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Historically, Mercy Care has credentialed therapy providers organizationally and required rosters for the management of the providers rendering services at each credentialed location. Upon review of the AHCCCS AMPM Policy 950 – Credentialing and Recredentialing Processes it has been determined that these provider types need to transition from Organizational credentialing to Individual credentialing for therapy groups effective 9/1/2022.
This transition means we will no longer require locations be Organizationally credentialed. However, individual providers rendering services at each location will need to be credentialed with the submission of the AZAHP Practitioner Data Form effective 9/1/2022.
We can continue to accept the Organization/Facility Application for the purpose of loading a location, however, the location will not be credentialed and the AZAHP form will be required for the providers rendering services at that location. Rosters will continue to be accepted for the purpose of loading locations and credentialing providers as long as all required fields on the AZAHP Practitioner Data form is on the roster. The AZAHP Roster form is available under the Provider Forms section of our website.
For providers that are currently credentialed under the umbrella of Organizational credentialing, we will be requesting individual AZAHP forms for the credentialing of the individual providers at the time Organizational recredentialing comes up again. You do not have to submit the AZAHP Practitioner Data Form for your existing providers at this time. That will make this an ongoing transition project that will make the administrative burden on the provider and the health plan less cumbersome.
If you have any questions or concerns, please feel free to contact our Claims Investigation/ Claims Research (CICR) at 602-263-3000 or your Network Management Representative.
Please 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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