Medicaid Prior Authorization Code G04470 Change Effective 8.1.2025

Date: 07/17/25

Medicaid Prior Authorization Changes Effective August 1, 2025

Arizona Complete Health-Complete Care Plan requires prior authorization (PA) for as a condition of payment for certain services. This communication outlines PA changes effective for dates of service 8/1/2025 and after.

NON-PARTICIPATING PROVIDERS & FACILITIES REQUIRE PA FOR ALL SERVICES UNLESS SPECIFICALLY OTHERWISE INDICATED.

Benefits are separate from PA requirements. If the service is a covered benefit, we then follow the PA requirements. In addition, payment, regardless of PA requirements, is contingent on the member’s eligibility at the time service is rendered. As a result, please verify eligibility and benefits prior to rendering services to members.

 

To confirm if a CPT/HCPCS code requires PA, please use the Medicaid Pre-Auth Check Tool on our website www.arizonacompletehealth.com > For Providers > Pre-Auth Check. Please Note: This tool displays the PA requirements at the time of the look-up. It does not display future changes to PA requirements.

Code	Description	PA Requirement Effective 8/1/2025
G0447	Behavioral counseling for obesity 15 min	PA required for non-par providers

If you have questions, please contact your Provider Engagement Account Manager. If you need your assigned Provider Engagement Account Manager’s contact information, please email us: AzCHProviderEngagement@azcompletehealth.com.