Cover Story General Mental Health/Substance Abuse (GMH/SA) changes for members with Medicare Prime Plans or Mercy Care Advantage

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1 Mercy Care Provider Newsletter 2015 Quarterly Volume 2, August 2015 CONTENTS Arizona prescription drug drop box locations...2 AzAHP new credentialing forms...2 Flu season is fast approaching!...2 Formulary search tool...2 ICD-10 implementation and readiness...3 News and Events...4 Orthopedic network change...4 Osteopathic manipulative therapy - prior authorization change...4 Reference Material and Guides...4 Understanding Body Mass Index (BMI)...5 Dose optimization program...6 New pharmacy prior authorization fax form for Hepatitis C medications...6 Orthotic devices - change in coverage...6 PCP application of fluoride varnish...6 Regulatory compliance addendums model of care training...7 Chronic care management CPT code Colorectal cancer screening initiative...7 Getting the most for your patient at an annual wellness visit...8 Getting the most for your patient at an annual wellness visit Continued from page Individualized Care Plans Mercy Care is proud to introduce Cover Story General Mental Health/Substance Abuse (GMH/SA) changes for members with Medicare Prime Plans or Mercy Care Advantage In accordance with AHCCCS directives, effective October 1, 2015 acute members with Medicare Prime plans or Mercy Care Advantage as their primary payer will be realigned for General Mental Health/Substance Abuse (GMH/SA) benefits from their current Regional Behavioral Health Authority (RBHA) to Mercy Care Plan. This coverage is currently facilitated by the RBHA (Mercy Maricopa Integrated Care in Maricopa county and CPSA in Pima county). Please refer to our most recent Provider Notification regarding this change, General Mental Health/Substance Abuse (GMH/SA) Dual Eligible Alignment, for further details. Mercy Care Plan has been actively preparing for this alignment and we will update you with additional information as it becomes available. The Mercy Care Plan Provider Manual is currently in the process of being updated with information you will need to know and will be available for you prior to October 1, AZ

2 All Plans Corner Arizona prescription drug drop box locations The Arizona Department of Health Services provides an Arizona Medication Disposal Toolkit to assist in appropriate medication disposal. Please click on the link to view additional information. A listing of available Arizona Prescription Drug Drop Box Locations is available at the following website address: www. azcjc.gov/acjc.web/rx/drop%20box%20locations.pdf AzAHP new credentialing forms The AzAHP Credentialing Forms were recently updated in July Please refer to the Forms section of the website. The forms updated are as follows: AzAHP Organizational Data Form AzAHP Practitioner Data Form Please use these new forms when submitting your credentialing information. Flu season is fast approaching! Even though we are in the midst of summer, it is never too early to start planning for flu season. Mercy Care encourages all our members to get their annual flu vaccine. This preventive measure is especially important to our Mercy Long Term Care members and Mercy Care Advantage members so they may avoid serious complications that could result from getting the flu. We have provided our members with several options for getting their flu vaccine: Visit their PCP Visit a flu clinic Formulary search tool You now have the ability to use the new Formulary Search Tool to find out which medications are on the formulary drug lists. You can search by drug name or drug class. The search tool will show formulary status, generic alternatives and if there are any Visit an Urgent Care facility Or if they reside in a Skilled Nursing Facility, the flu shot will be provided directly to them As our partners in providing the best possible service to your patients and our members, we encourage you to use every office visit as an opportunity to discuss the importance of vaccination, especially flu and pneumonia. We will have more information specific to the flu season in our next newsletter. requirements, such as prior authorization, quantity limits or age limits. Please keep in mind that the formularies can change from time to time. 2

3 ICD-10 implementation and readiness ICD-10 is still on track for an implementation date of October 1, 2015 industry-wide. Mercy Care Plan would like to assure you that we are on schedule to transition our claims system to ICD-10 in order to meet this implementation requirement. We are working with our regulatory agencies, both federal and state, to assure this happens. We are currently working on several items to assist you with the ICD-10 transition. Below are tools and links for your review. We are in the process of loading these tools to our website for your use. As soon as this is completed, we will be updating our ICD-10 provider notification with all the detail. Our Claims Information page on our website is currently being revised to include two new tools that we believe will assist you: ICD-9 to ICD-10 Translator by AAPC - This tool comes from the National Coding Organization, AAPC, and is based on the General Equivalency Mapping (GEM) files published by CMS. This tool allows you to input an ICD-9 code and it will pull the appropriate ICD-10 code(s). Please keep in mind that while many codes in ICD-9-CM map directly to codes in ICD-10, in some cases, a clinical analysis may be