Prior Authorization
Learn More About Becoming a Provider
Read More InfoAbrazo Advantage Health Plan (AAHP) requires prior authorization for elective hospital admissions and certain acute outpatient services. Prior authorization is not required for emergency services. Questions about covered services, the status of a referral or the need for authorization should be directed to:
AAHP
Prior Authorization Department
(602) 824-3760
Fax number: (602)674.6678
Requesting Prior Authorization
 |
|
Time Frames for Processing Requests
Urgent - An urgent request is appropriate for a non-life threatening condition, which if not treated promptly, will result in a worsened or more complicated patient condition. An urgent request will be responded to within three (3) working days upon receipt of request.
PLEASE call the Prior Authorization Department for all urgent requests.
Routine - A routine request is a non-urgent request that will be responded to within 14 calendar days upon receipt of request.
Prior Authorization Forms
- Prior Authorization Form
- Prior Authorization Guidelines
- Pharmacy - Prior Authorization Form
- Abrazo Advantage 2011 Formulary Prior Authorization Criteria
- Abrazo Advantage Plus 2011 Formulary Prior Authorization Criteria
- Transplant Prior Authorization Instructions and Request Form
Prior Authorization Review Criteria
- Allergy Referral
- Chiropractic Evaluation and Treatment
- Criteria for Breast Reduction
- Cochlear Implantation
- Enbrel or Etancercept
- Gastric Bypass Surgery Consultations
- Hepatitis C Treatment
- High Frequency Chest Wall Oscillation/Compression Therapy
- MRI Scan
- Neuropsychological Testing and Assessment
- Osteopenia or Osteoporosis Treatment
- Osteopathic Manipulation Treatment
- Pulmonary Rehab
- Sleep Study
- Tonsillectomy
- Treatment of Varicose Veins