healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. Mercy Care Advantage Member Services representatives are available to help you. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. If you have questions or need assistance, Mercy Care Advantage Member Services representatives are available to help you. Banner University Family Care LTC Customer Service 1-833-318-4146 www.bannerufc.com : Mercy Care LTC Customer Services 1-800-624-3879 www.mercycareaz.org: United Healthcare LTC Customer Service 1-800-293-3740 www.uhccommunityplan.com Have a question or need help? The website information you will be accessing is provided by another organization or vendor. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. We can answer your questions about benefits, help with finding or choosing a doctor, and solve problems in getting health care services. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Aperture performs the PSV once and shares the results with each participating plan that you authorize to receive it. Mercy Care RBHA. A page for Mercy Care advantage members to learn more information. All Rights Reserved. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. Non-Members Mercy Care mobile / Mercy Care RBHA mobile applications have gone through some system improvements. AzAHP Organizational Facility Application, 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. All Rights Reserved. Copyright 20152016 Aetna Better Health Todos los derechos reservados. Currently, our network meets the needs of our membership. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Maricopa County (served by Mercy Care RBHA) was 27,308, and; South GSA (served by Arizona Complete Health Complete Care Plan RBHA) was 14,484. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. Sometimes, the issue is mild. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. Member Services. Copyright 20152016 Parkland Community Health Plan All Rights Reserved. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. ACC-RBHA Contract Amendment 1 for AZCH, Care1st, & MC ALTCS EPD Contract Amendment 7 for Mercy Care and Banner // Amendment 8 for UHCCP (YH18-0001) Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Care members. Contracted providers can find reimbursement information in their Mercy Care contracts. 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. For Mercy Care RBHA, call 602-586-1841 or 1-800-564-5465, and select "more options" and the speak to a nurse option. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Mercy Care Member Services representatives are available to help you Monday through Friday, 7 a.m. to 6 p.m. Just call 602-263-3000 or toll-free 1-800-624-3879 (TTY/TDD 711). In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. The Credentialing Alliance uses Aperture Credentialing for primary source verification (PSV) services for the alliance. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. 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. Read more here. We invite you to register and learn more about what the secure web portal can offer you. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. 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. If you do not want to leave our website, please click the X. You can call Magellan Health at (800) 788-4005 toll free number, write an email, fill out a contact form on their website www.magellanhealth.com, or write a letter to Magellan Health, Inc, 4800 N Scottsdale Rd #4400, Scottsdale, Arizona, 85251, United States.Mercy Care Plan (AHCCCS) COMMERCIAL. Mercy Care Long Term Care member services representatives are available to help you Monday-Friday, 7 a.m. - 6 p.m. We invite you to register and learn more about what the secure web portal can offer you. Copyright 20152016 Aetna.com Todos los derechos reservados. 39114. Pharmacy services; Make sure you read this section carefully. You and/or your office staff will work with your Network Management representative regularly. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. Contracted providers can find reimbursement information in their Mercy Care contracts. Additionally, specialty 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. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Just fill out themember handbook order form and submit it to MercyCareNetworkManagement@MercyCareAZ.org. A page for Mercy Care RBHA providers to learn more about products and services. We care about you and your family. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Care members. RBHAs manage the delivery of physical health services, in addition to behavioral health services, to increase member engagement in obtaining medically necessary physical health services. MercyCare 1102. Representatives are available 24 hours a day, 7 days a week. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. If the provider asks for another ID, show your Arizona drivers license or state-issued ID card. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Physician Assistants (PAs) only- upload a current copy of the delegated agreement with the supervising physician and your scope of practice to your CAQH application. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. However, as noted previously, our network is evaluated regularly and the needs of our members remain at the forefront of our overall network management. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. Providers must register with the AHCCCS program to be eligible for payment reimbursement. You do NOT need to show your AHCCCS card as well. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. Our broad network of providers offers services and supports for members with: Physical, general mental health and substance use concerns (Complete Care) Serious mental illness (RBHA) We care about you and your family. Our broad network of providers offers services and supports for members with: Physical, general mental health and substance use concerns (Complete Care) Serious mental illness (RBHA) Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. Facility/ancillary providers must also complete the common facility application. 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. 