required to determine which code or codes should be selected for your mapping. Always review mapping results before applying them. ICD-9 and ICD-10 Common Codes by Sonora Quest Laboratories - Sonora Quest Laboratories has a great reference document regarding most common ICD-9 to ICD-10 Common Codes. They have allowed us to share this comprehensive document with you. In the meantime, until our webpage is updated, attached are the links to the above tools. ICD-9 to ICD-10 Translator ICD-9 and ICD-10 Common Codes In addition, our provider notification, ICD-10 Implementation, is also in the process of being revised to include the above information. CMS has been sending out several communications recently regarding the ICD-10 implementation. Some of the key notifications and webpage are as follows: CMS Announcement CMS Guidelines and FAQs ICD-10 CMS Webpage The AMA has also recently communicated the following: In response to our extensive communication of physicians concerns, the Centers for Medicare & Medicaid Services (CMS) announced today that it is making several critical changes to the transition period so that physicians can continue to provide high-quality patient care without risking their livelihood. These changes address: Claim denials. For the first year ICD-10 is in place, Medicare claims will not be denied solely based on the specificity of the diagnosis codes as long as they are from the appropriate family of ICD-10 codes. This means that Medicare will not deny payment for these unintentional errors as practices become accustomed to ICD-10 coding. In addition, Medicare claims will not be audited based on the specificity of the diagnosis codes as long as they are from the appropriate family of codes. This transition period will give physicians and their practice teams time to get up to speed on the more complicated code set. Both Medicare Administrative Contractors and Recovery Audit Contractors will be required to follow this policy. Quality-reporting penalties. Similar to claim denials, CMS will not subject physicians to penalties for the Physician Quality Reporting System, the value-based payment modifier or meaningful use based on the specificity of diagnosis codes as long as they use a code from the correct ICD-10 family of codes. In addition, penalties will not be applied if CMS experiences difficulties calculating quality scores for these programs as a result of ICD-10 implementation. Payment disruptions. If Medicare contractors are unable to process claims as a result of problems with ICD-10, CMS will authorize advance payments to physicians. Navigating transition problems. CMS has said it will establish a communication center to monitor issues and resolve them as quickly as possible. This will include an ICD- 10 ombudsman devoted to triaging physician issues. The above information from CMS/AMA means that the ICD-10 implementation will continue with an effective date of 10/1/15. While providers must use ICD-10 coding to submit claims with a date of service 10/1/15 and after, providers will not be penalized if the code submitted does not include the detailed specificity that ICD-10 allows. However, the code must come from the appropriate code family. Mercy Care Plan will be following this as well. Mercy Care has previously completed end to end testing with several providers last year and are confident there should be no issues. While no further testing will be done with providers, Mercy Care Plan is actively testing with AHCCCS to certify ICD-10 readiness in advance of the 10/1/2015 implementation date, including DRG testing. We will continue to provide you with updates as they come up. In regard to claim submissions, the ICD-10 implementation is date of service specific. All dates of service from 10/1/15 and after must have the appropriate ICD-10 diagnosis code on it. Claim submission rules for specific claim types that could span dates of service from September to October 2015 are as follows: Inpatient claims - Since the inpatient services are discharge date driven, if the discharge date is on or after 10/1/15, then the ICD-10 code needs to be submitted. Outpatient claims - If an outpatient claim spans September and October, 2015, the claim will need to be split by the provider. The claim for services prior to 10/1/15 must contain the ICD-9 code. The claim for services on or after 10/1/15 will need the ICD-10 code. DME - These claims are generally submitted using a month time period. If services span September to October 2015, the last date of service will drive the appropriate diagnosis code, i.e., if the last date of service is on or after October 1, 2015, the ICD-10 diagnosis code must be used. Any future communications regarding ICD-10 will be added to our provider notification. Please be alert to changes as they are made. 3

