/01/2026 Deleted Codes 3.11.2026

04/01/2026 FFS Valid Procedure Modifiers (RF122) and MCO Valid Procedure Modifiers (RF132) 3.19.2026

04/01/2026 FFS Valid Procedure Modifiers (RF122) and MCO Valid Procedure Modifiers (RF132) 3.24.2026

04/01/2026 FFS Valid Procedure Modifiers (RF122) and MCO Valid Procedure Modifiers (RF132) 3.26.2026

04/01/2026 ICD-10 Procedure Code (RF161) 3.11.2026

04/01/2026 New Codes #176 3.18.2026

04/01/2026 Procedure AHCCCS Coverage (RF123) 3.11.2026

04/01/2026 Revenue Codes-To-Procedure Codes (RF773) 3.16.2026

04/01/2026 Procedure Codes and Descriptions RF113/127 3.19.2026

03/18/2026 Correct Coding (RF128)

03/18/2026 Procedure Indicators and Values (RF113/127)

03/18/2026 CPT Codes

03/18/2026 Rev. Codes-To-Procedure Codes (RF773)

03/18/2026 Provider Type Rate Schedule (RF618)

03/18/2026 Place of Service (RF115)

03/18/2026 ICD-10 Procedure Class Code (RF145)

03/18/2026 2026 ASC changes

03/18/2026 AHCCCS encounter keys

03/04/2026 Date change for the code Q5135 

03/04/2026 Changes for code H2021

03/04/2026 Valid opfs procedure modifiers (RF121)

03/04/2026 Rev. codes-to-procedure codes (RF773)

03/04/2026 Procedure code indicators and values (RF113)(RF127)

02/06/2026 AHCCCS System Updates 

01/28/2026 AHCCCS System Updates

01/14/2026 System Updated Effective 12/31/2025

09/24/2025 AHCCCS Encounter Keys July - August  2025

Billing

07/08/2026 Balance billing reminder

07/08/2026 Allergy antigen therapy billing

06/10/2026 Appropriate billing for lead testing in the office setting

06/10/2026 Staff-Level modifiers required for Case Management and outreach Billing

05/27/2026 AHCCCS releases medical coding resource guide

04/29/2026 Remote Patient Monitoring (RPM) documentation: What to know

04/15/2026 Electronic Visit Verification (EVV) and Service Documentation

02/20/2026 Transplant component packets

02/06/2026 Room and board for members in Behavioral Health Residential Facility

01/28/2026 Reminder about Modifier Usage and Documentation Requirements

12/19/2025 Mercy Care reminds providers about proper use of anesthesia during spinal procedures

11/18/2025 New Tribal Specific H-Codes Effective 1/1/2026

10/08/2025 Billing Provider Tax ID Edit For Encounters 

10/08/2025 OPFS & DAP Payment Update

10/08/2025 Differential Adjusted Payments (DAP)

09/17/2025 AHCCCS Coding Guidance Around KX Modifier

09/10/2025 Reminder: Providers cannot allow another provider to bill under their AHCCCS ID

09/10/2025 Mercy Care uses National Coverage Determination (NCD) 190.15 for Hemoglobin & blood count screening

08/06/2025 HCPC Code H0031 - BH Service Guide

07/22/2025 Changes to Dental Billing (From CMS)

07/22/2025 AHCCCS Billing Codes H003

07/22/2025 Delivery & Billing for Doula Services 

07/11/2025 Claims Enforcement: Shedding Light on Required Modifiers

Claim denials

05/27/2026 Claims dispute process

05/27/2026 Tips for preventing medical claims denials

04/01/2026 Claims Denial Code 29 — Timely

02/06/2026 Denial Code 18: Duplicate Claim/Services

Covered behavioral health services guide (CBHSG)

10/08/2025 Covered Behavioral Health Services Guide 10/1/2025 updates

Telehealth

11/06/2025 Telehealth:  Medicaid and Medicare Coverage

10/08/2025 Telehealth Place of Service Codes 02 & 10

02/06/2026 Partnering to protect patient privacy

12/19/2025 Reminder regarding the Americans with Disabilities Act (ADA)

10/31/2025 Grievance Process

07/08/2026 Building Connection Through STAR Peer Support

07/08/2026 Strengthening court-ordered treatment services

06/30/2026 Division of Developmental Disabilities (DDD) hosting virtual lunch & Learn

06/24/2026 AHCCCS Covered Behavioral Health Services Guide

06/24/2026 RSA/Vocational Rehabilitation (VR)

06/24/2026 Disability Benefits 101 (DB101)

06/10/2026 Member Engagement

06/05/2026 Join the Division of Disabilities Behavioral Health Lunch & Learn 6/17/2026

05/27/2026 Healthcare Workforce Goals and Metrics Assessment (AHWGMA)

05/13/2026 Understanding the social, emotional, and developmental needs of: infants, toddlers, & preschool

05/13/2026 OIFA lunch & learn: Medication Assisted Treatment (MAT)

05/13/2026 Virtual lunch & learn: Unlocking educational opportunities

05/13/2026 Healthcare Workforce Goals and Metrics Assessment (AHWGMA)

