Downloadable Resources for Providers
Looking to join our network?
Providers interested in joining Mercy Managed Behavioral Health’s Network, please complete the attached form and return it, along with a copy of your resume/CV. Please note that we do not credentialing provisional providers. You must be fully licensed and able practice independently in your state in order to be considered.
Are you an existing provider?
Below you will find forms utilized by Mercy Managed Behavioral Health, along with links to valuable resources. For questions, please contact Provider Relations at (314) 729-4630.
Medical Necessity Criteria:
Mercy Managed Behavioral Health utilizes nationally recognized medical necessity criteria (as contractually required) and clinical practice guidelines. Our Medical Directors and clinical staff apply community standards of care as well as individual clinical needs in our care decisions. A copy of the specific medical necessity criteria used in our UM decisions is available by mail, fax, or secure email upon request.