Newsletters, notices and videos

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

06/25/2025 AHCCCS move to a new building 

05/22/2025 Judge Grants Preliminary Injunction to Halt Federal Government’s Cancellation of Behavioral Health and Community Health Worker Grants

05/02/2025 An update on the ALTCS-EPD Contract

04/16/2025 Fraudulent Scheme Detected in Several States

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

07/03/2025 Explore The Enhanced AHCCCS Provider Directory Tool

06/25/2025 Availity use for Psychiatric Hospitals and Facilities 

06/12/2025 Mark Your Calendar! Availity clearinghouse functionality on Monday, June 16

04/09/2025 AHCCCS Changes to Enrollment Portal 

04/01/2025 AHCCCS Electronic Visit Verification (E.V.V)

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

06/25/2025 Upcoming Change to Serious Emotional Disturbance (SED) Identification and Removal Submission Process

06/12/2025 Crisis support: A crucial referral for your patients well-being

04/23/2025 AHCCCS Updated Instructions for Submission of Serious Emotional Disturbance (SED) Identification Requests

04/01/2025 AHCCCS Update: Serious Emotional Disturbance (SED) Eligibility Determinations 

AHCCCS system updates

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

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

06/12/2025 Southwestern Provider Services, Inc. (SPSI) is closing its organization on July 31, 2025

04/28/2025 Provider Type 19 - Registered Nurse Practitioner Rate Schedule Correction

04/15/2025 Fee Schedule Changes to Applied Behavior Analysis (ABA) Billing Codes

Claim denials

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

04/15/2025 Updates to the Covered Behavioral Health Services Guide including significant changes to Intensive Outpatient Programs (IOP) 

05/12/2025 Reminder for Behavioral Health Providers / BH Guide

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

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

Dental

02/06/2026 Cavity Free AZ Sealant Program

Maternal child health

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

Pharmacy

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

06/25/2025 Preferred Drug List (PDL) Changes  Effective July 1, 2025 - Test Strips

05/12/2025 Where to find important pharmacy information 

03/24/2025 National Drug Coding Billing Guidance

Prior authorization

02/20/2026 Prior authorization updates

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

05/01/2025 Prior Authorization Application Up-Dated

03/24/2025 New Prior Authorization Requirements

Social determinants of health

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

Utilization management

11/06/2025 Information Regarding Utilization Management

Eligibility

07/03/2025 Did You Know That Veterans Can Apply For AHCCCS Benefits?

04/23/2025 AHCCCS Eligibility and Adult Incarcerated Members

Extreme heat

03/18/2026 Extreme heat warning

08/29/2025 Cooling Center Trainings 

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

06/12/2025 AHCCCS System Navigation: Heat-Related Resource Guide

05/12/2025 Now Open: 2025 Heat Relief Network

04/16/2025 Prepare for Extreme Heat

04/01/2025 Stay Safe - The Arizona Weather Heats Up

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

03/04/2026 New resource for members

02/20/2026 Sonora Quest Laboratories

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

AzAHP forms, applications and rosters

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

Durable medical equipment

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 

02/06/2026 All provider manuals have been updated

Training and contract requirements

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)

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 

06/04/2025 Capturing transitions for Transitions of Care (TRC) HEDIS®measure

04/01/2025 HEDIS Measure Information

03/24/2025 Metabolic Monitoring for Children & Adolescents on Antipsychotics (APM) HEDIS® Measure (APM-E)

Medical record review

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

STARS (Medicare)

03/18/2026 2026 colorectal cancer screening initiative

04/01/2025 Mercy Care Advantage: Care Gaps

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 

06/25/2025 Member Feedback Needed 

06/12/2025 Member Experience – BH Survey Results QIP

04/23/2025 2025 AHCCCS Provider Survey

04/16/2025 2025 National Substance Use & Mental Health Survey

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 

10/22/2026 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 

07/03/2025 The Inside Scoop Newsletter 

06/25/2025 The Inside Scoop Newsletter 

06/12/2025 The Inside Scoop Newsletter 

06/04/2025 The Inside Scoop Newsletter 

05/22/2025 The Inside Scoop Newsletter

05/12/2025 The Inside Scoop Newsletter

05/01/2025 The Inside Scoop Newsletter

04/23/2025 The Inside Scoop Newsletter 

04/16/2025 The Inside Scoop Newsletter 

04/09/2025 The Inside Scoop Newsletter 

04/01/2025 The Inside Scoop Newsletter 

03/24/2025 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?

04/30/2025 Rescission of Non-Emergency Transportation (NEMT) Protocols