Effective 2/4/2022, the Mercy Care Provider Manual has been updated. All changes in the manual are highlighted in yellow.
Detailed changes for each chapter are listed below:
Chapter 100 – Mercy Care Provider Manual General Terms
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Section 4.28 – Cultural Competency, Health Literacy and Linguistic Services - Added additional information regarding interpretation services through Member Services.
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Section 5.01 – Requirement for EPSDT Providers - Update made from Quality Management to Medical Management.
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Section 14.11 – How to File a Claim – P.O. Boxes updated to coincide with 2/4/2022 change previously communicated to provider through a provider notification.
Chapter 200 - Mercy Care Complete Care (MCCC), Department of Child Safety Comprehensive Health Plan (DCS CHP) and Mercy Care DD (Mercy DD) Plan Specific Terms
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Section 3.00 – Behavioral Health Overview - Language change.
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Section 3.11 – DD Members with an SMI Designation, Provider Requirements - Language changes.
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Section 5.09 – Family Planning Medications and Supplies – New Family Planning P.O. Box added.
Chapter 300 – Mercy Care Long Term Care Plan Specific Terms
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Section 5.09 – Family Planning Medications and Supplies – New Family Planning P.O. Box updated.
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Section 2.11 – Service Authorizations - Additional information regarding Home Delivered Meals added to Service Authorization Table.
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Section 4.00 - Behavioral Health Overview - Updated language.
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Section 7.00 – Dental Services - Updated P.O. Box to coincide with 2/4/2022 change.
Chapter 400 – Mercy Care RBHA Plan Specific Terms
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Section 2.04 – Outreach, Engagement, Reengagement and Closure - Change requested under No Show.
You can access the Mercy Care Provider Manual on our Provider Manual web page for all lines of business by clicking on the link.
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