Utilization management

Prior authorization

Prior authorization can be requested from the MCC of AZ Utilization Management Department, which is available 24 hours a  day, 7 days a week. Providers are expected to submit a pre-service authorization request prior to providing the service or care. Any services that require an authorization but was not prior authorized, will be denied for payment. Please call us at 800-424-5891 for any questions regarding prior authorization. Providers can utilize the prior authorization forms found here and fax to 888-656-7501, including all supporting documentation.

Providers can review a list of services that require prior authorization here.

Providers can review a complete list of prior authorization codes here.

Mail:

Magellan Complete Care of Arizona

Attn: Utilization Management Department

4801 E. Washington Street

Phoenix, AZ 85034

Fax:

888-656-7501

Email:

MCCAZUMRequests@magellanhealth.com

To access utilization management forms, visit our Provider Tools.