Mercy Care Advantage (MCA) Provider Manual January 2021 Update
Applicable to: Mercy Care Advantage
Effective 1/1/2021, the MCA Provider Manual has been updated. All changes in the manual are highlighted in yellow.Detailed changes have been incorporated as follows:
Section 4.1 - Medicare/AHCCCS Registration– Language added about Referring, Ordering, Prescribing, Attending (ROPA) AHCCCS initiative and a link to the AHCCCS ROPA website given. This applies to MCA as well as Medicaid lines of business.
Section 4.18 – Direct-AHCCCS Immunizations – Language added that participating retail stores are also included in providing immunizations.
Section 12.0 – MCA Organization Determination Process – New section and information regarding Medicare Part B Drugs added.
Section 16.7 – Potential Civil and Criminal Penalties – Updated information regarding the False Claim Act.
You can access our MCA Provider Manual on our Provider Manual web page.
As always, don't hesitate to contact your Mercy Care Network Management Representative with any questions or comments. You can find this notice and all other provider notices on our Mercy Care website.