BCBS AFFILIATEARPBM: CVS Caremark
Arkansas Blue Cross Blue Shield Prior Authorization Guide
Submit prior authorization requests and appeal denials with Arkansas BCBS. Phone numbers, fax numbers, appeal deadlines, step therapy override rights, and clinical documentation tips for AR providers.
Prior Authorization Contacts
PA PHONE
1-800-238-8379
PA FAX
1-501-378-2804
TURNAROUND
30 days standard, 72h expedited
TIMELY FILING
180 days
APPEALS MAILING ADDRESS
Arkansas BCBS, Attn: Grievance and Appeals, PO Box 2181, Little Rock, AR 72203
Common Denial Reasons
- ⚠ Medical policy criteria not met
- ⚠ Step therapy required (Arkansas Act 800 override available)
- ⚠ Non-formulary status
- ⚠ Quantity limit
Step Therapy Requirements & Override Rights
Arkansas Act 800 (Patients' Right to Step Therapy Override Act, 2019) provides strong override rights. Override approval required for: contraindication, expected ineffectiveness, or prior trial. Insurers must respond within 72 hours.
Tips for Arkansas BCBS Submissions
- 1. Arkansas Act 800 is one of the strongest step therapy override laws
- 2. CVS Caremark handles pharmacy benefit
- 3. Submit via the Arkansas BCBS provider portal
- 4. Reference Arkansas BCBS Medical Policy number
External Review Authority
If Arkansas BCBS denies your final internal appeal, you have the right to request an external review through: Arkansas Insurance Department.
External review decisions are binding on the insurer.