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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Mercy RBHA Current Notices
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- Differential Adjusted Payment CYE 2021 and HIE SDOH Incentive April 2021 Update Document Date: 04/05/2021 NEW
- Children's System of Care Deliverables Document Date: 04/05/2021 NEW
- ADHS - Newborn Screening results Document Date: 04/06/2021 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
- Horizon Health and Wellness Document Date: 03/16/2021 NEW
- AHCCCS Notice - COVID-19 Vaccine Administration Billing Guidelines Document Date: 03/04/2021 NEW
- Children's Behavioral Health Services Fund - Provider Application Document Date: 03/08/2021 NEW
- Recovery center offers medical care to opioid-exposed newborns Document Date: 02/26/2021 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: 02/10/2021 NEW
- Electronic Visit Verification (EVV) Post-Live Updates Document Date: 02/08/2021 NEW
- HHS Announces Provider Relief Fund Reporting Portal Registration Document Date: 01/29/2021 NEW
- Social Determinants of Health Diagnosis Code Billing for 2021 Document Date: 01/28/2021 NEW
- Referring, Ordering, Prescribing, Attending (ROPA) Provider Updates Document Date: 01/28/2021 NEW
- Pandemic Volunteer Opportunities Document Date: 01/04/2021 NEW
- 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
- Emergency Solutions Grant (ESG) - Homeless Prevention Funding Update Document Dae: 12/03/2020
- 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, EWAttending (ROPA) - AHCCCS provider registration Document Date: 10/12/2020
- Adult Mercy Initiative Non-Title SMI Transitions (MINT) Document Date: 10/12/2020 Medicare Open Enrollment 2020 Document Date: 10/07/2020
- Synagis (palivizumab) injections 2020 - 2021 season Document Date: 10/02/2020
- Negative Balance Collection Remittance Update Document Date: 10/02/2020
- Provider Manual October 2020 Update Document Date: 10/01/2020
- Workforce Development Training and Resource Site Document Date: 09/24/2020
- ProPat reminder Document Date: 09/23/2020
- Radiology Network Change Update Document Date: 09/23/3030
- 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 Document Date: 08/26/2020
- Accessing the Gaps in Care Reports within Provider Deliverable Manager Document Date: 08/24/2020
- FY21 Mental Health Block Grant Funds allocated Document Date: 08/14/2020
- 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
- New ABA Fee Schedule Document Date: 08/13/2020
- Preferred Interpreter Document Date: 07/24/2020
- SMI Navigator Level of Care Non-Title (NT) SMI Members 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: 07/10/2020
- Behavioral Health Residential Facility (BHRF) Documentation and Billing Document Date: 07/10/2020
- ACT Team transitions to COPA/PIR from CPLC Document Date: 07/08/2020
- 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
- HHS Webinar for Provider Relief Fund Document Date: 06/22/2020
- AHCCCS Notice - Secured Behavioral Health Facility Grant opportunity available Document Date: 06/23/2020
- 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 Document Date: 06/15/2020
- COVID-19 Relief Assistance - tablets Document Date: 06/11/2020
- CVS no-cost COVID-19 testing Document Date: 06/08/2020
- 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
- AHCCCS Notice - CALOCUS to replace CASII Document Date: June 3, 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
- 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
- COVID-19 - Mercy Care Claims Configuration Document Date: 04/21/2020
- 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
- Electonic 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) Imporant 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 Provider Update Document Date: 02/13/2010
- 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
- Specialty Pharmacy Change Document Date: 01/30/2020
- TAPI: Recent Outbreak of the Coronavirus Document Date: 01/23/2020
- Phone Interpretation Services - Transitioning to Language Line Reiteration Document Date: 01/22/2020
- Interpreter services Document Date: 01/10/2020
- J3145 - Injection, testosterone undecanoate Document Date: 01/06/2020
- New SABG Modifier U7 required Document Date: 01/03/2020
- 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
- FY20 Substance Abuse Grant Funds Allocated Update Document Date: 12/10/2019
- Social Determinants of Health Diagnosis Code Billing Document Date: 11/21/2019
