We understand that the best communications plan is not directed “AT" AHCCCS 801 E Jefferson St Phoenix, Az 85034 Find Us On Google Maps. Magellan Complete Care; Magellan Healthcare; Mercy Care (we do not accept RBHA patients including CMDP & SMI) Optum (United Behavioral Health) Self Pay (patient cash pay rates) ... We are NOT a Mercy Care RBHA provider for CMDP, DCS, or SMI services. Mercy Care will facilitate patients’ access to a network of social services and will stand with them in advocating for their own needs and for a health system that respects and serves all people. FEATURES • Find a provider • View your claims and eligibility status • Review your member material • View Pharmacy claims If you are a new practitioner, ancillary or facility, complete the appropriate common data form (Practitioner or Organizational) once and send to the participating plan(s) you wish to contract with. Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. If a site visit has already been performed by another participating plan in the Credentialing Alliance, another site visit will not be necessary. The Credentialing Alliance uses Aperture Credentialing for primary source verification (PSV) services for the alliance. If you’re coping with a behavioral health issue, you’re not alone. View a complete listing … A single date that allows one recredentialing process to satisfy the recredentialing requirement for each of the participating plans with which you contract. Services that begin with alpha characters H, and T are part of our internal by-pass system where we will consider the services as primary and do not expect the provider to bill the primary insurance for a denial. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Members may not be seen until the provider receives written confirmation that a request or change is approved and completed (this includes approval by the Credentialing Committee and signed contract, if applicable). Please Note: The 10/1/18 changes for the new AHCCCS Complete Care (ACC) program do not impact current DDD, ALTCS and MCA members in any GSA. Facility/ancillary providers must also complete the common facility application. You can also reach the Mercy Care Network Management Department at 800-564-5465; (TDD/TTY 711). Mercy Care’s network is closed to most medical and behavioral health care providers. Just fill out the Mercy Care RBHA Member Handbook Order Form and submit it to MercyCareNetworkManagement@MercyCareAZ.org. This section explains those benefits and resources. Sort by: relevance - date. The program provides needed care in the most appropriate setting and in a culturally competent and accessible format. Prior Authorization Code Changes – FAQ. If you have been getting transportation to your medically necessary behavioral health appointments, starting October 1, 2019, please coordinate with your behavioral health service provider. New providers receive written confirmation of their effective date with the health plan. Mercy Care will continue to monitor room and board billing. Mercy Care is the Regional Behavioral Health Authority (RBHA) for behavioral health services in the ALTCS program. Just fill out the Mercy Care RBHA Member Handbook Order Form and submit it to MercyCareNetworkManagement@MercyCareAZ.org. The Credentialing Alliance's streamlined process utilizes the Council for Affordable Quality Healthcare (CAQH) Universal Provider Datasource for all practitioner credentialing applications for all participating plans and a common paper application for all facility credentialing applications. Call the Network Management Department at 800-564-5465 (toll-free) (TDD/TTY) 711 for questions. AHCCCS (Arizona Health Care Cost Containment System) is Arizona’s Medicaid Managed Care Program. Indeed may be compensated by these employers, helping keep Indeed free for jobseekers. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) If you have any questions, just call Mercy Care Member Services at 1-800-624-3879 with questions. 1/30/19 Mercy Care Corrective Action Plan Arnold v. Sarn Requirements ; 02/19/2016 2016 MMIC CAP and Correspondence Related to ACT Teams; 11/12/2016 Corrective Action Plan Mercy Maricopa Arnold v. Sarn Reporting; 11/15/2016 Mercy Maricopa Corrective Action Plan Response_ Provision of Community Services ; 12/20/2016 Action Plan Acceptance Getting a member handbook or provider directory. Enrollment in Mercy Care Advantage depends on contract renewal. It’s easy. Please complete the applicable form(s) below and email the completed form(s) and attachments to our Network Management Team at: Submit a potential provider Letter of Interest following the process outlined; Be directly contacted by a Network Management Representative with an approved Letter of Interest to join our network; Correctly and completely submit the credentialing application; Be fully credentialed by Mercy Care or Mercy Care Advantage; New providers will receive a Participating Health Provider Agreement (contract); and, Training