4 News and Events Mercy Care Plan s website contains a section titled News and Events. In this section we will post important information you may be interested, i.e., influenza updates from organizations in Arizona, health alerts, etc. We invite you to periodically review this section for new updates. New updates since our last newsletter include: Million Hearts - This important information was received from the Arizona Department of Health Services. The Million Hearts : Cardiovascular Disease Risk Reduction Model (MH Model) supports both the Million Hearts goal to prevent one million heart attacks and strokes and CMS objective to identify and spread better models of care delivery and payment. Please review this new communication for more detail regarding this program and information on how to sign up for this. Clinical Challenges in Opioid Prescribing - Balancing Safety and Efficacy - A training session conducted by the Substance Abuse and Mental Health Services Administration is being offered on August 27, Please click on the link for further information. Orthopedic network change Since our last provider newsletter, there has been an Orthopedic Network Change that we would like you to be aware of. Please click on the link to view the provider notification in its entirety. This notification provides you with a comprehensive list of orthopedic providers available in our network. Osteopathic manipulative therapy - prior authorization change Mercy Care Plan has recently updated our prior authorization requirements for Osteopathic Manipulative Therapy performed by an Osteopathic Physician for the following codes: Osteopathic manipulative treatment (OMT), 1-2 body regions involved Osteopathic manipulative treatment (OMT), 3-4 body regions involved Osteopathic manipulative treatment (OMT), 5-6 body regions involved Osteopathic manipulative treatment (OMT), 7-8 body regions involved Osteopathic manipulative treatment (OMT), 9-10 body regions involved The above services will no longer require prior authorization on a go forward basis. Our prior authorization list, available under MercyOneSource has also been updated to reflect no prior authorization is required. Reference Material and Guides Mercy Care Plan s website contains a section titled Reference Material and Guides under each plan s name: Mercy Care Plan, Mercy Care Plan Long Term Care and Mercy Care Advantage. In this section we post important information you may need to use as a reference or guide. We invite you to periodically review this section for new updates. New updates since our last newsletter include: Appointment Availability Standards Quick Reference Guide - This reference guide can be posted in your practice and give you information at a glance regarding Mercy Care s Appointment Availability Standards. Sign Up to Save Lives Brochure - This brochure provides important information regarding the Arizona Prescription Drug Misuse and Abuse Initiative. This initiative encourages physicians and pharmacists to register for the Controlled Substances Prescription Monitoring Program. Caring for Older Adults - This document will assist you in caring for older adults under Mercy Care Advantage. This document details HEDIS Measure expectations for Mercy Care Advantage members. 4

5 Understanding Body Mass Index (BMI) Why measure body mass index? Calculating body mass index (BMI) is the first step in determining whether a patient is overweight or obese. BMI is comparable to blood pressure, a measurement that should be recorded every time a patient has an office visit. Discussing a patient s BMI is also a natural way to open a conversation about the benefits of making small lifestyle changes. In adults, obesity and overweight increases the risk of type 2 diabetes, cardiovascular disease, some cancers and early death. BMI can be used to gain additional insight into patients health risks. Even small changes in body weight can be associated with improved health outcomes. Measuring the BMI of every patient weighed in your office may involve adjustments to office procedures. The designated staff person (physician assistant, nurse, etc.) who records routine vital signs (height, weight, blood pressure, etc.) should assess BMI before the family physician encounters the patient. A BMI chart should be kept in the area where patients are weighed to help the process. Another BMI chart should be made available in the exam room so it will then be readily available for the physician. A patient s BMI can be discussed during the teachable moment(s) of the visit and the additional chart in the exam room can be used to explain significance of BMI to the patient. Use these standard values in counseling patients about weight and health: ADULTS Underweight: BMI = Below 18.5 Healthy Weight: BMI = 18.5 to 24.9 Overweight: BMI = 25 to 29.9 Obese: BMI = 30 and above Because normative values for BMI are highly gender- and agespecific for children and teens ages 2 to 20, adult definitions for overweight and obesity based on BMI cannot be used. Growth charts of gender- and age-specific BMI percentiles are provided in the AIM to Change toolkit. To help assess a child s BMI, please use the following links from the AAFP website: fitness/aimpracticemanual.pdf Additional information and charts are also available on the Centers for Disease Control and Prevention website: 5

6 Mercy Care Plan Corner Dose optimization program Mercy Care Plan is committed to providing physicians with important information to support appropriate and cost-effective drug therapy. As part of its prescription benefit plan, Mercy Care Plan is implementing a Dose Optimization program for selected medications. Optimizing to once-daily dosing provides greater convenience for patients. Studies have shown that less frequent dosing may lead to better compliance and improved outcomes. For some plan participants, once-daily dosing may also result in lower outof-pocket costs. Beginning on October 1, 2015 the Dose Optimization program will review selected medications and recommend that plan participants taking multiple daily doses of a lower strength medication receive a higher strength once-daily dose, when available and