Skip to Main Content

Pre-Auth Check

Arizona Complete Health hears you. We’re continually focused on enhancing your experience. Use our secure provider portal to submit your Medicaid and Marketplace prior authorization (PA) requests. Your PA request will feed directly into our system and allow us to receive and respond faster. Go to https://www.azcompletehealth.com/ then “Login” to register or log in.

Prior Authorization Changes – Temporary flexibility around post-acute requirements began Monday, 12/6/21. The changes are in effect through end of day Friday, 2/27/22 (normal operations will resume on 2/28/22). Details are outlined below

Ambetter (Marketplace) and Allwell (Medicare) Post-Acute Accommodations for rehab hospitals, Long Term Acute Care hospitals (LTACH) and SNF:
We will relax our requirements related to facility transfers including:

  • We will not require discharging acute care facilities to obtain prior authorization for patient transfers to participating post-acute facilities. 
  • We will not require sending facilities to provide notification of transfer to participating providers. 
  • However, we will require receiving facilities to notify the health plan of patient admission.  And we will accept notification up to five days post-transfer.
  • We will continue to conduct medical necessity review
  • Because we will not have visibility prior to transfer, we request that hospitals utilize our in network post-acute facilities

Arizona Complete Health-Complete Care Plan (AzCH-CCP, Medicaid)
AzCH-CCP is following AHCCCS requirements outlined in the clinical delivery section of the AHCCCS COVID-19 FAQ page.  For criteria specific to Post-Acute services please refer to the most current AHCCCS Prior Authorization and Concurrent Review memo.

DME and O2:
Our partner, Preferred HomeCare (Phone: 800-636-2123),  will coordinate the delivery of DME and O2 prior to discharge upon notification from the discharging facility.

Home Health:
Our partner, Professional Health Care Network (PHCN) (Phone: (888) 705-5274), will coordinate the setup of home health prior to discharge upon notification from the discharging facility.

Product Is Auth Required Submit PA via Portal Submit PA via Fax
Arizona Complete Health-Complete Care
(Medicaid)
Medicaid Pre-Auth Check Tool Request via Portal

Fill PDF and Fax:

Allwell from Arizona Complete Health
(Medicare)
Medicare Pre-Auth Check Tool  Request via Portal

Fill PDF and Fax:

Ambetter from Arizona Complete Health
(Marketplace)
Marketplace Pre-Auth Check Tool  Request via Portal

Fill PDF and Fax:

For Psychological/neuropsychological Testing
Please refer to this Psychological/neuropsychological testing prior auth provider assistance tool (PDF).

Please note, failure to obtain authorization may result in administrative claim denials. Arizona Complete Health providers are contractually prohibited from holding any member financially liable for any service administratively denied by Arizona Complete Health for the failure of the provider to obtain timely authorization.

For additional information visit our Prior Authorization page
Prior Authorizations