your staff on Mercy Care RBHA policies and procedures, Providing ongoing education resources such as the provider portal and Provider Manual, Resolving operational issues to improve health care delivery, Administrative functions: Claims submission (EDI), Funds Transfer (EFT), Remittance Advice (ERA). Applicable to: Mercy Care Complete Care, Mercy Care RBHA, Mercy Care Long Term Care and Mercy Care DD Respiratory Syncytial Virus (RSV) season typically begins on November 1st of each year and continues through March of the following year. Your physical, behavioral and social needs affect your overall health. Physician Assistants (PA’s) only- upload a current copy of the delegated agreement with the supervising physician and your scope of practice to your CAQH application. Contracted providers can find reimbursement information in their Mercy Care contracts. We want you to have a positive experience with Mercy Care. It can affect how you think, feel and act. You are now leaving the Mercy Care website. You can request copies of the 2020 Mercy Care RBHA Member Handbook. Anyone — any age, gender, income, race or religion — can have a behavioral health issue. You can request copies of the 2020 Mercy Care RBHA Member Handbook. Mercy Care (MC) is contracted with AHCCCS to provide Medicaid covered benefits and … For questions about your DDD Health plan, you can call DDD Member Services at 1-844-770-9500 ext. • Mercy Care was awarded the Regional Behavioral Health Authority Contract starting in April 2014. Refer to our Provider Manual for more detailed information. You’ll find information about: Make sure you read this section carefully. Mercy Care remains contracted with AHCCCS to provide services to members enrolled in ALTCS, DDD and MCA. Requests made on Thursdays after 5 p.m. will be processed the following week.) You must have a registered log-in to access both secure web portals. If you have questions or concerns, don't hesitate to contact your Mercy Care Network Management Representative. Requests made on Thursdays after 5 p.m. will be processed the following week.). It’s easy. Changes made were a result of increases to some of the codes in the fee schedules. That’s our focus — your whole person. 20201001 Mercy Care RHA Behavioral Health To access these fees schedules please click on our Mercy Care Web Portal or our Mercy Care RBHA Web Portal. If no site visit has been performed by a participating plan in the AzAHP credentialing alliance, a single site visit will be performed as part of the initial credentialing event and made available to all participating plans. Mercy Care has removed hundreds of codes requiring prior authorization from our grids. Currently, our network meets the needs of our membership and our letter of interest, contracting and credentialing processes help us achieve that goal. Just download the app to your mobile device. The Mercy Care RBHA Care Management program is designed to improve member health outcomes. (Orders are processed on Fridays. • Mercy Care in collaboration with AHCCCS implemented the SAMHSA Evidenced based practice of Permanent Supporting. Patient Info: Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. We care about you and your family. Mercy Care is proud to continue serving ALTCS, DDD and Mercy Care Advantage (MCA) members in Pima County.We're experiencing a high volume of inquiries from members in Pima County who are enrolled in DDD, ALTCS and Mercy Care Advantage (MCA). Network Management representatives offer support such as: Network Management representatives will also help you utilize available technology such as: Mercy Care assigns every participating provider a liaison. Mercy Care is aware that many behavioral health services are considered non-covered by Medicare and primary insurance plans. ALTCS EPD Contract Amendment 7 for Mercy Care and Banner // Amendment 8 for UHCCP (YH18-0001) Effective Date 10/01/2020; ALTCS EPD Contract Amendment 6 for Mercy Care and Banner // Amendment 7 for UHCCP (YH18-0001) ... RBHA Contract YH17-0001. Following the initial alliance recredentialing event, your next recredentialing date will be set three (3) years out. MercyCareNetworkManagement@MercyCareAZ.org. Mercy Care Plan is also an owner of Mercy Maricopa Integrated Care, the Regional Behavioral Health Authority in Maricopa County and the first RBHA in Arizona to offer integrated physical and behavioral health services to persons determined to have a serious mental illness. The Care Management program’s primary goals are to: In Arizona the RBHAs are Mercy Care (Maricopa County and parts of Pinal County) Cenpatico Integrated Health (Pima, La Paz, Yuma, Santa Cruz, Cochise, Greenlee, Graham and Pinal) and Health Choice Integrated Care (Maricopa, Pinal, Gila, Yavapai, Apache, Navajo, Coconino and Mohave). Other times, it’s more serious and lasts longer. Please call and ask one of our customer service representatives! We’re here to give you the support you need, when you need it. Practitioners must also make