We strive to make information readily available to your office. We understand that your office is affected by any changes to the contracts that you hold through Mercy Managed Care. In efforts to keep you updated, this section is designed to update you on contract information including: new contracts, contract terminations, rate updates, TPA changes, and miscellaneous other news.

Please be aware that not all rate changes or contract updates below will necessarily pertain to everyone. We are also not able to publish specific rate information online as that data is confidential. Please see the additional resources below that are available to you to confirm specific contract participation.

• Mercy Network LLC providers: If you are participating with Mercy via a contract with Mercy Network LLC (this would include providers in Southwest Missouri,  Northwest Arkansas, Oklahoma and select providers in St. Louis), please reference your online matrix for specific contract participation.
• Mercy PHO providers: If you are contracted with Mercy via the Mercy PHO (this would include the majority of providers in the St. Louis region), please reference your PHO contract and enrollment packet for a listing of the contracts you hold through Mercy.
• Mercy employed/integrated providers in the St. Louis region: Please continue to reference the Managed Care hub on Baggot Street, and the Sharepoint site as your reference for contract participation.
• All other Mercy employed/integrated providers: Please continue to use the Managed Care hub on Baggot Street as your reference for contract participation.

Provider Changes
As a contracted provider, it is important to notify us immediately of changes to your practice such as: a new provider joining the practice, changes in billing information, provider leaving the practice, or adding a new clinic location.  Notification may help avoid claim denials.  Please submit changes by fax 417-820-3821 or email. Please include a W-9 Form if the change involves a new billing address or tax identification number.

The Kansas Department of Health and Environment, Division of Health Care Finance has asked the Kansas Foundation for Medical Care, Inc., (KFMC) to conduct this provider experience survey related to the KanCare program. The brief confidential survey covers a variety of provider experience issues designed to help ensure that the KanCare program is as responsive and provider-friendly as possible.

The survey is estimated to take 5 minutes. Your feedback is important to the program’s success and we thank you for your participation.

Please respond to this survey by May 26, 2017.

Please click on the following link to begin the survey: https://www.surveymonkey.com/r/KanCare2017

Please follow the link below to view a new process for DME from TriWest Healthcare Alliance.

http://view.notification.triwest.com/?qs=d5bbbfc6d89c5943903a61614b16f069a25df63ed10d585b6875b7ffd67a627d9ea90b4c137ddb29fa3537c651a69353a2c94ee0683811fefe9f9c6961278ba9

Effective December 31, 2016, the direct agreement between Mercy and John Q. Hammons Hotels Management terminated.  John Q. Hammons employees moved to a plan utilizing the UnitedHealthcare Choice Plus network effective January 1, 2017.  UMR will continue to serve as their claims administrator.

Effective May 31, 2017, the direct agreement between Mercy and Johnston Companies will terminate.  Johnston Companies employees will be moving to a plan administered by CIGNA effective June 1, 2017.

Group Administrators will continue to process claims for services rendered prior to June 1, 2017 for 12 months.