05/13/2026 Mercy Care in-person provider forum in Flagstaff    

05/13/2026 AHCCCS covered behavioral health service guide

04/29/2026 Virtual lunch and learn unlocking educational opportunities

04/15/2026 New: AHCCCS Solutions Center Webinar

04/15/2026 Trauma-Informed care 2026 webinar series

04/15/2026 Sign up for the Mercy Care provider forum

04/15/2026 The 2026 Arizona Healthcare Workforce Goals and Metrics Assessment (AHWGMA) is now open

04/10/2026 Sign Up Today for the Mercy Care Provider Forum

04/01/2026 New dates set for AHCCCS community forums

03/19/2026 Join us for Mercy Care's upcoming webinars

03/18/2026 Join the Arizona Health Equity conference as a breakout session speaker

03/18/2026 Wellness for remote workers

03/04/2026 Division of developmental disabilities lunch & learn

03/04/2026 Hope Horizons: call for workshop proposals

03/04/2026 2026 Arizona Healthcare Workforce Goals and Metrics Assessment (AHWGMA)

03/04/2026 Consider yourself a mandated supporter

02/20/2026 The Office of Individual and Family Affairs (OIFA) virtual lunch and learn: Peer Services Across Arizona 

02/20/2026 Summer 2026 job shadow program 

02/20/2026 Maricopa County StandDown

02/20/2026 Supported Employment Core Principles WED 2/25/2026 12 to 12:30pm

02/06/2026 Division of Developmental Disabilities (DDD) Behavioral Health Lunch and Learn

02/06/2026 Provider webinar: AHCCCS Covered Behavioral Health Services Guide, Feb. 11, 2026, from noon to 12:30 pm

01/28/2026 Help Shape the Future of CommunityCares and Join Contexture’s Engagement Sessions

01/14/2026 Refugee Health Forum 

01/06/2026 Mercy Care: Upcoming Webinars (Correction for 2026)

Care and case management

10/22/2025 Mercy Care Care Management Program

Clinical guidelines

05/27/2026 Mercy Care clinical guidelines

Dental

02/06/2026 Cavity Free AZ Sealant Program

Maternal child health

04/29/2026 Reminder to providers: required prenatal and delivery syphilis testing

11/18/2025 Important Updates from Maternal Child Health (MCH)

Pharmacy

05/13/2026 Where to find Mercy Care pharmacy information

04/15/2026 Where to find Mercy Care pharmacy information

11/06/2025 DUR Edits for Long Lasting Injectables 

09/24/2025 Upcoming Changes to Medicaid Drug Coverage – Effective October 1, 2025

09/10/2025 Drug manufacturers leaving the rebate program effective October 1, 2025

08/27/2025 MC offering 90 medication supply starting 9.1.2025

07/22/2025 Formulary Changes

Prior authorization

06/24/2026 New Prior Authorization requirement

05/13/2026 Reminder: EviCore's CareCore National portal platform

04/01/2026 Introducing the EviCore's CareCore National portal platform

02/20/2026 Prior authorization updates

12/19/2025 Update on Prior Authorization (PA) Turnaround Time (TAT) Compliance

Social determinants of health

07/11/2025 Social Determinants of Health  Informed Claims: Better Insights, Better Health

Utilization management

06/24/2026 Required action: Submission of medical records – one member per fax

11/06/2025 Information Regarding Utilization Management

Eligibility

05/13/2026 Eligibility and billing guidance for Mercy Care DCS CHP members

Extreme heat

07/07/2026 Extreme heat warning effective Tuesday 7/7 thru Thursday 7/9

06/23/2026 Extreme heat warning effective Tuesday 6/23 thru Thursday 6/25

05/13/2026 Addressing heat-related illnesses, injuries, and deaths

04/15/2026 Help Members Stay Safe During Extreme Heat

03/18/2026 Extreme heat warning

08/29/2025 Cooling Center Trainings 

07/11/2025  Helping Families Stay Cool in The Summer

Language services

07/11/2025 Interpreter Services Changing 8/1/2025

07/03/2025 Changes to Mercy Care Interpretation Services: Eff. August 1, 2025

Resources

04/01/2026 Connecting Mercy Care members, veterans, and families to the support they deserve

04/01/2026 Member rights and responsibilities

03/04/2026 New resource for members

02/20/2026 Sonora Quest Laboratories

10/31/2025 Resources for Food (SNAP Benefits)

ALTCS workforce development newsletter

04/01/2026 For the record: Leading the Connection (LTC) in work force development newsletter: volume 5, issue one

AzAHP forms, applications and rosters

02/20/2026 Updated Arizona Association of Health Plans (AzAHP) credentialing forms, application and rosters

Durable medical equipment

05/27/2026 Reminder: Durable Medical Equipment (DME) provider network responsibilities

05/13/2026 Timely delivery of routine DME Supplies

02/20/2026 Reminder: Durable Medical Equipment (DME) provider network responsibilities

