Medicaid Prior Authorization Changes Cochlear implant

Date: 10/10/25

AHCCCS Coverage of Speech Therapy & Cochlear Implants for Adults Effective October 1, 2025

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AzCH-CCP Prior Authorization Update for Cochlear Implants Effective November 10, 2025

Following the passage of AZ Senate Bill 1741 in June 2025, AHCCCS expanded healthcare coverage for adults aged 21 and older.  Effective October 1, 2025, outpatient speech therapy and cochlear implants, previously limited to children, are now covered benefits for eligible adults.

What’s New

• Speech Therapy is now covered in outpatient settings for adults aged 21 and older
• Cochlear Implants are available for adults aged 21 and older following medical evaluation demonstrating medical necessity

Arizona Complete Health-Complete Care Plan (AzCH-CCP) will require prior authorization (PA) for specific cochlear implant services for members 21 years and older.

The table below outlines the cochlear implants that require PA effective November 10, 2025:

Service Category	Services	Procedure Codes	Age Criteria	PA Rule
Cochlear Implants	Cochlear Surgery	69930, 69716	PA required for all ages	PA required for All providers
	Cochlear Device	L8614, L8619, L8627	PA required for all ages	PA required for All Providers

Note:  Cochlear Implants already require PA for members under 21 years of age.

Important Reminders

• Non-par providers and facilities must obtain PA for ALL SERVICES unless the Pre-Auth Check Tool states otherwise
•  Verify eligibility and benefits before providing services.  PA approval does not guarantee payment
• Use the Pre-Auth Check Tool at www.arizonacompletehealth.com -> For Providers -> Pre-Auth Check to confirm if a CPT/HCPCS code requires PA

PA Submission Timeline

PA requests for cochlear services may be submitted starting October 10, 2025, for services scheduled on or after November 10, 2025.

Questions?

Contact your AzCH Provider Engagement Account Manager Or email us at AzCHProviderEngagement@azcompletehealth.com