November 21, 2019
Memorandum from the Division of Developmental Disabilities

Ap plicable to: Mercy Care DD
The Division of Developmental Disabilities, through a contract with the Arizona Health Care Cost Containment System (AHCCCS), offers health care coverage to members who are eligible for the Arizona Long Term Care System (ALTCS).

Mercy Care DD provides services to DDD members via an integrated program effective October 1, 2019. In order to properly coordinate care for DDD members there may be times when Division staff contacts a provider requesting information to coordinate care. This may include coordination of service or management of health care and related services by one or more providers, including the coordination or management of health care by a provider with a third party, consultation between providers relating to a patient or the referral of a patient for care from one provider to another.

The Health Insurance Portability and Accountability Act (HIPAA) governs how Covered Entities (CEs) protect and secure Protected Health Information (PHI). HIPAA also provides regulations that describe the circumstances in which CEs are permitted to use and disclose PHI for certain activities without first obtaining an individual’s authorization. These circumstances include treatment and health care operations related to members services and should be the minimum amount necessary to achieve the disclosure purpose. Please note, this memorandum does not include disclosure of Part 2, HIV, or communicable disease related data and information as these have added privacy protections under federal or state law.

As always, don't hesitate to contact your Mercy Care Provider Relations Representative with any questions regarding when it is appropriate to release information or any other questions or comments. You can find this notice and all other provider notices on our Mercy Care website.

Thanks for all you do!