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09/01/2016 Prior Authorization MERCY MARICOPA INTEGRATED CARE LXIX/XXI SMI (MEDICAID) PCSK9 Inhibitors (AZ88) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review

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How to fill out mercy maricopa integrated care

01

Gather all the required information and documents needed to fill out the application

02

Visit the Mercy Maricopa Integrated Care website

03

Click on the 'Apply Now' button to access the online application form

04

Read the instructions provided and fill out the form accurately and completely

05

Double-check all the information entered for any errors or missing details

06

Submit the completed application form

07

Wait for a response from Mercy Maricopa Integrated Care regarding your application

08

If approved, follow the instructions provided by Mercy Maricopa Integrated Care for next steps

Who needs mercy maricopa integrated care?

01

Individuals who have a serious mental illness (SMI)

02

Individuals who have a substance use disorder (SUD)

03

Individuals who are eligible for Medicaid

04

Individuals who reside in Maricopa County, Arizona

05

Individuals who require integrated care for both their mental health and substance use needs

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What is mercy maricopa integrated care?

Mercy Maricopa Integrated Care is a managed care organization that provides behavioral health services in Maricopa County, Arizona.

Who is required to file mercy maricopa integrated care?

Providers and facilities that offer behavioral health services and are contracted with Mercy Maricopa Integrated Care are required to file.

How to fill out mercy maricopa integrated care?

Mercy Maricopa Integrated Care can be filled out online through their website or through the provider portal. Providers need to enter information about the services provided to patients.

What is the purpose of mercy maricopa integrated care?

The purpose of Mercy Maricopa Integrated Care is to ensure that individuals in Maricopa County have access to high-quality behavioral health services.

What information must be reported on mercy maricopa integrated care?

Providers need to report information such as patient demographics, services provided, diagnosis codes, and outcomes of treatment.

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