www.MercyCareAZ.org
October 12, 2021
Subacute Detox Admission Form

Applicable To: Mercy Care Complete Care, Mercy Care RBHA, Mercy Care Long Term Care and Mercy Care DD 


Mercy Care has recently added a new admission form for our Subacute Detox Facilities. The new form is called Mercy Care Subacute Detox Admission Form and can be found on the Mercy Care website. This form will be utilized going forward as a facesheet for our subacute detox members, which our providers will send us in addition to the requested detox clinical information for the member.
 
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! 
www.MercyCareAZ.org