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The Provider Manual is intended to be used as a communication tool and reference guide for Mercy Healthcare Group providers and office staff. It contains specific information on Mercy Healthcare Group programs and services, as well as authorization, referral, and claims submission policies.

Table of Contents
(Last Updated 10/01/2006)

MERCY CARE PLAN COMPLIANCE PROGRAM
TABLE OF CONTENTS
Chapter 1---WELCOME TO MERCY CARE PLAN
Chapter 2---GLOSSARY
Chapter 3---PROVIDER AND SPECIALIST STANDARDS AND RESPONSIBILITIES
Chapter 4---COVERED AND EXCLUDED SERVICES
Chapter 5---MEMBER SERVICES Chapter 6---PROVIDER SERVICES
Chapter 7---MATERNAL HEALTH/OBSTETRICAL CARE
Chapter 8---COORDINATION OF FAMILY PLANNING SERVICES
Chapter 9---CHILDREN'S HEALTH SERVICES (EPSDT)
Chapter 10---DENTAL AND VISION SERVICES
Chapter 11---CASE / DISEASE MANAGEMENT
Chapter 12---BEHAVIORAL HEALTH SERVICES
Chapter 13---DIVISION OF DEVELOPMENTAL DISABILITIES (DD LTC)
Chapter 14---INPATIENT CONCURRENT REVIEW
Chapter 15---PRIOR AUTHORIZATION AND REFERRALS
Chapter 16---QUALITY MANAGEMENT
Chapter 17---PREFERRED DRUG LIST
Chapter 18---CLAIMS AND ENCOUNTERS
Chapter 19---APPEALS AND STATE FAIR HEARINGS
Chapter 20---MERCY HEALTHCARE GROUP

Chapter 21---KIDSCARE PROGRAM
Chapter 22---ARIZONA LONG TERM CARE SERVICES (ALTCS)
Chapter 23---CULTURALLY COMPETENT PATIENT CARE
Chapter 24---MERCY CARE ADVANTAGE