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2024 CPT and CDT Codes for Supplemental Benefits
Medical Service and Behavioral Health Prior Authorization Form
Pharmacy Medication Prior Authorization Form
Medicare Prescription Drug Coverage and Your Rights ^{(Updated - 12/31/2018)}
Waiver of Liability (WOL) Statement
Maternal Health Risk Assessment
Care Management Referral Form
Fraud, Waste and Abuse Referral Form
Provider’s Coding Toolkit
Request for Participation – AzAHP Practitioner Data Form ^{(Updated - 6/13/2022)}
Request for Participation – AzAHP Organizational Data Form ^{(Updated - 6/13/2022)}
Provider Roster ^{(Updated - 3/6/2022)}
Practitioner Practice Change Form ^{(Updated - 6/13/2022)}
Prior Authorization and Continued Stay Review Form for Psychiatric Hospitals and Sub-Acute Facilities
BHIF, BHRF, TFC, and SUD BHRF Prior Authorization and Continued Stay Request Form