Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
fax prior auth
FFS medical prior authorization fax (DFSM)
Official page read
Phone
No phone listed for this route
Fax
602-256-6591
Published hours
Not published in this record
Product, plan and location
medicaid Arizona
Mailing address
Not researched for this route
AHCCCS Fee-for-Service (American Indian Health Program, TRBHA, Tribal ALTCS, FES etc.) medical PA requests by fax with the FFS PA request form; AHCCCS Online Provider Portal is the expected route and fax is a fallback. Not for members enrolled in a health plan (contact the plan).
Mailing addressAHCCCS-Division of Fee-for-Service Management
Care Management System Unit (CMSU), Mail Drop 8900
150 N. 18th Ave.
Phoenix, AZ 85007
PA documents by mail (unique circumstances only)
Out-of-state providers: ask for the PA area (or extension 602-417-4400). In-state providers use Provider Services 602-417-7670. After an urgent online submission, email the PA number to the Care Management team.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
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Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
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Ordering and rendering provider details
Service codes, requested dates and units
Existing authorization or submission reference
Questions to resolve
Is this the correct reviewer for this service and product?
Which documents are missing, and where should they be sent?
What is the case number and next status-check date?
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