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The Prior Authorization (PA) unit at AHCCCS authorizes specific services prior to delivery of medical related services. PA request status can be viewed online.
Prior authorization guidelines may stipulate that only certain medical specialists may prescribe a given medication. This type of prior authorization requirement is appropriate for specialized medications that require a high level of expertise in prescribing and monitoring treatment.
Some procedures or services that may require prior authorization include: sub-acute skilled care. private duty nursing. home health. hospice. high-tech radiology. rehabilitation care. home infusion. medical covered specialty drugs.
The prior authorization process begins when a service prescribed by a patients physician is not covered by their health insurance plan. Communication between the physicians office and the insurance company is necessary to handle the prior authorization.
Ozempic is a prescription-only medication for adults with Type 2 diabetes. You can schedule an appointment with your healthcare provider to discuss your medical condition, the potential benefits of Ozempic, and the possibility of getting a prescription. Obtain prior authorization if needed.
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Often, insurance companies have strict deadlines for PAs. Often, insurance companies have specific expectations for when the information needs to be submitted, and knowing those key dates is important. An expedited approval process is likely available if your need is urgent or time-sensitive.
Drugs That May Require Prior Authorization Drug ClassDrugs in ClassAfinitorAfinitor, Afinitor Disperz, everolimusAmpyraAmpyraAmvuttraAmvuttraAndrogens-Anabolic SteroidsAndrol-50, Danazol, Nandrolone, Oxandrin242 more rows
Prior Authorization Request Submission Process via Telephone (reserved for urgent requests after submitting documents through AHCCCS Online Provider Portal or hospital discharges) 1-602-417-7670 (Provider Services) 1-800-523-0231 (Out of state line to AHCCCS switchboard; dial extension 6024174400 or ask for PA area)

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