- 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
- FY20 Mental Health Block Grant Funds Allocated Document Date: 11/15/2019
- Opioid Treatment Program (OTP) Requirements Document Date: 11/12/2019
- Phone Interpretation Services - Transitioning to Language Line Document Date: 11/11/2019
- Reminder of Department of Child Safety required Court Forms Document Date: 11/05/2019
- FAQs - Applied Behavioral Health Analysis (ABA) CPT Codes Document Date: 11/04/2019
- 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 Adjustment Payment (DAP) Document Date: 10/23/2019
- Medicare Open Enrollment Document Date: 10/07/2019
- Non-Title (NTXIX) Change Effective 11/01/2019 Document Date: 10/03/2019
- Prior Authorization for Applied Behavioral Analysis (ABA) CPT Codes Document Date: 10/01/2019
- Electronic prescribing of controlled substances Document Date: 09/19/2019
- Waiver of Crisis Claims Timeliness Requirements Document Date: 09/12/2019
- Synagis (palivizumab) injections Document Date: 09/10/2019
- Provider Vaccine Booklet Document Date: 09/06/2019
- 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
- Monitoring parameters for Behavioral Health medication Document Date: 08/08/2019
- Mercy Care methodology for Behavioral Health intake medical records Document Date: 08/08/2019
- Interpretation services completed in a physician's office Document Date: 08/08/2019
- Prescription for Change Opioid Conference Document Date: 08/08/2019
- Oxford House offering NEW sober living options in Maricopa County Document Date: 08/06/2019
- Appropriate billing for T1016 - Case Management - Revised Document Date: 08/06/2019
- American Society of Addiction Medicine (ASAM) CONTINUUM Tool Document Date: 08/05/2019
- Allergy Services Document Date: 08/02/2019
- Enhanced Clinical Editing Process Document Date: 07/23/2019
- Prior Authorization Required for Specific J Codes 7/18/19
- Behavioral Health Residential Facility Requirements Document Date: 07/11/2019
- Home Visit Resources in Arizona Document Date: 07/11/2019
- New Reference Material Updates - Crisis/State-Only Membership Services Online and Non-Title Enrollment Date: 6/14/2019
- Notification of admissions at Sub-Acute facility Date: 6/13/2019
- 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
- Update: AHCCCS Electronic Visit Verification Provider Survey-Due Date: 5/28/2019
- Pharmacy Changes Effective May 1, 2019
- UPDATE: AHCCCS Electronic Visit Verification Provider Survey Date: 05/03/19
- Mandatory use of OPI or VRI for interpretation sessions one hour or less Date: 05/03/19
- Non-Emergency Transportation - trips over 100 miles and multi-leg trips Date: 04/15/19
- Mercy Care wins statewide BH/PH Integrated DDD contract Date: 04/03/19
- New Mental Health Block Grant (UB) modifier available for immediate use Date: 04/03/19
- Implementation date change - Notification of change to inpatient claim submission requirements Date: 3/28/19
- Provider referral hold process 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
- Mesa Behavioral Health Specialty Clinic Date: 2/8/19
- Notification of Change to Inpatient Submission Requirements Date: 1/30/19
- eviCore healthcare to authorize high-tech radiology and pain management for Mercy Care RBHA Date: 1/28/19
- Comprehensive Claims Report (CCR) and Non-Duplicate Denial Report eliminated Date: 1/24/19
- Member Handbook Updates Date:1/17/2019
- Billing Mercy Care Advantage and Mercy Care members for non-covered services Date:1/17/2019
- Access to Care Provider Deliverable Discontinued Date: 1/4/2019
- Effective approach to submit attachments to claim resubmissions Date: 12/19/2018
- Behavioral Health Residential Facility (BHRF) and HCTC provider documentation and billing Date: 12/19/2018
- Split-billing - non-emergency transportation Document Date: 12/19/2018
- Services Allowed in Place of Service 03 - School Document Date: 12/12/2018
- Flex Care Program Change - supported housing fees Document Date: 12/5/2018
- Dual eligibility - MCA cost sharing and coordination of benefits Document Date: 11/30/2018
- Crisis/State-Only Membership Document Date: 11/21/2018
- Coordination of Care between ACC and RBHA Grants Document Date: 11/16/2018
- AHCCCS Special Assistance Portal Document Date: 11/16/2018
- Pharmacy is offering electronic prior authorization (ePA) Document Date: 11/02/2018
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Mercy RBHA Archived Notices
