Prior Auth Required

1128A - program under section 1128 or of the Social Security Act, AHCCCS may not

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceprogram under section 1128 or of the Social Security Act, AHCCCS may not
Procedure / Service Description

14.4.9.1.2 Any entity that would provide those services through an - 14.4.10 Should AHCCCS learn that the Contractor has a prohibited relationship with an individual or entity that is excluded from participation in any Federal health care program under section 1128 or 1128A of the Social Security Act, AHCCCS may not

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.