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Mercy Care covers Non-Title XIX/XXI behavioral health services (mental health and/or substance use) within certain limits for Title XIX/XXI and Non-Title XIX/XXI members when medically necessary.
Most behavioral health services which are covered through Title XIX/XXI funding may also be available through Non-Title XIX/XXI funding but may be restricted to certain members as outlined within AHCCCS Medical Policy Manual (AMPM) Exhibit 300-2b. Services are also limited based on the availability of funding.
Providers are responsible for familiarizing themselves with the eligibility requirements and available services for non-titled individuals. For more information on available grants, visit https://www.mercycareaz.org/wellness and select from the menu of grants. Users can learn more about grant-specific eligibility and a current list of provider subrecipients. Providers are also responsible for registering and completing federal block grant training courses on Relias annually. Relias modules addressing the training requirement are listed below:
AzAHP – Mental Health Block Grant (MHBG)
To ensure that the network is informed on how to support underinsured individuals, Mercy Care’s expectation is that all contracted general mental health/substance use (GMH/SU) providers are knowledgeable about the Mental Health Block Grant (MHBG). This includes requiring all employees who are member-facing to take the online RELIAS training (within 90-days of employment and annually thereafter).
AzAHP - Substance Abuse Block Grant (SABG)
To ensure that the network is informed on how to support underinsured individuals, Mercy Care’s expectation is that all contracted general mental health/substance use (GMH/SU) providers are knowledgeable about the Substance Abuse Block Grant (SABG). This includes requiring all employees who are member-facing to take the online RELIAS training (within 90-days of employment and annually thereafter).
In addition to your provider manual, AMPM Policy 320-T1, AMPM Policy 320-T2, and AMPM Exhibit 300-2b, you may also consult AHCCCS FAQs for additional information regarding Non-Title XIX/XXI Funding or Federal Block Grants. If you would like additional technical assistance or information, please reach out to grants@mercycareaz.org or your network representative.
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.
Thanks for all you do!
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