2020| Volume 1
Mercy Care Provider Newsletter
Pharmacy Network Change
Based on our recent Provider Notification regarding Pharmacy Network Changes sent on 12/12/19, Mercy Care, in an effort to reduce overall pharmaceutical costs, is implementing changes to the retail and specialty pharmacy networks effective February 3, 2020 for Mercy Care's Medicaid lines of business.   
MCA Benefits Change for 2020
Effective with dates of service on or after January 1, 2020, the following Mercy Care Advantage supplemental benefits are changing. For a complete description of the 2020 MCA
benefits available, please review the 2020 MCA materials available on the mercycareaz.org website.
Contacting Provider Relations

Our Provider Relations Department is your touchstone to everything Mercy Care. We want to provide you with our most recent Provider Relations contact information in order to assist you with all your needs. 

You can reach our Provider Relations department at 602-263-3000 or at 800-624-3879.
Constant Contact: Sign up to stay connected

As part of Mercy Care’s comprehensive communication strategy, we use Constant Contact, an email marketing vendor, to assist us in getting important information directly to our providers via email. 

We continue to post all provider communications to our website.
Mercy Care Provider Survey for 2019 
Mercy Care has completed their provider survey for 2019 and we would like to share our results with you. 
It's all about the timing in TRC - Transitions of Care

What is TRC? You may or may not have heard of this hybrid HEDIS® measure. It was introduced in 2018 and, as the name implies, it centers on care transitions from acute (or non-acute) inpatient settings and looks at the percentage of discharges for members 18 and older that meet all four indicators below:  
Practice Management and Transformation: Lessons from The Transforming Clinical Practice Initiative

A recent article was published in The Arizona Pulse titled Practice Management and Transformation: Lessons from The Transforming Clinical Practice Initiative . We are including a link to this article as we believe it will be of interest and help you to achieve health transformation in your practice.

Recent provider notifications
Mercy Care’s provider notifications contain important information for your use. Please click on the links to view the most recent provider notifications in greater detail:   
Upcoming events

Mercy Care’s Events section provides information regarding current events, including training opportunities. Please click on the below links to view the most recent news and events in greater detail:

Free Training on Emergency Mass Vaccinations - Training Date: 02/11/2020

Recent Reference Material and Guides

Reference Materials and Guides contain valuable information you may refer to at any time. Recent Reference Material and Guides include: 
Phone Interpretation Services - Transitioning to Language Line

A Provider Notification regarding Phone Interpretation Services – Transitioning to Language Line was sent on 11/11/19. Effective 12/1/2019, Mercy Care transitioned to Language Line for all phone interpretation services.
Mercy Care is proud to introduce...

Kellie Manders
Director of Compliance
Mercy Care

Kellie Manders serves as the Director of Compliance for Mercy Care, overseeing all lines of business (ACC, ALTCS, DDD, and RBHA). In this role, Kellie manages the Mercy Care Compliance team and is responsible for promoting and enforcing compliance with state/federal laws and regulations and related-company policies affecting Mercy Care and encouraging high business standards in order to achieve organization objectives. Kellie partners with various internal departments at Mercy Care to provide ongoing consultation regarding compliance issues and questions and serve as a main point of contact for state regulators.