Provider Notifications
Provider Notifications are designed to furnish you with any new or important communications from Mercy Care in order to assure you have the most up to date information from us.
We have recently posted our new Claims Processing Manual to our website 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. We are in the process of archiving these notifications in order to assure the most relevant information is included in the provider notifications list below.
Please use the below links to review important information and current provider notifications.
- 2017 AHCCCS Provider Survey Document Date: 12/04/2017
- 5-day supply limit of prescription opioid medications Document Date: 11/27/2017
- Acute Skilled Nursing Facility Authorization Process Change Document Date: 05/17/2016
- After Hours Updated Call Tree for Prior Authorization and Utilization Management Document Date: 06/09/2016
- AHCCCS Complete Care award Document Date: 05/03/2018
- AHCCCS Complete Care message Document Date: 09/14/2018
- ALTCS eligibility determinations during hospitalization Document Date: 09/20/2017
- Behavioral Health Residential Facility (BHRF) provider documentation Document Date: 02/09/2018
- Behavioral heath treatments by PCPs Document Date: 04/30/2018
- Billing Therapy Services for a Custodial Skilled Nursing Facility Document Date: 01/02/2015
- CareWebQI Direct Entry Prior Authorization Requests Document Date: 09/09/2015
- Change Healthcare (Formerly Emdeon) Document Date: 01/20/2016
- Change in coverage for dental services for members who are 21 years and older Document Date: 10/06/2017
- Change in coverage for occupational therapy services for members 21 years of age and older Document Date: 10/06/2017
- Change in prior authorization requirements Document Date: 01/12/2018
- Constant Contact - e-mail alerts Document Date: 11/30/16
- Controlled Substances Prescription Monitoring Program registration Document Date: 04/28/2017
- Cross claim adjudication technology Document Date: 02/21/2017
- Discarded physician-administered medicines Document Date: 01/18/2018
- D.R.E.A.M. Job Fair - April 2018 Document Date: 03/09/2018
- Electronic visit verification survey Document Date: 02/27/2018
- Emergency dental services for members 21 years of age and older Document Date: 10/06/2017
- End of life care Document Date: 10/20/2017
- Enhancement to Secure Web Portals - attachments Document Date: 04/07/2017
- Expedited service authorization requests Document Date: 08/31/2017
- eviCore healthcare - prior authorization for pain management services update Document Date: 06/27/2017
- eviCore healthcare - prior authorization for pain management - no prior authorization required until 08/23/2017 Document Date: 08/14/2017
- Formulary change effective July 1, 2018 Document Date: 06/29/2018
- Formulary Change - Epipen Document Date: 10/08/2015
- FQHC reimbursement for case managment and behavioral health technicians Document Date: 03/03/2017
- FQHC - rendering provider NPI in box 19 Document Date: 04/06/2017
- Gabapentin abuse Document Date: 07/27/2018
- Gender Specific Editing Rules Document Date: 05/20/2016
- Hill-Rom - Clinitron Beds Document Date: 10/11/2016
- Home and Community Based Services - Rate Increase Effective October 1, 2016 Document Date: 09/07/16
- Home and Community Based Services rate increase update for January 1, 2017 Document Date: 02/20/2017
- Homeland Security update - multiple ransomware infections reported Document Date: 05/12/2017
- ICD-10 Implementation Document Date: 09/28/2017
- Implementing the new federal IMD regulation Document Date: 09/05/2017
- Important provider notice regarding AHCCCS eligibility and enrollment Document Date: 09/19/2018
- Incontinence Briefs - Added Coverage Document Date: 09/24/2015
- Infusion network change Document Date: 03/02/2018
- Inpatient retrospective auditing by Medical Audit & Review Solutions (MARS) Document Date: 07/24/2017
- Long-acting opioids to require prior authorization effective 1/1/2017 clarification Document Date: 01/30/2017
- Long-acting opioids to require prior authorization effective 1/1/2017 Document Date: 12/21/2016
- Makena - billing change Document Date: 12/13/2016
- Maternity care for members with developmental disabilities Document Date: 04/04/2017
- Mercy Care ClaimConnect Document Date: 02/19/2016
- Mercy Care Plan October 1, 2016 Formulary Changes Document Date: 09/29/2016
- Mercy Care relocation Document Date: 09/28/2018
- MercyOneSource - New Secure Web Portal
- MercyOneSource Secure Web Portal and CareWebQI Frequently Asked Questions Document Date: 12/09/2014
- Multiple Petya Ransomware infections reported Document Date: 06/28/2017
- Mumps alert from the Arizona Health Alert Network Document Date: 05/02/2017
- New Pharmacy Prior Authorization Fax Form for Hepatitis C Medication Document Date: 07/30/2015
- Non-emergency transportation program integrity review update Document Date: 04/03/2018
- Non-emergent transportation - documentation required for trips 100 miles or more Document Date: 01/10/2018
- OneLogin - Data Breach Alert Document Date: 06/02/2017
- Opioid detox and integrated chronic pain program referral resource - Recovia Document Date: 07/17/2017
- Orthotic Devices: Change in Coverage Document Date: 08/05/2015
- Osteopathic Manipulative Therapy: Prior Authorization Alert Document Date: 08/06/2015
- Outlier inpatient hospital claims Document Date: 04/07/2017
- Oxycontin formulary removal effective 1/1/2018 Document Date: 11/27/2017
