Mercy Care DCS Comprehensive Health Plan
Welcome to Mercy Care DCS Comprehensive Health Plan
On April 1, 2021, CMDP changed to Mercy Care Department of Child Safety Comprehensive Health Plan, or Mercy Care DCS CHP. Children in foster care are able to get medical, dental and behavioral health services from one health plan, Mercy Care DCS CHP. Covered services for children in foster care remain the same.
These services may include:
- Primary and specialty physician care services.
- Prescription drugs and medical supplies.
- Medical checkups
- Behavioral health services
- Hospital care
- Vision services
- Dental services
Information found on this page:
New Member ID Cards
Caregivers should receive a Mercy Care DCS CHP Welcome Packet, which includes a new Member ID card. This new ID card is what you will use to get services from a health care provider or pharmacy. You will still be able to get services for the child in your care during this time without the Member ID card. There will be no interruption in getting or receiving care and services.
If the child needs care before you receive the new ID card, here’s what to do
- Bring a copy of this notification with you to the provider or pharmacy, or show it to them on your mobile phone or other mobile device. Click here to print.
- Show the child’s CMDP ID card, if you have one. It will have the child’s identification number on it. Tell the provider that Mercy Care is the payor and they can confirm eligibility by visiting our website at www.mercycareaz.org and clicking on the link in the upper right corner that reads “Family Connect.”
- Show the provider or pharmacy the child’s Notice of Providers form.
- Tell the provider or pharmacy the new health plan’s name is Mercy Care DCS CHP and that Mercy Care is the payor.
- Tell the provider they can verify your child’s information on our secure provider portal, located on our website at www.mercycareaz.org. In the upper right hand corner they should look for the link that says DCS CHP Family Connect.
- If the provider or pharmacy has trouble verifying the child's information, ask them to call Mercy Care DCS CHP Member Services at 1-602-212-4983 or 1-833-711-0776 (TTY/TDD 711).
Contact Us
Mercy Care DCS CHP Member Service representatives are available to help you with questions, concerns or issues about the child’s health care benefits. They are available Monday-Friday from 8 a.m. to 5 p.m. at 602-212-4983 or 1-833-711-0776 (TTY/TDD 711), or email [email protected].
Mercy Care DCS CHP Member Services can:
- Answer questions about health care benefits
- Help solve a problem or concern you might have with a doctor or any part of the health plan
- Help you find a doctor
- Tell you about our doctors, their backgrounds and care facilities
- Help you if you get a medical bill
- Tell you about community resources available to you
- Help you if you speak another language, are visually impaired, need interpreter services, or sign language services
DCS CHP Resource Liaisons are also available to help you with questions, concerns or issues about the child’s health care coordination. They are available Monday-Friday from 8a.m. to 5 p.m. at (602) 351-2245 or 1-800-201-1795 (TTY/TDD 711) or email [email protected].
Nurse Line
The nurse line is available 24 hours a day, 7 days a week to answer general medical questions. Call Mercy Care DCS CHP Member Services at 1-602-212-4983 or 1-833-711-0776 (TTY/TDD 711), and select the phone prompt for the Nurse Line.
Caregiver Information
- Find a Provider/Pharmacy
- DCS CHP Family Connect Login
- Member Handbook
- Crisis Services
- Pharmacy
- Frequently Asked Questions from Community Information Sessions - (Link to FAQs) (Presentation)
- Integration Message to Caregivers, March 22, 2021 - (English) (Spanish)
- Caregiver Instructions for Changing Pharmacy, March 19, 2021 - (Link)
- Integration Message to Caregivers, March 15, 2021 (Link)
- Community Information Sessions in English and Spanish
- DCS Reduces Barriers to Behavior Health Services for Kids - (Link)
Health Care Provider Information
Link to Mercy Care website: https://www.mercycareaz.org/providers/chp-forproviders/
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Before 4/1/2021 - Prior Authorization
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Forms
- Prior Authorization Matrix (doc)
- Prior Authorization Forms for Therapies (CSO-1175A doc)
- Prior Authorization Forms Medical/ Surgical Services (CSO-1179A doc)
- Prior Authorization Forms Medical Equipment and/or Supplies (CSO-1177A doc)
- Pharmacy: Prior Authorization form for Medication (pdf)
- Fax Notification Form (CSO-1004A doc)
- PCP Statement of Medical Necessity – Orthodontia (CSO-1184A doc)
- General/Pediatric Dentist Orthodontic Treatment Referral (CSO-1183A doc)
- Consideration Factors for Orthodontic (Braces) Services (CSO-1191A doc)
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- On or after 4/1/2021 - Prior Authorization
- Provider Manual
- On or after 4/1/2021 - Check Claim Status
- Before 4/1/2021 - Check Claim Status
- Clinical Guidelines
- Pharmacy
- Member Eligibility and Claims Webinar (slides) or (recording), March 24, 2021
- Provider Roadshow
- Provider Roadshow Supplemental Handout
Additional information regarding integrated health care services will be posted here.