sure CAQH is updated and each of the participating plans that you are contracted with are approved to access your CAQH application. For practitioner groups that are adding a new practitioner, you simply complete the common Practitioner Data Form once and send to each of the participating plans your group is contracted with. Mercy Care is a member of the Arizona Association of Health Plans (AzAHP) and participates in the AzAHP Credentialing Alliance whose aim is to make the credentialing and recredentialing process easier by eliminating duplication of efforts and reducing administrative burden. Network Management Assignments - Maricopa County, Network Management Assignments - Pima County, Network Management Assignments - All Other Counties, Network Management Assignments - Out of State and Non-Contracted, The location where you primarily practice, Primary credentialing contact information (name, address, phone, etc. We help you achieve your physical and behavioral health goals by getting to know you. If you have any questions or need help with this website, contact Mercy Care RBHA Member Services at 602-586-1841 or 1-800-564-5465; (TTY/TDD) 711. (Orders are processed on Fridays. Although a significant portion of the behavioral health service delivery for adults and children has been moved to the AHCCCS Complete Care (ACC) plans, the RBHAs (that are all also contracted with AHCCCS for ACC services) continue to play a critical role providing the following services: 1. Therefore, any member currently enrolled in a RBHA, and approved for ALTCS services, must disenroll from their current RBHA provider. Banner University Family Care ACC: 1-877-986-7412; Banner University Family Care ALTCS: 1-833-318-4146; Magellan Arizona: 1-833-474-5060; Mercy Care: 1-800-624-3879; Mercy Care Advantage (Medicare): 1-877-436-5288; Mercy Care RBHA: 1-800-564-5465; Connecticut . Provider-Deliverables-(V6)-06-22-2017 QB 638 1 Deliverable Please be advised that an additional request received within one year from the date of this letter of interest will be considered a duplicate and will receive an automatic “No Thank you” response. That date is the earliest date you are set to be recredentialed by any of the participating plans. If you have any questions or need help with this website, contact Mercy Care RBHA Member Services at 602-586-1841 or 1-800-564-5465; (TTY/TDD) 711. Credentialing process- to be completed only after Letter of Interest approval. For your convenience, below you can find a listing of your assigned Network Management representative, as well as their detailed contact information: Copyright © document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Copyright © document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. These members are stating that their providers are informing them of contracting changes related to the AHCCCS Complete Care contract. Good behavioral and mental health is vital to leading a productive life. We are committed to providing quality medical and behavioral health care services to our members. Mercy Care Plan jobs in Arizona. Mercy Care RBHA Member Handbook Order Form. PSH service providers have been reviewed annually since 2014. Mercy Care’s network is closed to most medical and behavioral health care providers. Integrated physical and behavioral health services for members determined to have Serious Mental Illness (SMI). Mercy Care Affiliated RBHA Provider Deliverables Agency ID in the filename format is a short abbreviation. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. You may submit a potential future provider letter of interest for review. We want you to be healthy. Mercy Care RBHA Member Handbooks You can request copies of the 2020 Mercy Care RBHA Member Handbook. Please remember that adequately completing your CAQH application will help reduce credentialing timelines. Starting October 1, 2019, your behavioral health services will be provided through your DDD Health Plan as part of an integrated health plan. Mercy Care will provide affordable, compassionate and excellent care to its patients, leading to improved health. Mercy Care Advantage (HMO SNP) is a Coordinated Care plan with a Medicare contract and a contract with the Arizona Medicaid Program. ), DEA license, state medical license, malpractice insurance certificate, proof of board certification or upcoming exam (if applicable), CMEs for prior three (3) years (if not board-certified). You and/or your office staff will work with your Network Management representative regularly. Personal Care Services (PCS) With the Mercy Care RBHA mobile application, you can get on demand access to the tools you need to stay healthy. Sometimes, the issue is mild. PRLs or Program areas can provide this information. FEATURES • Find a provider • View your claims and eligibility status • Review … H5580_13_051 CMS Approved 11/01/2013 Last Updated 06/26/2014. To find a specific provider, please visit the individual T/RBHA website above and search its online directory