October 12, 2020
Referring, Ordering, Prescribing, Attending (ROPA) - AHCCCS provider registration

Applicable to: Mercy Care Complete Care, Mercy Care RBHA, Mercy Care Long Term Care, Mercy Care DD and Mercy Care Advantage
The Patient Protection and Affordable Care Act (ACA) and the 21st Century Cures Act (Cures) require that all health care providers who provide services to, order (refer), prescribe, or certify health care services for AHCCCS members must be enrolled as an AHCCCS provider.

Until these Acts passed, referring, ordering, prescribing and attending providers were required to obtain a National Provider Identifiers (NPI’s) but were not required to be enrolled as an AHCCCS provider.

After January 1, 2021 claims which include referring, ordering, prescribing or attending providers who are not enrolled with AHCCCS will not be reimbursed. AHCCCS encourages all providers who are not currently registered with AHCCCS, but who are referring, ordering, prescribing or attending providers, to register as an AHCCCS provider as soon as possible. Service providers whose claims include referring, ordering, prescribing or attending providers who are not registered with AHCCCS should work with these providers to complete their registration.

For additional information regarding ROPA, please refer to the AHCCCS web page Referring, Ordering, Prescribing, Attending (ROPA) Providers Required to Register with AHCCCS. This web page contains valuable information for you to know and includes a flier, as well as detailed FAQs. We encourage you to view this web page for complete detail.

Mercy Care, along with other AHCCCS contractors are working diligently to assist in getting all providers registered with AHCCCS.

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.  We appreciate your participation in our network and your dedication to the health and welfare of our members and your patients. 

Thanks for all you do!