Reminders for Procedures on Prior Authorization.
Date: 07/15/24
Reminder of How to Obtain Prior Authorization & How to Determine What Services Require Prior Authorization
Feedback from our most recent provider satisfaction survey indicated providers and staff would like clarificationfrom both Arizona Complete Health-Complete Care Plan and Care1st Health Plan Arizona on how to obtain priorauthorization and what requires prior authorization.
As a result, our Behavioral Health and Physical Health Utilization Management teams are sharing the details below.
- Please visit our websites and review our Pre-Auth Check tool pages. They help you identify if a service requires prior authorization and also provide you guidance on prior authorizations handled by our external vendor partners:
- Arizona Complete Health Website : > For Providers > Pre-Auth Check
- Care1st Website: > For Providers > Pre-Auth Check
- Answer “Yes” or “No” quesfons related to the place of service and types of services on the website
- If all the answers are “No”, then you will be prompted to enter the service code to check forpre-auth requirement
- Submitting prior authorizafon requests
- Preferred and fastest method is via our secure provider portals:
- Arizona Complete Health Website : > Login
- Care1st Website: > Login
- You may also submit your request via fax. Fax numbers are listed on our prior authorization forms, which are also available on our websites:
- Arizona Complete Health Website : > For Providers > Pre-Auth Check
- Care1st Website: > For Providers > Pre-Auth Check
- Preferred and fastest method is via our secure provider portals:
Thank you for the feedback you provided us in your survey responses. We appreciate you taking the time!
AzCH providers and staff:
If you have questions, please contact your AzCH Provider Engagement Specialist. If you need your assigned Provider Engagement Specialist’s contact information, please email us at AzCHProviderEngagement@azcompletehealth.com.
Care1st providers and staff:
If you have questions, please call Network Management at 1-866-560-4042 (Options in order: 5, 7) or email SM_AZ_PNO@care1staz.com.