of providers. The Credentialing Alliance also uses a common practitioner data form and organizational data form to collect information necessary for their contract review process and system loading requirements. Our broad network of providers offers services and supports for members with: Physical and general mental health and substance use concerns (Complete Care) Serious mental illness (RBHA) 7. Behavioral Health Residential Facility providers are responsible for verification of benefits monthly and coordination with Outpatient clinical teams to pursue eligibility and financial benefits. With the Mercy Care RBHA mobile application, you can get on demand access to the tools you need to stay healthy. We provided you with a list of vendor contacts to help with scheduling your interpretation needs. Practitioners Only - go to https://proview.caqh.org/Login to complete or update your CAQH application with the following information: To be eligible to join the Mercy Care and Mercy Care Advantage networks as a contracted provider, you must do the following: Upon completion of credentialing and full execution of contract documents, the provider will receive notice from the Mercy Care Network Development department with the effective date of participation, along with the fully executed contract (if it is a new contract). Displayed here are Job Ads that match your query. Behavioral Health providers should include a summary description of programs, including target populations and age categories, specific models of care/therapies used, along with frequency of programming treatment. Either way, feeling better is always possible. Just fill out the Mercy Care RBHA Member Handbook Order Form and submit it to MercyCareNetworkManagement@MercyCareAZ.org. Mercy Care RBHA - Non-Clinical - 1205 We recently sent a provider notification regarding Scheduling Interpretation Services. Indeed ranks Job Ads based on a combination of employer bids and relevance, such as your search terms and other activity on Indeed. Mercy Care Complete Care / Mercy Care RBHA; We are also an in-network provider for Magellan Complete Care of Arizona. You also have a wide choice of health care providers and community resources. Mercy Care Advantage (HMO SNP) is a Coordinated Care plan with a Medicare contract and a … The website information you will be accessing is provided by another organization or vendor. Additional details related to the Credentialing Alliance and some of the benefits you will see from it are listed below:. Others not listed? We did this to reduce some of the administration involved in being part of our provider network. Mercy Care Prior Authorization Codes and Mercy Care RBHA Prior Authorization Codes are available at MercyCareAZ.org. Then, Mercy Care Long Term Care will take over coordination of all behavioral health services. Aetna CareUnify is a Population Health Management system for healthcare providers and health plan resources to connect and manage patients’ continuity of care through multiple care settings. The website information you will be accessing is provided by another organization or vendor. Be sure to upload all supporting documents and that re-attestation is required every 120 days (reminders are sent out in the form of an email prior to expiration). Health Risk Assessment: A health risk […] Chapter 400 – Mercy Care RBHA Plan Specific Terms Section 2.03 – Outreach, Engagement, Reengagement and Closure - Changes made under Follow-Up After Significant and/or Critical Events. To find organizations providing behavioral health services that are owned and/or operated by Peers and Family Members please contact the Office of Individual and Family Affairs at oifa@azahcccs.gov or call 1-800-654-8713. Currently, our network meets the needs of our membership. Representatives are available 24 hours a day… If you do not want to leave our website, please click the “X”. Providers should not schedule or see Mercy Care members until they are notified of the participation effective date. AHCCCS (Arizona Health Care Cost Containment System) is Arizona’s Medicaid Managed Care Program. You will need to provide the following information: First Name, Last Name, Date of Birth, and Sex (if not clear). And, we work with those around you as well, including family, friends and community. You have many benefits and services you can use. Click HERE to take the HRA if you have an account If you need to setup an HRA account with MercyCare, please contact mercycarequality@mhemail.org for assistance for new account activation. If you do not want to leave our website, please click the “X”. Section 2.06 - Behavioral Health Analysis – This section added to match AHCCCS AMPM 320-S regarding Behavior Analysis Services. Page 1 of 147 jobs. Our Network Management representatives are dedicated liaisons who are here to help you. At this time, we are not contracted with Steward Health Choice Arizona or UnitedHealthcare Community Plan.
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