Contact us
Find contact info for Network Management. We’re here to help.
Welcome providers
Order member handbooks
You can request copies of current member handbooks on our forms page.
Get other forms
You can find other forms you need based on the plan. Or get Medicaid forms for pharmacy prior authorization (PA).
Getting started
Here are some helpful provider links if you’re new to our network.
Check your provider manual for contact information, processes and procedures that can help you care for our members.
Learn how to request PA and find information on criteria, forms, timelines and referrals.
You can submit claims online or by mail. Get claims information 24/7 with our interactive voice response (IVR) system (PDF).
Find events, training and education about key topics related to your practice, as well as for specific Mercy Care plans.
Who we are
Who we are
Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS (Medicaid) benefits or Medicare services. We have services and supports for members through these plans:
Mercy Care ACC-RBHA is short for Arizona Health Care Cost Containment System (AHCCCS) Complete Care Regional Behavioral Health Agreement. This plan provides physical and behavioral health care coverage (general mental health and substance use concerns) for AHCCCS members. We also serve people with a serious mental illness (SMI) designation (PDF), providing this coverage and more. Service area: Maricopa, Pinal and Gila counties. SMI services don't include ZIP codes 85542, 85192 and 85550.
Mercy Care DCS CHP is short for the Department of Child Safety Comprehensive Health Plan. This plan provides behavioral and physical health care coverage. We serve all children and youth in foster (out-of-home) care. Service area: statewide.
Mercy Care Long Term Care provides physical (medical) and behavioral health care coverage. We serve Elderly and Physically Disabled (EPD) Long Term Care (LTC) members. People get care and services as part of the Arizona Long Term Care System (ALTCS). Service area: Maricopa, Gila, Pima, and Pinal counties.
Mercy Care Developmental Disabilities provides physical and behavioral health care coverage and limited long-term services and support. We serve members of the Division of Developmental Disabilities (DDD) and Arizona Long Term Care System (ALTCS). People get long-term care and services for developmental or cognitive disabilities. Service area: statewide.
Mercy Care Advantage (HMO SNP) is a health maintenance organization special needs plan (HMO SNP). It provides Medicare benefits to people who qualify for Medicaid, as well as Medicare Parts A and B. Service area:
- Arizona Health Care Cost Containment System (AHCCCS) Complete Care Regional Behavioral Health Agreement (ACC-RBHA): Gila, Maricopa and Pinal counties
- AHCCCS Arizona Long Term Care System (ALTCS): Gila, Maricopa, Pima and Pinal counties
- Division of Developmental Disabilities (DDD): Statewide
Let us know what you think
Consider joining one of our six committees and councils. We’re looking for people to engage and take an active role in helping us improve services for members. You can learn more about our committees and councils.
Need help or have questions? We’re here for you
Find more information
Questions? Ask your Network Management representative for answers. Just visit Our network page to find yours by county or plan.