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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-presccribing mandate guidance Document Date: 10/16/2018
- AHCCCS Complete Care award Document Date: 05/03/2018
- AHCCCS Complete Care message Document Date: 09/14/2018
- Akorbi interpretation services Document Date: 10/04/2018
- Alternative non-emergency transportation billing Document Date: 10/31/2018
- A new expansion clinic offers more member choice Document Date: 12/11/2017
- Arizona State Immunization Information System (ASIIS) Document Date: 12/18/2018
- Behavioral health inpatient admission triage line change Doducment Date: 09/14/2018
- Behavioral Health Residential Facility (BHRF) provider documentation Document Date: 02/09/2018
- Behavioral health residential facility room and board limitation Document Date: 05/16/2018
- Behavioral health treatments by PCPs Document Date: 04/30/2018
- Buprenorphine/naloxone, oral - corrected notification Document Date: 05/08/2018
- Change in location for SMI Clinic Document Date: 07/27/2018
- Change in prior authorization requirements Document Date: 01/12/2018
- Consolidation of Site IDs and Health Plan IDs Document Date: 10/18/2018
- Demographic and Outcome Data Set Transition Document Date: 02/27/2018
- Discarded physician-administered medications Document Date: 01/18/2018
- Electronic Funds Transfer (EFT) - Contact Information Change Document Date: 10/02/2018
- Electronic visit verification Document Date: 02/27/2018
- Formulary change effective July 1, 2018 Document Date: 06/29/2018
- FY19 Mental Health Block Grant Funds allocated Document Date: 10/08/2018
- FY19 Substance abuse block grant allocations received Document Date: 09/14/2018
- Gabapentin abuse Document Date: 07/27/2018
- Important provider notice regarding AHCCCS eligibility and enrollment Document Date: 09/19/2018
- Infusion network change Document Date: 03/02/2018
- Inpatient hospital payment methodology Document Date: 08/23/2018
- Integrated Care Clinics - VBP Differential Adjusted Rate Reminder Document Date: 08/02/2018
- Jacob's Law (ACOM 449) applies to CMDP-enrolled children and those who are adopted Document Date: 12/21/2017
- Lorry Bottrill - President and CEO of Mercy Care Document Date: 10/08/2018
- Making it Home initiative Document Date: 08/03/2018
- Mercy Care Housing Department Application Submission Change Document Date: 08/21/2018
- Mercy Care Medication Assisted Treatment (MAT) service providers Document Date: 10/04/2018
- Mercy Care relocation Document Date: 09/28/2018
- New Notification of member in need of special assistance form Document Date: 03/15/2018
- Non-emergent transportation documentation required for tripps 100 miles or more Document Date: 01/10/2018
- Non-emergency transportation program integrity review update Document Date: 08/16/2018
- Non-Title enrollment transition effective August 2018 Document Date: 07/25/2018
- Notice of Adverse Benefit Determination Document Date: 01/30/2018
- Oxycontin formulary removal effective 1/1/2018 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 Document Date: 10/31/2018
- Post Office box change for refunds Document Date: 02/01/2018
- Prior authorization change Document Date: 09/25/2018
- Provider deliverable file naming Document Date: 02/13/2018
- Provider Manual Updates - July 2018 Document Date: 07/02/2018
- Seclusion and Restraint reporting for Mercy Care Plan and Mercy Maricopa Document Date: 12/1/2017
- Secure Web Portal - submitting attachments Document 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
- Southwest Network transition Document Date: 05/16/2018
- Special treatment plan for forced administration of medication Document Date: 05/24/2018
- Substance use treatment dollars available for non-Medicaid members Document Date: 09/14/2018
- Transitional Living and Planning (TLP) Program Change Document Date: 08/24/2018
- 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 Document Date: 06/08/2018
- Video Remote Interpreting or Over the Phone Interpreting Document Date: 07/27/2018
- Void Requests Document Date: 04/06/2018
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Mercy RBHA AHCCCS Minimum Subcontract Provisions
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Mercy Care Minimum Subcontract Provisions Effective 10/01/2020
Mercy Maricopa Integrated Care Minimum Subcontract Provisions Effective 10/01/2017
Mercy Maricopa Integrated Care Minimum Subcontract Provisions Effective 10/01/2016
Mercy Maricopa Integrated 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