appropriate, according to product labeling. On or after the above effective date, the Mercy Care Plan prescription benefit plan will not cover multiple daily doses of the lower strength medication when an equivalent once-daily higherstrength dose is available. We appreciate your understanding and support of this program. New pharmacy prior authorization fax form for Hepatitis C medications Mercy Care Plan has developed a new pharmacy prior authorization fax form that is now available for immediate use for Hepatitis C medications. The Prior Authorization Form for Hepatitis C Medications can be accessed by clicking on the link. It is also available on Mercy Care s website on our Prescription Drug Benefits web page, Orthotic devices - change in coverage Mercy Care recently posted a new provider notification, Orthotic Devices - Change in Coverage, to our website due to recent benefit changes that have occurred for orthotic devices. AHCCCS has expanded its coverage of orthotic devices for members who are 21 years and older. Beginning August 1, 2015, orthotics are covered for AHCCCS members 21 years of age and older when all of the following apply: The use of the orthotic is medically necessary as the preferred treatment option consistent with Medicare Guidelines. The orthotic is less expensive than all other treatment options or surgical procedures to treat the same diagnosed condition along with several other authorization fax forms for prescription drugs. Please note that prior authorization for Hepatitis C treatment requires submission of medical records with the prior authorization request. Incomplete and/or illegible request forms may result in a denial, including those without medical records. The orthotic is ordered by a physician or primary care practitioner Prior authorization is attained There is no change in coverage of orthotic devices for members who are under 21 years of age. For members under the age of 21, AHCCCS covers orthotics when they are medically necessary and the orthotics cost less than other treatments that are as helpful for the condition. PCP application of fluoride varnish Recent information was received from AHCCCS regarding how PCPs should bill for the application of fluoride varnish. PCPs should use CPT code Application of Fluoride Varnish by a Physician. This code will replace HCPCS Code D Topical Application of Fluoride Varnish effective April 1, Dentists Regulatory compliance addendums Regulatory Compliance Addendums from AHCCCS are posted periodically on our Provider Notifications web page under Regulatory Compliance Addendums at the bottom of the will continue to utilize HCPCS Code D1206 when billing for the Application of Fluoride Varnish. Based on this recently received information, we have updated our provider notification, PCP Application of Fluoride Varnish. Please click on the link to access additional detail regarding this. page. A recent Regulatory Compliance Addendum - Effective July 2015 was posted to the website. Please click on the link for the most recent information. 6

7 Mercy Care Advantage Corner 2015 model of care training The 2015 Model of Care Training PowerPoint presentation has been added to the Provider Notifications section of our website. This is an annual CMS training requirement for all providers who care for Mercy Care Advantage members. Once the PowerPoint has been reviewed, the Model of Care Attestation Form available in the Forms section of our website must be filled out and faxed to Chronic care management CPT code Effective January 1, 2015, the newly payable Chronic Care Management service is now payable by Mercy Care Plan. Mercy Care Plan will begin making separate payment for chronic care management services under Current Procedure Terminology (CPT) code Chronic Care Management services are nonface-to-face care management/coordination services for certain Medicare beneficiaries having multiple (two or more) chronic conditions. Per CMS, Chronic Care Management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, is payable with the following required elements: Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient Chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline Comprehensive care plan established, implemented, revised or monitored For more detailed information regarding this new payable service, please review the Medicare Learning Network (MLN) publication, Chronic Care Management Services. Please click on the link to view this information. Colorectal cancer screening initiative We would like to partner with you starting in July 2015 with a STAR Measure colorectal cancer screening initiative. You will be receiving a letter and FIT order form for members between years of age who, by review of claims, have not received a colonoscopy in the past 10 years, a flexible sigmoidoscopy in the past 5 years, or a fecal testing (FOBT/FIT) in the current year. Fecal Immunochemical test (FIT) is one of the least invasive screening methods and it offers an opportunity for compliance with the least preparation. Sign, date and return FIT orders via fax by July 31, Once the signed order is received, the following will occur: Our call center will contact the member by telephone to inform them that a FIT test has been ordered If the member agrees, we will send them a FIT kit with instructions and a copy of the signed order. If no claim for the FIT is identified within six weeks after the kit is mailed, we will make a follow-up phone call to encourage completion of the FIT. Once the test is completed, Sonora Quest will provide you with the results of the FIT. OR If the order is not signed, please indicate the reason why in the space provided. If the member has not had a colonoscopy, flexible sigmoidoscopy or fecal testing (FOBT/FIT), and the order is not signed, we ask that you assist the member directly in coordinating one of these screenings. If the member has had a colonoscopy in the past 10 years, a flexible sigmoidoscopy in the past 5 years, or a fecal test (FOBT/FIT) in the current year, MCA requests that you fax a copy of the results by July 31,

