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10/25/2013 Service Authorization Mercy Maricopa Integrated Care — Integrated Brand Name Drug (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
Visit the official Mercy Maricopa Integrated Care website.
02
Locate the "Enrollment" or "Apply for Services" section.
03
Provide personal information such as your full name, date of birth, and social security number.
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Answer questions related to your current health and any medical conditions you may have.
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Wait for a confirmation or response from Mercy Maricopa Integrated Care regarding your application.

Who needs Mercy Maricopa Integrated Care:

01
Individuals with qualifying mental health conditions who are eligible for AHCCCS (Arizona Health Care Cost Containment System) benefits.
02
Individuals in Maricopa County, Arizona, who require integrated healthcare services for behavioral health and physical health needs.
03
Those who may benefit from coordinated care and case management services to ensure comprehensive and effective treatment.
04
Individuals who have Medicaid coverage and want to access mental health and substance abuse services through Mercy Maricopa Integrated Care.
Remember to review the specific eligibility criteria and requirements from Mercy Maricopa Integrated Care to determine if you or someone you know meets the qualifications for their services.
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Mercy Maricopa Integrated Care is a regional behavioral health authority responsible for the coordination and delivery of behavioral health services in Maricopa County, Arizona.
Providers of behavioral health services in Maricopa County are required to file Mercy Maricopa Integrated Care.
Mercy Maricopa Integrated Care can be filled out online through their provided forms and portal.
The purpose of Mercy Maricopa Integrated Care is to ensure individuals in need of behavioral health services receive appropriate care and support.
Mercy Maricopa Integrated Care requires reporting on patient demographics, diagnoses, treatments received, medications prescribed, and outcomes.
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