Member questions about RBHA transition
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Some of you are hearing from members who have received letters about the transition to Mercy Maricopa Integrated Care, including a letter from AHCCCS telling them they will change health plans April 1. Some people may be worried about the change and worry that they'll be losing their providers. We're sending this note to help you answer that key question.
Mercy Maricopa will integrate the physical and behavioral health care of all members who have been diagnosed with a serious mental illness. Members can keep their current behavioral health treatment team (case manager, psychiatrist and counselor). As we move to integrated care, access to medical services for all RBHA members with serious mental illness will be provided through Mercy Maricopa.
But that doesn't mean these members will need to change providers. There will be no immediate changes. Mercy Maricopa is working to contract with all providers currently serving RBHA-enrolled members and family members in Maricopa County. There's a good chance their provider is already part of the Mercy Maricopa network. If not, they can keep their current medical providers for six months beginning April 1, 2014 while we make every attempt to add their medical provider to the Mercy Maricopa network.
Here are some additional points:
- Mercy Maricopa will reach out to the current medical providers to continue their contracts beyond the first six months.
- If their provider decides not to participate in the Mercy Maricopa network after that six-month period, we will help members choose a new provider that meets their specific behavioral and physical health needs.
- We will send members a letter if they need to change providers.
- We will do everything we can to keep them with their provider if they wish to do so.
- Their medical records will follow them wherever they chose to receive medical services.
Attached is a detailed list of frequently asked questions covering a wide range of other issues that may come up. These member FAQs also will be posted on our website, www.mercymaricopa.org.
We recognize that transitions can be fraught with concern and anxiety, and we appreciate your help in easing those concerns among members. Please know that we'll do everything we can to avoid disrupting these important relationships between members and their care providers. And please don't hesitate to call me, or any of the Mercy Maricopa team, with questions or concerns.
Mary K. Reinhart
Public Relations Administrator