1101. Learn more on the. Please remember that adequately completing your CAQH application will help reduce credentialing timelines. We invite you to register and learn more about what the secure web portal can offer you. If you are a practitioner that requires a site visit as part of the initial credentialing event (Primary Care Provider or Obstetrician) or a facility that requires a site visit as part of the initial credentialing event (facilities that are not accredited or surveyed), the participating plan(s) that you are requesting to contract with will have access to any site visit already performed under the alliance. Get the most out of your behavioral health benefits and services to support your path to better health! Currently, our network meets the needs of our membership and our letter of interest, contracting and credentialing processes help us achieve that goal. Other times, its more serious and lasts longer. We do not treat people unfairly because of a persons age, race, color, national origin, religion, sex, gender identity, sexual orientation, religion, marital status, mental or physical disability, medical history, health status, genetic information, evidence of insurability, or geographic location. Visit the, Get help with complaints, grievances, and information requests. Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. We care about you and your family. Mercy Cares network is closed to most medical and behavioral health care providers. Non-Members We invite you to register and learn more about what the secure web portal can offer you. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. The Patient Protection and Affordable Care Act (ACA) and the 21st Century Cures Act (Cures) require that all health care providers who refer AHCCCS members for an item or service, who order non-physician services for members, who prescribe medications to members, and who attend/certify medical necessity for services and/or who take primary responsibility for You can also call Mercy Care Member Services at 602-263-300 0 or 1-800-624-3879 or Mercy Care RBHA Member Services at 602-586-1841 or 1-800-564-5465; (TTY/TDD) 711. Please click on the link below to get the update from the AppStore. Mercy Care has been serving Medicaid members across Arizona since 1985. We do not treat people unfairly because of a persons age, race, color, national origin, religion, sex, gender identity, sexual orientation, religion, marital status, mental or physical disability, medical history, health status, genetic information, evidence of insurability, or geographic location. A single date that allows one recredentialing process to satisfy the recredentialing requirement for each of the participating plans with which you contract. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. We invite you to register and learn more about what the secure web portal can offer you. Please click on the link below to get the update from the AppStore. Copyright 20152016 Aetna.com All Rights Reserved. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. Copyright 20182025 MercyCare All Rights Reserved. We invite you to register and learn more about what the secure web portal can offer you. It can affect how you think, feel and act. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. Aetna Better Health of Ohio follows state and federal civil rights laws that protect you from discrimination or unfair treatment. Please click on the link to access Centene's Illinicare Provider portal for review of claims with a date of service prior to 12/01/2020, Haga clic en el enlace para acceder al portal de proveedores de Illinicare de Centene y revisar reclamaciones con una fecha de servicio anterior al 12/01/2020. Refer to our Provider Manual for more detailed information. Mercy Care Advantage is a health plan for people with special needs who qualify for AHCCCS and Medicare. Heres how it works: Other Medicaid Plan CoverageIf you have Mercy Care Advantage for your Medicare coverage but receive your Medicaid coverage from a plan other than Mercy Care, you will need to show both your MCA ID card and your Medicaid plan ID card to your health care providers so they can submit claims to both your health plans. For your convenience, below you can find a listingof your assigned Network Management representative, as well as their detailed contact information: Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Member handbooks. We invite you to register and learn more about what the secure web portal can offer you. Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. We invite you to register and learn more about what the secure web portal can offer you. Please call 602-263-3000 or toll-free 1-800-624-3879 (TTY/TDD) 711. You have many benefits and services you can use. 1101. If you do not want to leave our website, please click the X. Aetna Better Health of Ohio follows state and federal civil rights laws that protect you from discrimination or unfair treatment. You can request copies of the member handbook. Member 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. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. 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. Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. We are committed to providing quality medical and behavioral health care services to our members. Learn about Arizona's Health Information Exchange (HIE) andaccess information to make better clinical decisions and keep people healthy. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. If you believe your organization may be able to deliver additional value to the members we serve, we would love to hear from you. You may submit a potential future provider letter of interest and W-9 Form for review. We can answer your questions about benefits, help with finding or choosing a doctor, and solve problems in getting health care services. Get the most out of your benefits and services to support your path to better health! Providers must register with the AHCCCS program to be eligible for payment reimbursement. Just fill out the Mercy Care ACC Member Handbook Order Form and submit it to MercyCareNetworkManagement@MercyCareAZ.org. If your contact info isn't current,you wont getnotified if more information is needed to renew your Medicaid coverage. 33628. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. We care about you and your family. ACC-RBHA Contract Amendment 1 for AZCH, Care1st, & MC ALTCS EPD Contract Amendment 7 for Mercy Care and Banner // Amendment 8 for UHCCP (YH18-0001) Copyright 20152016 Aetna Better Health Todos los derechos reservados. