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Frequently Asked Questions

Health

What pharmacy should I go to?

All prescriptions must be filled at a pharmacy in Mercy Care DCS CHP’s network. If you need pharmacy services after hours, on weekends or holidays, many pharmacies are open 24 hours, 7 days a week. You can find a list of pharmacies in the Mercy Care DCS CHP Provider Directory. Visit www.MercyCareAZ.org and select “For Members” under Mercy Care DCS CHP. You’ll locate “Find a Pharmacy” in the upper right corner of the screen.

Are medications covered by Mercy Care DCS CHP?

Prescription medications and some over-the-counter medications are covered by Mercy Care DCS CHP. If the child needs medicine, the child’s health care provider will choose one from Mercy Care DCS CHP’s list of covered medications (called a formulary) and write a prescription. If you want a copy of the list, call Mercy Care DCS CHP Member Services or go to the website at www.MercyCareAZ.org. If you are at a pharmacy and the pharmacy tells you that Mercy Care DCS CHP will not pay for the medication, call Mercy Care DCS CHP Member Services right away. Do not pay out of your own pocket for the medicine. If you have questions or problems outside Mercy Care business hours, you can call the Mercy Care 24-hour nurse line at 602-212-4983 or 1-833-711-0776 (TTY/TDD 711).

What should I do if I am having trouble filling a prescription for the child?

If you have any questions or trouble filling a prescription while you are at the pharmacy, you can call Mercy Care DCS CHP Member Services for assistance. If you have questions or problems outside Mercy Care business hours, you can call the Mercy Care 24-hour nurse line at 602-212-4983 or 1-833-711-0776 (TTY/TDD 711).

How can I get a Mercy Care DCS CHP insurance card for the child?

Member Mercy Care DCS CHP Member ID cards are distributed through a variety of means including the DCS Specialist as well as directly to caregivers when possible. If you did not receive a member ID card or if you need a replacement card, contact Mercy Care DCS CHP member services.

What if I get a bill for health care services for the child in my care?

If you receive a bill for a covered health care service, do not pay the bill yourself. Call the health care provider right away and give them the child’s insurance information and Mercy Care DCS CHP’s address: Mercy Care, 4755 S. 44th Place, Phoenix, AZ 85040, www.MercyCareAZ.org. If you still get bills after giving the provider the member’s health care information, call Mercy Care DCS CHP Member Services at 602-212-4983 or 1-833-711-0776 (TTY/TDD 711) for help.

How do I find a health care provider that accepts Mercy Care DCS CHP?

You can find a health care provider by accessing the Mercy Care DCS CHP Provider Directory at www.MercyCareAZ.org, or call Mercy Care DCS CHP Member Services at 602-212-4983 or 1-833-711-0776 (TTY/TDD 711) for assistance.

What services are covered by Mercy Care DCS Comprehensive Health Plan?

Mercy Care DCS CHP pays for health care services that are medically necessary. Medically necessary means reasonable and necessary to prevent or treat illnesses or health conditions or disabilities. This includes care that keeps children and youth from going into a hospital. It also means the services, supplies, or medications that meet accepted standards of medical practice. You can check the Mercy Care DCS CHP Member Handbook for a list of covered health care services.

Who provides transportation to medical and dental appointments?

Kinship/Foster caregivers should provide transportation to medical and behavioral health appointments. If you are unable to provide transportation, contact your DCS worker for transportation assistance. CMDP member services may contacted for additional help. 602-351-2245 option 3

What should I do if I have a grievance about medical and dental services?

Grievances can be filed at any time verbally or in writing. To file a grievance, call Mercy Care DCS CHP Grievance System Department at 602-586-1719, toll-free at 1-866-386-5794, or fax to 602-351-2300, or email [email protected]. You can also send grievances in writing to Mercy Care DCS CHP, Grievance System Department, 4755 S. 44th Place Phoenix, AZ 85040.

How do I organize and store the child's medical and dental information and records?

It is a good idea to keep the child's records in a notebook or binder that you can bring to Child and Family Team (CFT) meetings and other appointments. This will help you organize and store all of the child’s records, information, and documents. If the child moves to a new foster home, send this notebook/binder to the new care providers. Also, remember that the child's case record is confidential. Be sure to keep the child's records stored in a secure location in your home that only caregiver (you) can access.

Do I have to pay copayments for covered Mercy Care DCS CHP services?

Caregivers do not have to pay copayments for covered Mercy Care DCS CHP services. Always list Mercy Care DCS CHP as the responsible party for payment of health care services. You do not need to list any personal information on any bills or claims.

Arizona Department of Child Safety

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