Transparency Requirements
Arizona Prior Authorization Requirements
A guide to prior authorization rules, turnaround times, and laws for medical practices operating in Arizona (AZ).
PA Turnaround Times
Standard Requests
14 calendar days
Urgent / Expedited
72 hours
Key Regulations
- Insurers must respond within 14 calendar days for standard PA requests
- Urgent requests must be processed within 72 hours
- Payers must publish PA criteria and make them available to providers
- AHCCCS managed care plans have specific PA turnaround requirements
Arizona Medicaid PA
Arizona Health Care Cost Containment System (AHCCCS) is the state Medicaid program. Managed care plans administer PA. Requirements vary by plan and service type.
Recent Changes (2025-2026)
- Arizona has been expanding transparency requirements for PA criteria publication
Top Payers in Arizona
Blue Cross Blue Shield of ArizonaUnitedHealthcareCignaBanner-University Health Plans
State Regulatory Body: Arizona Department of Insurance and Financial Institutions
File PA complaints or appeals through your state insurance department.
Automate PA in Arizona
Greenlight knows every payer's PA requirements in Arizona and checks them automatically before every appointment -- so your staff does not have to.
See a Demo