- Pain management network change Document Date: 09/22/2017
- Parsabiv and Sensipar - approval for renal dialysis services Document Date: 01/05/2018
- Pharmacy Formulary Change - Test Strips Document Date: 01/13/2015
- Podiatry Services - Change in Coverage Document Date: 08/19/2016
- PopHealthCare Strategic Collaboration with Mercy Care Long Term Care Document Date: 11/20/2014
- Post Office box change for refunds Document Date: 02/01/21018
- Primary Care Physician (PCP) Change Form Document Date: 10/07/2014
- Prior authorization change Document Date: 09/25/2018
- Prior authorization - HCPCS codes T1002 and T1003 - Document Date: 09/22/2017
- Prior authorization is no longer required for wheelchair repairs Document Date: 01/25/2017
- Profax - New Capability to Submit Electronic Disputes Document Date: 01/22/2015
- Proposition 206 - rate and capitation adjustment Document Date: 12/15/2017
- Provider Manual Updates - July 2018 Document Date: 07/02/2018
- QMB Cost Sharing Policy Change
- Radiology Authorizations
- Reclassification of Hydrocodone Combination Products Document Date: 10/02/2014
- Reimbursement for Status B indicators Document Date: 08/23/2017
- Remittance Issue: Denial Messages on Paper and 835 Remits Document Date: 10/28/2015
- Request for Information - Autism Center of Excellence Document Date: 11/09/2016
- Request For Information - Autism Center of Excellence - deadline extended Document Date: 12/05/2016
- Request For Information: Family Center Document Date: 01/12/2017
- Request For Information: Family Care FAQs Document Date: 01/12/2017
- Seclusion and Restraint reporting for Mercy Care Plan and Mercy Maricopa Document Date: 12/01/2017
- Second Mercy Care Plan Long Term Care Check Run Document Date: 01/14/2016
- Secure Web Portal - submitting attachments Document Date: 07/10/2018
- Skilled Nursing Facility Billing for Custodial Care Effective 10/1/2017 Document Date: 08/28/2017
- Skilled Nursing Facilities (SNF) Bariatric Services
- Skilled Nursing Facility Rate Increase Effective October 1, 2016 Document Date: 09/07/2016
- Skilled Nuring Facility rate increase update Document Date: 02/20/2017
- Skilled Nursing Facility Transportation Update Document Date: 03/04/2015
- Smoke-free HUD public housing policy Document Date: 02/22/2018
- Social Determinants of Health - NORC study Document Date: 03/09/2018
- Synagis - Information for 2015-2016 Document Date: 09/08/201
- T1016 - Case Management is not covered under Mercy Care Plan Long Term Care Document Date: 02/22/2018
- Telephone Interpretation Services
- Treating Attention Deficit/Attention Deficit Hyperactivity, Depression and Anxiety Document Date: 05/16/2017
- Unlisted CPT/HCPCS Codes Document Date: 08/02/2017
- Use of Social Determinants of health codes for member outcomes update Document Date: 02/08/2018
- Utilization Management Process Notification
- Vaccine for Children re-enrollment by June 30, 2018 Document Date: 06/08/2018
- Void Requests Document Date: 04/06/2018
- Welcome to Mercy Care! Document Date: 07/01/2018
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AHCCCS Minimum Subcontract Provisions
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- Mercy Care Plan Long Term Care Minimum Subcontract Provisions Effective: 10/01/2017
- Mercy Care Plan Long Term Care Minimum Subcontract Provisions Effective: 10/01/2014
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Archived Long-Term Care Provider Notifications
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- 2015-2016 Influenza Guidelines Effective Date: 09/07/2015
- Advance Directives Effective Date: 09/20/2012
- Affordable Care Act (ACA) and Medicaid Expansion Effective Date: 12/15/2013
- Anesthesia Services Provided in an Office Setting Effective Date: 12/01/2013
- Claims Coding for EPSDT and Well Child Visits Revison Date: 04/15/2013
- Covered Family Planning Services and Appropriate Billing Codes Revision Date: 09/23/13
- DRG Transition Effective October 1, 2014 Revision Date: 01/05/2016
- Ebola Preparation and Response Plan Effective Date: 10/21/2014
- Electronic Tools Revision Date: 01/20/2016
- Emdeon Payer ID Change for Mercy Care Effective Date: 12/01/2013
- Enhanced Rates for Primary Care Services Scheduled to End 12/31/2014 Effective Date: 12/02/2014
- Federally Qualified Health Centers Prosepective Payment System Implementation Revision Date: 09/01/2015
- Form 1500 (02-12) Required After July 1, 2014 Effective Date: 06/10/2014
- Hospital Presumptive Eligibility Effective Date: 01/13/2015
- Human Papillomavirus (HPV Vaccine) Benefit Change Effective Date: 12/16/2013
- MedSolutions - Autorization Issues Experienced Effective Date: 11/01/2014
- MedSolutions - Authorization Transition Period Effective Date: 11/14/2014
- MedSolutions - Partnership with Mercy Care Revision Date: 04/12/2015
- Mercy Maricopa Integrated Care (Mercy Maricopa) Effective Date: 03/18/2014
- National Drug Code (NDC) Claim Requirements Effective Date: 08/01/2013
- New Benefit Change - Physical Therapy for Adult AHCCCS Members Effective Date: 02/20/2014
- Obstetrical Billing Revision Date: 09/17/2015
- October 20, 2015 Check Run Delay Effective Date: 10/20/2015
- Orthopedic Network Change Effective Date: 05/11/2015
- PCP Application of Fluoride Varnish Revision Date: 11/13/2015
- Radiology Fee Schedule Update Revision Date: 06/01/2012
- Rates for Primary Care Services Revision Date: 03/11/2013
- SOBRA Termination of Coverage Effective Date: 02/04/2014
- Well Visits Effective Date: 10/11/2013