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Mercy Care Medicaid plans
We’ve divided the manual into chapters with general terms for all Medicaid plans and plan-specific terms for each plan. This should make it easier to find what you need:
Chapter 100 - Mercy Care Provider Manual - General Terms (PDF)
Chapter 200 - Mercy Care ACC-RBHA/Developmental Disabilities/DCS CHP - Plan Specific Terms (PDF)
Chapter 300 - Mercy Care Long Term Care - Plan Specific Terms (PDF)
Chapter 400 - Mercy Care ACC-RBHA with SMI - Plan Specific Terms (PDF)
Mercy Care Advantage (HMO SNP)
Revision Summary Memos
Provider outreach manuals
Gap Closure Reference Guide (PDF)
2024 Provider Outreach Manual: Prevention and Wellness (PDF)
Provider Guides
Mercy Care Provider Financial Reporting Guide
Mercy Care providers and vendors must understand the financial requirements and responsibilities included in their contract. Use this guide to establish consistency and uniformity in financial reporting and provide guidelines to assist providers in meeting contractual reporting requirements.
Need help?
Following processes in the provider manual is part of your contractual obligation as a network provider. But we can help if you have questions about caring for our members. Just contact us based on the plan.
Just contact us for help with your provider manual.