Mercy_Care_Contract_Amendment_2_fully_executed.pdf

This is a Contract Amendment (Amendment Two) for Contract #CTR50520 between the State of Arizona Department of Child Safety (DCS) and Mercy Care, located in Phoenix, Arizona. The amendment is processed through the Office of Procurement and involves modifications to an existing contract governing health and member services.

The amendment includes several key changes: updates to staffing requirements by adding a Member Services Manager and Member Services Staff positions, modifications to claims payment and health information system procedures, adjustments to compensation methodology for non-Medicaid members, and updates to grievance and appeal systems standards. The annual total program cost is estimated at $6,090,000, with an administrative expense rate of 1.5%. The amendment introduces new reporting requirements, including annual Membership Advisory Council reports, monthly DCS and Adopted Children Services reporting, and quarterly behavioral health reporting. The amendment is effective April 1, 2021, and establishes a monthly rate cap for TXIX members starting at $1,252.89 PM/PM, which will be reset annually.