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AMPM POLICY 820 - FEE-FOR-SERVICE PRIOR AUTHORIZATION REQUIREMENTS

Click on the link: AMPM POLICY 820 - FEE-FOR-SERVICE PRIOR AUTHORIZATION REQUIREMENTS


Purpose: Establishes the process by which AHCCCS DFSM applies FFS Prior Authorization (PA) requirements for covered services.  

Opening Reason: To include new information on Behavioral Health Residential Facilities (BHRF) and to add a new section for Intensive Outpatient Programs (IOP) to reflect a new Prior Authorization (PA) requirement, and a Certificate of Necessity (CON)/Recertification of Need (RON) requirement for BHRF and IOP services.  



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