Provider Materials

Magellan Complete Care of Arizona provider materials

Magellan Complete Care of Arizona (MCC of AZ) appreciates your commitment to serving our members. To make it easy for you to focus on caring for our members, we’ve compiled our provider materials all in one place. If you have any questions or suggestions, please reach out to us.

COVID-19 vaccine information

For more information on COVID-19 and the vaccine, please visit the AHCCCS website.

MCC of AZ provider manual

2020 MCC of AZ provider manual (Effective January 1, 2020)

MCC of AZ frequently asked provider questions (FAQ)

MCC of AZ provider FAQ

MCC of AZ medical necessity criteria

MCC of AZ adult behavioral health therapeutic homes placement medical necessity criteria policy and procedure

MCC of AZ behavioral health residential facility medical necessity criteria policy and procedure

MCC of AZ therapeutic foster care placement medical necessity criteria policy and procedure

MCC of AZ’s preferred drug list

MCC of AZ has a list of covered drugs that we choose with the help of a team of doctors and pharmacists. This list of covered drugs includes the AHCCCS acute and long-term care drug list. These lists include which drugs are covered by MCC of AZ and also tells you if there are any rules or restrictions on any drugs, such as a limit on the amount members can get.

Please review this list to find out what drugs are covered by MCC of AZ. If you would like a paper copy of the , please call MCC of AZ at 1-800-424-5891 to request a copy be mailed to you. Please be aware that this list may change throughout the year.

If an MCC of AZ member is currently taking a drug that is impacted by a change to the list of covered drugs, we will notify the member in writing 30 days prior to the change taking effect. You can review the AHCCCS preferred drug lists and the MCC of AZ preferred drug list on our MCC of AZ provider page.

MCC of AZ’s Provider Toolkits

We have developed provider toolkits to serve as a central repository for information on clinical guidance, available tools and resources, trainings and more. We currently have toolkits focused on:

  • Pregnant and Parenting Women with Opioid Use Disorder (OUD)
  • Neonatal Abstinence Syndrome/Neonatal Opioid Withdrawal Syndrome

Explore Toolkits 

MCC of AZ provider trainings

We know that it can be challenging to find time to attend trainings and educational opportunities. MCC of AZ has made the following trainings available for you and your staff to review on your time.

Finding a Fix: Oral Health Solutions to Opioid Misuse and Abuse

One-hour CE toward opioids and chemical dependency for dental professionals. Click here to learn more.

Electronic Prescribing of Controlled Substances (EPCS)

Effective January 1, 2020, a Schedule II substance that is an opioid can only be dispensed with an electronic prescription order as mandated by HB2075.

Health Current’s 2019 EPCS Click for Control has been developed in partnership with the Arizona Health Care Cost Containment System (AHCCCS), Arizona Department of Health Services (ADHS) and the Arizona Board of Pharmacy to help providers meet the new requirements.

Providers can access the 2019 EPCS Click for Control campaign here for resources to help meet the new requirements.

Previous webinars were recorded and are available online.

For other EPCS questions, please email Health Current at erx@healthcurrent.org or call 602-688-7200.

Click here to read the full notice from AHCCCS regarding HB2075.

Join us for our upcoming MCC of AZ provider webinars!

MCC of AZ Provider Announcements and Notifications

2021
2020
2019
2018

MCC of AZ Autism Spectrum Disorder (ASD) Provider Directory

MCC of AZ Autism Spectrum Disorder (ASD) Provider Directory

A list of MCC of AZ network providers who can provide services specific to the needs of members with ASD. You can also find these providers using the search filter “Autism Services”.

MCC of AZ Opioid Use Disorder (OUD) and Medication-Assisted Treatment (MAT) Provider Directory

MCC of AZ Opioid Use Disorder (OUD) and Medication-Assisted Treatment (MAT) Provider Directory

A list of MCC of AZ OUD and MAT network providers.

Telehealth Tip Sheet

Telehealth tip sheet

Telehealth has been around for many years. It has shown to be a cost-effective, evidence-based alternative option for delivering healthcare for behavioral health diagnoses and treatments. It’s becoming widely reimbursed by payers such as health plans, states, CMS and most recently, NCQA for HEDIS.

Telehealth has been around for many years. It has shown to be a cost-effective, evidence-based alternative option for delivering healthcare for behavioral health diagnoses and treatments. It’s becoming widely reimbursed by payers such as health plans, states, CMS and most recently, NCQA for HEDIS.

Telehealth Tip Sheet

HEDIS Tip Sheets

HEDIS Tip Sheets
Adults' Access to Preventive or Ambulatory Health Services (AAP)
Magellan Complete Care
Appropriate Antibiotic Use (URI, CWP, AAB)
Magellan Complete Care
Appropriate Testing for Pharyngitis (CWP)
Magellan Complete Care
Asthma Medication Ratio (AMR)
Magellan Complete Care
Breast Cancer Screening (BCS)
Magellan Complete Care
Cervical Cancer Screening in Women (CCS)
Magellan Complete Care
Child and Adolescent Well-Care Visits (WCV)
Magellan Complete Care
Childhood Immunization Status (CIS)
Magellan Complete Care
Chlamydia Screening in Women (CHL)
Magellan Complete Care
Colorectal Cancer Screening (COL)
Magellan Complete Care
Comprehensive Diabetes Care (CDC)
Magellan Complete Care
Controlling High Blood Pressure (CBP)
Magellan Complete Care
Disease-modifying Anti-rheumatic Drug Therapy for Rheumatoid Arthritis (ART)
Magellan Complete Care
Immunizations for Adolescents (IMA)
Magellan Complete Care
Lead Screening in Children (LSC)
Magellan Complete Care
Medication Adherence for Chronic Medications (statins, ACE/ARBs, oral antidiabetics)
Magellan Complete Care
Prenatal and Postpartum Care (PPC)
Magellan Complete Care
Statin Therapy for Patients with Cardiovascular Disease (SPC)
Magellan Complete Care
Statin Therapy for Patients with Diabetes (SPD)
Magellan Complete Care
Use of Imaging Studies for Low Back Pain (LBP)
Magellan Complete Care
Use of Opioids from Multiple Providers or at High Dosage in Persons without Cancer (PQA1)
Magellan Complete Care
Weight Assessment & Counseling for Nutrition & Physical Activity for Children & Adolescents
Magellan Complete Care
Well-Child Visits in the First 30 Months of Life (W30)
Magellan Complete Care