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Authorization for Prior Approval form - Arkansas Department of Health

Authorization for Prior Approval form - Arkansas Department of Health 2025

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The document is an authorization form from the Arkansas Department of Health for prior approval of medical services related to breast care. It includes patient information, requested services, and specific criteria for eligibility, such as age and tumor characteristics. The form emphasizes that payment will only be made to participating providers and outlines the importance of verifying recipient eligibility before billing.

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Who is responsible for submitting the prior authorization?

The healthcare provider is usually responsible for initiating prior authorization by submitting a request form to a patients insurance provider.

Why do you need a prior authorization?

Prior authorization is a way for insurance companies to review the medical service, procedure, item, or medication requested and make sure that its necessary for your care. Examples of services or procedures for which prior authorization may be needed include: admission to a hospital or skilled nursing facility.

Who requires a prior authorization?

Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process usually takes about 2 days. Once approved, the prior authorization lasts for a defined timeframe.

What is the phone number for Arkansas Medicaid prior authorization?

1-800-482-5431 Available Monday-Friday 8-4:30 p.m. 1-800 482-8988 or 501-682-8233 Available Monday-Friday 8-4:30 p.m. Call center hours are Monday through Friday 8 a.m. until 5 p.m. Web support hours are Monday through Friday 9 a.m. until 8 p.m.

What does a prior authorization form do?

A pre-authorization requirement is a way of rationing health care. Your health plan is rationing paid access to expensive drugs and services, making sure the only people who get these drugs or services are the people for whom the drug or service is appropriate.

What is a prior authorization request form?

Prior authorization (prior auth, or PA) is a management process used by insurance companies to determine if a prescribed product or service will be covered. This means if the product or service will be paid for in full or in part.

Authorization for Prior Approval form - Arkansas Department of Health 2025

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