Non-Emergency Transportation - Pick-up/Drop-Off Location Updates

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

On December 9, 2021, a provider notification titled, Non-Emergency Transportation, Pick-Up and Drop-Off Locations was sent letting providers know that effective March 1, 2022 a hard edit would be implemented in our system to deny all transportation claims if the claim didn't include accurate pick-up location and drop-off location. 

Based on a high number of encounter denials and provider concerns, hard editing will be postponed until June 1, 2022.  

To reiterate:  

• Accurate pick-up/drop-off information is now required on ALL transportation claims.
• Hard editing will go into effect with any date of service on or after June 1, 2022 and will be in place for:
• Transportation service codes A0021-A0999 or S0209, S0215, T2005, T2007, or T2049; 
• Provider types are 06, 28 or NT.
• Claim contains invalid, missing or blank pickup or drop-off information.  

While this is currently set as a soft edit in our system, it will become a hard edit effective June 1, 2022 and could result in claim denials. This applies to both electronic and paper claims.

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!