Medicaid & Medicare Prior Authorization TAT Change
Date: 09/12/25
Standard Prior Authorization Turn Around Time Update
Effective January 1, 2026
Beginning January 1, 2026, our review time for Medicaid and Medicare standard prior authorization requests will align with the new Centers for Medicare & Medicaid Services (CMS) requirement.
- Standard prior authorization requests must be processed within 7 calendar days
- Under certain conditions, this may be extended up to 14 calendar days
To avoid delays, please submit complete clinical documentation with your initial request. This includes:
- Diagnosis
- Patient history and current condition
- Treatment plan and Interventions
- Relevant diagnostic tests
Important Reminders:
- Submitting all required information upfront can speed up review time.
- Incomplete clinical information may result in denial due to insufficient clinical support.
- Submit requests electronically using our secure provider portal or the Availity portal for faster processing.
- You can find all *Centene clinical policies and criteria on the Availity portal and specific clinical and payment policies in effect for Arizona are located on our website www.azcompletehealth.com > For Providers > Provider Resources > Clinical & Payment Policies.
Questions?
Please contact your Provider Engagement Account Manager.
If you need their contact information, email us at: 📧 AzCHProviderEngagement@azcompletehealth.com
*Centene is the parent company of Arizona Complete Health-Complete Care, Wellcare by Allwell and Wellcare