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.

Prior authorization requests

An authorization is not a guarantee of payment. Members must be eligible at the time services are rendered. Services must be a covered health plan benefit. Services must also be medically necessary with prior authorization as per Magellan Complete Care of Arizona’s policies and procedures. It is the responsibility of the provider to check for changes in the prior authorization requirements. Please contact Magellan Complete Care of Arizona with any questions or concerns at 1-800-424-5891 (TTY 711) Monday through Friday from 8 a.m. to 6 p.m. local time.