8 Getting the most for your patient at an annual wellness visit Due to provisions outlined in the Affordable Care Act and in order to improve quality of care and health outcomes, the Centers for Medicare and Medicaid Services (CMS) have expanded preventive care coverage for Medicare patients. CMS is now encouraging providers to regularly review their patients wellness and develop plans to keep them healthy. In line with this, CMS has defined a set of major elements and objectives for the initial and annual wellness visit. Based on CMS guidelines, the AWV should shift focus from disease specific intervention to preventive care and proactive medical management. The Affordable Care Act provides for an Annual Wellness Visit (AWV), including Personalized Prevention Plan Services (PPPS) for Medicare beneficiaries. The Annual Wellness Visit is a covered benefit for Mercy Care Advantage members and is a preventive wellness visit - NOT a routine physical checkup. What is Included in an Initial AWV with PPPS? G Initial Visit The initial AWV includes the PPPS and provides for the following services to an eligible beneficiary by a health professional: Establishment of an individual s medical/family history. Establishment of a list of current providers and suppliers that are regularly involved in providing medical care to the individual. Measurement of an individual s height, weight, BMI (or waist circumference, if appropriate), BP, and other routine measurements as deemed appropriate, based on the beneficiary s medical/family history. Detection of any cognitive impairment that the individual may have as defined in this section. Review of the individual s potential (risk factors) for depression, including current or past experiences with depression or other mood disorders, based on the use of an appropriate screening instrument for persons without a current diagnosis of depression, which the health professional may select from various available standardized screening tests designed for this purpose and recognized by national medical professional organizations. Examples of screening tests include, but are not limited to: 9-Question Patient Health Questionnaire pdf available through USPSTF: recommendation-summary/depression-in-adultsscreening Beck Depression Inventory: table/tbl1/ Review of the individual s functional ability and level of safety based on direct observation, or the use of appropriate screening questions or a screening questionnaire, which the health professional may select from various available screening questions or standardized questionnaires designed for this purpose and recognized by national professional medical organizations. Establishment of a written screening and immunization schedule for the individual, such as a checklist for the next 5 to 10 years, as appropriate, based on recommendations of the United States Preventive Services Task Force (USPSTF) and the Advisory Committee on Immunization Practices (ACIP), as well as the individual s health status, screening history, and ageappropriate preventive services covered by Medicare. Establishment of a list of risk factors and conditions for which primary, secondary, or tertiary interventions are recommended or are underway for the individual, including any mental health conditions or any such risk factors or conditions that have been identified through an Initial Preventive Physical Examination (IPPE), and a list of treatment options and their associated risks and benefits. Furnishing of personalized health advice to the individual and a referral, as appropriate, to health education or preventive counseling services or programs aimed at reducing identified risk factors and improving self-management, or communitybased lifestyle interventions to reduce health risks and promote self-management and wellness, including weight loss, physical activity, smoking cessation, fall prevention, and nutrition. Any other element(s) determined appropriate by the Secretary of Health and Human Services through the National Coverage Determination (NCD) process. Continued on page 9 8

