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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 then “Login” to register or log in.

Prior Authorization Changes - Effective June 1, 2021

Prior authorization (PA) requirement changes related to COVID Treatment and Telehealth services have been updated. We are updating our Pre-Auth tool. Please review this Provider Communication for more information.

Please contact Provider Services if you have questions. If you need additional help please contact your Provider Engagement Specialist.

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

Fill PDF and Fax:

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

Fill PDF and Fax:

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

Fill PDF and Fax:

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