• PA Changes

    Providers: caring for members just got easier! See below to learn about some prior authorization changes.

For providers

Prior Authorization Code Changes

Attention providers! Mercy Care has removed hundreds of codes requiring prior authorization from our grids. We did this to reduce some of the administration involved in being part of our provider network.

Prior Authorization Code Changes – FAQ

Mercy Care Prior Authorization Codes

Mercy Care RBHA Prior Authorization Codes

Mercy Care Advantage Prior Authorization Codes

GMH/SU & Non-title Services Prior Authorization Codes

Pima County providers

Mercy Care is proud to continue serving ALTCS, DDD and Mercy Care Advantage (MCA) members in Pima County.

Mercy Care is experiencing a high volume of inquiries from members in Pima County who are enrolled in DDD, ALTCS and Mercy Care Advantage (MCA). These members are stating that their providers are informing them of contracting changes related to the AHCCCS Complete Care contract.

Please note: the 10/1 changes for the new AHCCCS Complete Care (ACC) program do not impact current DDD, ALTCS and MCA members in any GSA.

Mercy Care remains contracted with AHCCCS to provide services to members enrolled in ALTCS, DDD and MCA. If you have any questions please contact your Provider Relations Representative.

Together, we can improve the quality of health care

At Mercy Care RBHA, we are dedicated to high quality, cost-effective, outcome-based care for our members. You are our ally in providing that care. We are grateful for your participation.

We are committed to supporting our providers with the best tools and information. We’re here to help you provide quality and accessible health care and medical services. We hope that this website will serve as an important resource for you and your office staff.

We offer a Medicaid health plan to people who qualify for RBHA services.

Mercy Care RBHA

A Medicaid plan that covers people who qualify for Regional Behavioral Health Authority services (Medicaid and non-Medicaid).  Get information on pharmacy, prior authorization and more.

More information

Questions? Call Provider Relations at 1-866-796-5598 (toll-free) or TDD/TTY: 711.