MedicaidPrior AuthMedium impact
Updates Posted to Prior Authorization and Concurrent Review Standards During the Public Health Emergency
Arizona Medicaid - AHCCCS·AZ·Prior Authorization
Effective date
Apr 2, 2024
We identified it
Jun 17, 2026
Summary
AHCCCS (Arizona Medicaid) has updated COVID-19 related policies, confirming that prior authorization is not permitted for COVID-19 testing or treatment, and providing guidance on Alternative Care Site reimbursements which ended May 11, 2023. The policy also clarifies billing procedures for COVID-19 diagnosis codes and various administrative flexibilities.
Action Required
Billing teams working with AHCCCS/Arizona Medicaid should verify that no prior authorization requirements are being applied to COVID-19 testing or treatment services. Ensure billing system recognizes ICD-10 code U07.1 for COVID-19 diagnosis. Review any Alternative Care Site billing to confirm services ended by May 11, 2023.