Prior Authorization in Arizona
Arizona enacted HB 2536 (2022) requiring insurers to respond to standard PA requests within 5 business days and urgent requests within 24 hours. The law also limits the frequency of PA renewals for stable chronic conditions and requires use of the AMA prior authorization consensus statement standards.
Key Facts About PA in Arizona
- ✓ Standard PA decisions must be made within 5 business days
- ✓ Urgent PA requests require a response within 24 hours
- ✓ PA renewals for stable chronic conditions are limited in frequency
- ✓ External review is available for adverse determinations via the AZ DOI
Quick Stats
- Typical Appeal Filing Window: 30 days
- External Review Available: Yes
- Major Payers: 4
Top Payers in Arizona
RxCheckUp generates payer-specific Letters of Medical Necessity for each of these Arizona carriers:
Blue Cross Blue Shield of ArizonaUnitedHealthcareBanner|AetnaCigna