www.MercyCareAZ.org
November 21, 2018
Crisis/State-Only Membership

Applicable to: Mercy Care Complete Care and Mercy Care RBHA                          
Mercy Care RBHA is responsible for administering limited crisis and state-only services for persons having behavioral health coverage through an ACC or another RBHA. Because these members are not enrolled or assigned to Mercy Care RBHA, providers rendering crisis and/or state-only services must communicate basic member detail to Mercy Care RBHA. This detail will be used to confirm enrollment detail with AHCCCS - so we may adjudicate claims.
 
Beginning Monday, December 3, 2018, providers may use the new Provider Intake - Crisis/State-Only Membership screen to notify Mercy Care RBHA of persons enrolled elsewhere, but receiving crisis and/or state-only services through the RBHA. The following information will be collected for each member and sent to the State for validation.
 
  • Membership Type: Crisis services (C) or State-Only Services (S) 
-Span Duration Guidelines: Eligibility spans for Crisis Services (C) will be set at 3-days in duration.
-State-only services (S) spans will be set at 30-days in duration.
  • AHCCCS ID: Member must already be actively enrolled with another ACC or RBHA.
  • Member Last Name: Informational only. Limited to 20 characters.
  • Member First Name: Informational only. Limited to 10 characters.
  • Span Start Date: The date services began.
  • Span End Date: This data point is auto-generated based on the Membership type selected and Span Duration Guidelines.
 
Please note: Crisis/State-Only membership should NOT be confused with Non-Title enrollment. The Crisis/State-Only process is intended for only members having active behavioral health coverage through an ACC or another RBHA. Non-Title enrollments are intended for persons without existing behavioral health coverage through a Medicaid plan.
 
As always, don't hesitate to contact your Mercy Care Provider Relations Representative with any questions or comments. You can find this notice and all other provider notices on our Mercy Care website .

                           
www.MercyCareAZ.org