9 Getting the most for your patient at an annual wellness visit Continued from page 8 What would be Included in a Subsequent AWV/PPPS? G Subsequent Visit In subsequent AWVs, the following services would be provided to an eligible beneficiary by a health professional: An update of the individual s medical/family history. An update of the list of current providers and suppliers that are regularly involved in providing medical care to the individual, as that list was developed for the first AWV providing PPPS. Measurement of an individual s weight (or waist circumference), BP, and other routine measurements as deemed appropriate, based on the individual s medical/family history. Detection of any cognitive impairment that the individual may have as defined in this section. An update to the written screening and immunization schedules for the individual, as that schedule is defined in this section that was developed at the first AWV providing PPPS. An update to the list of risk factors and conditions for which primary, secondary, or tertiary interventions are recommended or are under way for the individual, as that list was developed at the first AWV providing PPPS. Furnishing of personalized health advice to the individual and a referral, as appropriate, to health education or preventive counseling services or programs. Any other element(s) determined by the Secretary through the NCD process When caring for older adults, we encourage you to: 1. Complete an annual review of the patient s medications (including prescription and non-prescription medications). This review should be documented in the patient s medical record by yourself or another prescribing provider. 2. Complete an annual assessment of the patient s ability to perform: Activities of Daily Living (ADL s), including, but not limited to: Bathing, dressing, eating, transferring, using toilet, walking Instrumental Activities of Daily Living (IADL s), including, but not limited to: Shopping for groceries, driving or using public transportation, using the telephone, meal preparation, housework, home repair, laundry, taking medications, handling finances 3. Complete an annual comprehensive pain screening (in at least three body systems). 4. Retain a copy of the patient s Advance Directive, Living Will, actionable medical orders or name of surrogate decision maker. If the patient does not have one of these advanced care plans, we encourage you to discuss advanced care planning with the patient and document the conversation in the patient s medical record. Take the opportunity at every visit to discuss the importance of a seasonal Flu vaccine and Pneumonia vaccination. These vaccinations are paid for by Medicare for all its beneficiaries, with no co-pay or deductible. Mercy Care Advantage would like your help. The Annual Wellness visit provides an excellent opportunity to address additional preventive measures such as flu prevention, decreasing fall risks, and other areas of concern specifically related to our members 65 years and older. Excerpts from the above article were taken from CMS The Guide to Medicare Preventive Services and can be viewed in its entirety by clicking on the link. 9

10 Individualized Care Plans Recently Mercy Care Advantage completed a mass mailing to our acute members regarding Individualized Care Plans (ICPs) that will assist them in meeting their health care needs. A copy of the ICP was also faxed to the member s Primary Care Physician (PCP). If you are a PCP, we wanted to alert you to the fact that you may receive several faxes in the near future containing ICPs. If you have any questions with regard to this, please feel free to contact our Member Services Department at or Mercy Care is proud to introduce Tanya Casares Network Account Manager, Provider Relations Mercy Care Plan Tanya Casares is a Network Account Manager in our Provider Relations Department. She has been with Mercy Care Plan s Provider Relations Department for almost five years, serving the provider community in Pima, Santa Cruz, Graham and Greenlee counties. Tanya s educational studies have been in Business Administration at Lamson Business College and Human Resources at Pima Community College. She has been working in the healthcare field in the Tucson community for a little over twenty years. Tanya s overall healthcare experience involves working in Utilization Management, Case Management Coordination, Revenue Cycle Management, Data Base Administration, Contract Management and Provider Relations. Tanya is a Tucson native and loves the opportunity to serve the community by educating our providers on all Mercy Care lines of business. She is generally more often greeted by a warm hug, rather than a handshake when meeting with her providers. Our mission Southwest Catholic Health Network Corporation (SCHN) d/b/a Mercy Care Plan is a not for profit corporation founded by Carondelet Health Network and St. Joseph s Hospital & Medical Center, a Dignity Health facility. SCHN is committed to promoting and facilitating quality health care services with special concern for the values upheld in Catholic social teaching, especially of the poor and for persons with special needs. Our vision SCHN will lead the transformation of the care delivery model by: Enhancing care coordination and collaboration across the continuum (Sponsors, SCHN, provider network). Enhancing health literacy and patients accountability in their health. Seeking a long term partnership with our provider network by offering effective and personalized services. Impacting the care and outcome of high risk/complex patients. Applying learning and capabilities to other patient populations to improve community health outcomes. Our values Passion: SCHN will pursue its mission with enthusiasm, optimism and diligence. Stewardship: SCHN will act prudently, focusing on the interests of those we serve. Teamwork: SCHN will collaborate with others to create exceptional results. Advocacy: SCHN will work on behalf of the underserved to improve health outcomes. MERCY CARE PLAN S PROVIDER NEWSLETTER is published as a community service for the Mercy Care provider network. Mercy Care Plan Mercy Care Advantage 4350 E. Cotton Center Blvd., Bldg. D Phoenix, AZ Phone: or If you are deaf or have difficulty hearing, call Websites: Facebook.com/MercyCarePlan 10