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Copyright 20182025 MercyCare All Rights Reserved. We can answer your questions about benefits, help with finding or choosing a doctor, and solve problems in getting health care services. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. Our service areas for the following Medicaid programs are: AHCCCS Complete Care (ACC)- Gila, Maricopa and Pinal counties; AHCCCS ALTCS - Gila, Maricopa, Pima and Pinal counties; and Arizona Division of Developmental DisabilitiesAll counties in the State of Arizona. We invite you to register and learn more about what the secure web portal can offer you. We invite you to register and learn more about what the secure web portal can offer you. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. If youre coping with a behavioral health issue, youre not alone. Mercy Care RBHA. If you are already registered, please Sign In. If you are already registered, please Sign In. We invite you to register and learn more about what the secure web portal can offer you. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. A page for Mercy Care RBHA providers to learn more about products and services. Non-contracted providers can refer to theAHCCCS fee schedulefor reimbursement information. We invite you to register and learn more about what the secure web portal can offer you. Note: Caregivers, agencies and providers: Click on "Non Member" button to log in. Copyright 20152016 Aetna Better Health All Rights Reserved. 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). Non-Members Copyright 20152016 Aetna Better Health Todos los derechos reservados. Just select your plan from the choices above. You can also call Mercy Care Member Services at 602-263-300 0 or 1-800-624-3879 or Mercy Care RBHA Member Services at 602-586-1841 or 1-800-564-5465; (TTY/TDD) 711. Complete Care Members; ACC-RBHA Members; DCS Comprehensive Health Plan Members; We invite you to register and learn more about what the secure web portal can offer you. The website information you will be accessing is provided by another organization or vendor. You can also call Mercy Care Member Services at 602-263-300 0 or 1-800-624-3879 or Mercy Care RBHA Member Services at 602-586-1841 or 1-800-564-5465; (TTY/TDD) 711. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. The website information you will be accessing is provided by another organization or vendor. Login - Ohio ID. Our total approach to health and wellness takes care of your body, mind and spirit. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Additional details related to the Credentialing Alliance and some of the benefits you will see from it are listed below:. Login - Ohio ID. Below is the process for submitting your letter of interest for network participation consideration. 39114. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Find a Provider Contact About us Register as Member Register as Provider Espaol Login Innovate Ohio Platform (IOP) users: Click on "Login - Ohio ID" button. Member Services. Providers should not schedule or see Mercy Care members until they are notified of the participation effective date. Banner University Family Care LTC Customer Service 1-833-318-4146 www.bannerufc.com : Mercy Care LTC Customer Services 1-800-624-3879 www.mercycareaz.org: United Healthcare LTC Customer Service 1-800-293-3740 www.uhccommunityplan.com In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. Banner University Family Care LTC Customer Service 1-833-318-4146 www.bannerufc.com : Mercy Care LTC Customer Services 1-800-624-3879 www.mercycareaz.org: United Healthcare LTC Customer Service 1-800-293-3740 www.uhccommunityplan.com If your contact info isn't current,you wont getnotified when it's time to renew your Medicaid coverage. healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. Requests made on Thursdays after 5 p.m. will be processed the following week.) Grievance, Coverage Determinations & Appeals, You can submit feedback about your Medicare plan directly to CMS. If a site visit has already been performed by another participating plan in the Credentialing Alliance, another site visit will not be necessary. You can request copies of the member handbook. Note: Caregivers, agencies and providers: Click on "Non Member" button to log in. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. (Orders are processed on Fridays. Our Network Management representatives are dedicated liaisons who are here to help you. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Care members. Copyright 20152016 Aetna Better Health All Rights Reserved. If your concern is not resolved, please call AHCCCS Clinical Resolution Unit at 602-364-4558, or 1-800-867-5308. Refer to our Provider Manual for more detailed information. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. Requests made on Thursdays after 5 p.m. will be processed the following week.) 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. Requests made on Thursdays after 5 p.m. will be processed the following week.). New providers receive written confirmation of their effective date with the health plan. If you have any questions or need help with this website, call Mercy Care ACC-RBHA Member Services at 602-586-1841 or 1-800-564-5465; (TTY 711). Mercy Care Member Services representatives are available to help you. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Care members. Please click on the link to access Centene's Illinicare Provider portal for review of claims with a date of service prior to 12/01/2020, Haga clic en el enlace para acceder al portal de proveedores de Illinicare de Centene y revisar reclamaciones con una fecha de servicio anterior al 12/01/2020. We can answer your questions about benefits, help with finding or choosing a doctor, and solve problems in getting health care services. We can answer your questions about benefits, help with finding or choosing a doctor, and solve problems in getting health care services. Mercy Care mobile / Mercy Care RBHA mobile applications have gone through some system improvements. Copyright 20152016 Parkland Community Health Plan All Rights Reserved. Whether you are a member or provider, you'll find helpful information and resources within this section of our Web site. If you have any questions or need help with this website, call Mercy Care ACC-RBHA Member Services at 602-586-1841 or 1-800-564-5465; (TTY 711). Contracted providers can find reimbursement information in their Mercy Care contracts. 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