Reminder to Review Our Pre-Auth Check Tools to Confirm Prior Authorization Requirements
Date: 01/18/24
Please use the Pre-Auth Check Tools available on our websites to validate if a service requires prior auth before rendering it. There is a distinct Pre-Auth Check tool for each line of business located on our websites under For Providers > Pre-Auth Check for Arizona Complete Health – Complete Care Plan (Medicaid), Wellcare by Allwell (Medicare), and Ambetter from Arizona Complete Health (Exchange/Marketplace).
In addition, if a service requires prior auth, it also will require prior auth if it is being provided via telehealth. All Medicaid services provided in unspecified place of service (POS 99) require prior auth.
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.
Care1st providers and staff:
If you have questions, please call Network Management at 1-866-560-4042 (Options in order: 5, 7) or by email.
Thank you!