Editor’s Note: This update is provided to clarify a potential factual inaccuracy. Mercy Care remains committed to the Arizona Medicaid market and continues to serve its members. The recent developments, including the state’s decision to pause member transition activities, are specific to the ALTCS E/PD procurement and do not impact Mercy Care’s other vital services in the state.
Phoenix, AZ– A cloud of uncertainty hangs over Arizona’s long-term care landscape. Mercy Care, a major health provider serving over 850,000 Arizonans, including a significant portion of the state’s senior population, is locked in a battle with the Arizona Health Care Cost Containment System (AHCCCS) over a recently awarded contract.
Memo Reveals Protest and Legal Action
According to a memo obtained by Skilled Care Journal, Mercy Care sent a message to its network of providers on July 16th, 2024, stating their official protest of the AHCCCS’ decision regarding the ALTCS-EPD (Arizona Long-Term Care System – Elderly and Persons with Physical Disabilities) contract. The memo highlights concerns about the fairness of the selection process and expresses optimism about a successful outcome through ongoing legal channels.
A Trusted Partner for Arizona Seniors
Mercy Care boasts a long and respected track record in Arizona. Founded in 1981, the non-profit organization serves a diverse population across various healthcare programs, including Mercy Care Advantage (HMO SNP), Mercy Care DD (Developmental Disabilities), and Mercy Care DCS-CHP. These programs, crucial for vulnerable populations, will continue to operate uninterrupted throughout the current dispute.
Fighting for Quality Care
The memo mentions a formal protest filed with the AHCCCS, currently awaiting a decision from an Administrative Law Judge (ALJ). Additionally, Mercy Care has filed a “special action” in Arizona Superior Court, seeking a stay on the contract award until the protest is fully resolved. This bold legal move demonstrates their commitment to ensuring continued high-quality care for their existing members facing potential disruption.
Transparency and Questions Remain
While Mercy Care expresses optimism about the legal process, questions linger. The exact details of the “flawed” contract award process remain shrouded in secrecy. Additionally, the financial implications of a potential contract loss for Mercy Care and the potential impact on service quality for its senior members are significant concerns.
A Call for Clarity and Advocacy
Arizona’s seniors deserve clear information and access to high-quality care. The long term care community urges AHCCCS to provide greater transparency regarding the contract award process. Additionally, we encourage concerned residents and families to contact their local representatives and express their support for ensuring quality care for Arizona’s most vulnerable populations.
This is a story we will continue to follow. Stay tuned for updates as they become available.