10/01/2025 DME Provider Network Responsibilities

08/29/2025 DME Changes and Reminders 

Provider manual updates 

05/13/2026 Provider & claims manual updates

04/01/2026 AHCCCS operations and policy manual updates

02/06/2026 All provider manuals have been updated

Training and contract requirements

06/24/2026 Keep your provider info up to date with Mercy Care

06/24/2026 2026 Model of Care Training (MOC)

06/10/2026 Mercy Care releases updated Non-Title 19 network list

06/10/2026 Reminder: Use Sonora Quest for lab services

06/08/2026 Resources and support for Mercy Care providers

05/27/2026 Deadline extended: Submit your AHWGMA by June 15, 2026

04/15/2026 AHCCCS Covered Behavioral Health Services Guide (CBHSG) Training

04/15/2026 New Primary Care Provider (PCP) onboarding and integrated care video now available

03/18/2026 2026 Model of Care Training (MOC) is now available in Spanish

03/04/2026 2026 Arizona Healthcare Workforce Goals and Metrics Assessment (AHWGMA)

03/04/2026 Keep your Mercy Care provider info up to date    

02/20/2026 Friendly Reminder to Review Your Contract Requirements

01/14/2026 Mercy Care Clinical Guidelines

01/14/2026 Required AHCCCS Covered Behavioral Health Services Guide (CBHSG) training video

01/14/2026 2026 Model of Care Training (MOC)

11/24/2025 Model of Care Training for 2025

10/16/2025 2025 Model of Care Training 

09/15/2025 Model of Care Training

Healthcare Effectiveness Data and Information Set (HEDIS)

07/08/2026 Blood pressure control: Telehealth, accurate readings and documentation

06/24/2026 Prioritize kidney health in patients with diabetes

06/10/2026 HEDIS News You Can Use: Care for Older Adults bulletin now available

05/27/2026 Transitions of care (TRC): Clear, timely outpatient documentation

05/13/2026 HEDIS bulletin: Frailty exclusions update for providers

03/04/2026 Watch the latest video on childhood wellness

02/06/2026 Link correction from last week

01/28/2026 2026 Provider Bulletins: HEDIS News You Can Use – View Now

01/28/2026 2026 Mercy Care Gap Closure Reference Guide

12/19/2025 Upcoming HEDIS Audit 

10/16/2025 Documenting Blood Pressure for HEDIS Compliance

10/16/2025 New Mercy Care Provider Bulletins Available!

09/10/2025 Five new HEDIS Bulletins on the Website  

08/06/2025 HEDIS Documentation for Controlling High Blood Pressure (CBP)

07/22/2025 Well Woman Exam Video 

Medical record review

02/20/2026 Ambulatory Medical Record Review (AMRR)

STARS (Medicare)

03/18/2026 2026 colorectal cancer screening initiative

Seclusion and restraint reporting

06/24/2026 Seclusion and Restraint (SAR) process change - implementation of accuracy framework

04/29/2026 Seclusion and restraint reporting updates

06/29/2026 Attention BH providers: AHCCCS wants to hear from you

06/02/2026 The Mercy Care 2026 provider survey is open

05/27/2026 Turning member feedback into better behavioral health care

03/05/2026 The Mercy Care 2026 provider survey is now open

01/14/2026 The CAHPS® Survey is coming again this spring

12/10/2025 Provider Survey: Supporting Inclusive Care for LGBTQIA+ Individuals with SMI

10/16/2025 AHCCCS Housing Program Provider Feedback Form 

09/10/2025 BHRF Respite Survey 

07/08/2026 The Inside Scoop Newsletter 

06/24/2026 The Inside Scoop Newsletter

06/10/2026 The Inside Scoop Newsletter

05/27/2026 The Inside Scoop Newsletter

05/13/2026 The Inside Scoop Newsletter 

04/29/2026 The Inside Scoop Newsletter

04/15/2026 The Inside Scoop Newsletter 

04/01/2026 The Inside Scoop Newsletter 

03/18/2026 The Inside Scoop Newsletter

03/04/2026 The Inside Scoop Newsletter 

02/20/2026 The Inside Scoop Newsletter

02/06/2026 The Inside Scoop Newsletter

01/28/2026 The Inside Scoop Newsletter

01/14/2026 The Inside Scoop Newsletter

12/19/2025 The Inside Scoop Newsletter 

12/10/2025 The Inside Scoop Newsletter 

11/18/2025 The Inside Scoop Newsletter 

11/06/2025 The Inside Scoop Newsletter 

10/31/2025 The Inside Scoop Newsletter 

10/22/2025 The Inside Scoop Newsletter

10/16/2025 The Inside Scoop Newsletter 

10/08/2025 The Inside Scoop Newsletter 

10/01/2025 The Inside Scoop Newsletter 

09/24/2025 The Inside Scoop Newsletter

09/17/2025 The Inside Scoop Newsletter 

08/29/2025 The Inside Scoop Newsletter

08/06/2025 The Inside Scoop Newsletter 

07/22/2025 The Inside Scoop Newsletter 

07/11/2025 The Inside Scoop Newsletter 

03/04/2026 Appointment availability and transportation timeliness requirement reminder

09/10/2025 Did you know that Mercy Care offers bus passes to our members?