Mercy Care Insurance For Behavioral Health Services

mercy care insurance

What Is Mercy Care?

Mercy Care is a non-profit health plan that offers comprehensive care to children, adults, and seniors who are eligible for AHCCCS benefits. AHCCCS is the Arizona Health Care Cost Containment System, which is Arizona’s Medicaid agency. It offers health care plans to serve eligible Arizona residents.

Mercy Care is contracted with AHCCCS to provide Medicaid-covered benefits and services to Mercy Care members. Healthcare providers must register with the AHCCCS program to be eligible for payment reimbursement. Registered providers agree to follow state laws and agree to accept the state Medicaid payment as payment in full.

Who Does It Serve?

Mercy Care has a wide network of healthcare providers that offer services and supports for members with:

  • General mental health, substance use, and physical concerns (Complete Care)
  • Serious mental illness–Regional Behavioral Health Authority (RBHA), a combined physical and behavioral health service for members determined to have a serious mental illness.
  • Youth and children in the foster care system–Department of Child Safety (DCS) Comprehensive Health Plan
  • Long-term Care for the elderly and physically disabled(EPD)
  • Medicare and Medicaid (Mercy Care Advantage)

Mercy Care Behavioral And Mental Health Services

When you are a member of Mercy Care, you can make an appointment with your primary care provider (PCP) to talk about your concerns or any symptoms you may be experiencing. Or you could make an appointment directly with a specialist such as:

  • Counselor
  • Therapist
  • Addictions therapist
  • Psychologist or
  • Substance abuse counselor

These specialists are trained to evaluate and treat mental health disorders.

Common Mercy General Mental Health (GMH) Services

  • Depression screening and treatment
  • Postpartum depression
  • Substance use disorder (SUD)
  • Attention Deficit Hyperactivity Disorder (ADHD)

Arizona Mercy Care Substance Use Coverage

Mercy Care provides service for members with general mental health and substance use (GMH/SU) issues. Substance use disorder means:

  • Using one or more substances
  • Dependence or overuse of a substance
  • Use, overuse, or dependency on a substance harms your health
  • Use, overuse, or dependency on a substance that can cause harm to others
  • Co-occurring disorders (when a person has a general mental health problem and a substance use disorder)

Medication-Assisted Treatment (MAT)

MAT is typically an alternative medicine treatment for opioid use disorders. It is usually used with counseling and other behavioral therapies. A team approach between MAT providers and other treatment providers offers the best treatment results.

Residential Treatment For SUD

A clinical evaluation determines the need for residential care. Residential treatment usually ranges from 60 to 120 days and is more intensive than outpatient programs. 

Who Is Eligible For Mercy Care?

Anyone eligible for Medicaid is eligible for Mercy Care Behavioral Health coverage.  An important feature of the Affordable Care Act and the Mental Health Parity and Equity Act of 2008 is to ensure that healthcare providers offer mental health and substance use disorder benefits. Plus, these benefits must be equal to or better than the benefits provided for surgical and general medical care.

Get Your Mercy Mental Health Coverage Verified Today

Are you or a loved one struggling with an addiction or mental health issue? Have you finally realized that it’s not going to go away on its own? Then now is the time to look into Granite Mountain Behavioral Healthcare.  We have experience and success in treating multiple types of substance disorders and co-occurring disorders which are common with SUDs. 

In addition, we have specialized programs for teens, women, and seniors, because the more we can individualize a program, the better it is. If you have Mercy Care, contact us today. Let’s get it verified and get you started on your recovery. If you don’t have Mercy Care, contact us anyway. Our insurance and intake specialists will be happy to answer questions and help in any way they can. 

References:

www.mercycareaz.org/

www.mercycarehealthplans.com/behavioral-health/

www.mercycareaz.org/providers/ltc-forproviders/

Article Reviewed by Gregory Struve

Greg received a Master’s in Counseling from the Adler Graduate School in 2006. He trained at one of the top trauma and anxiety treatment centers in the world until 2008 when he became a faculty member at Grand Canyon University. From 2011 to 2016 he directed a program that leads the field in terms of innovative treatment of anxiety and trauma. During that time he even made several appearances on A&E’s intervention.