Medicare Advantage Plans
Resources for Providers
AZ Blue is contracted with CMS to offer Arizona-based Medicare Advantage Prescription Drug (MAPD) health plans serving Medicare-eligible residents in Maricopa, Pinal, and Pima counties. See our Medicare Advantage (MA) plan overview and member ID card samples.
Prior Auth Requirements How to Request Medical Policies Availity Essentials™ (auth feature)
Code List (Medicare Advantage tab)
Prior Authorization Lookup
Inpatient Admissions Quick Guide
Part D FormularyPlans may have a different administrator for prior authorization (check the back of the member ID card):
Optum Health Network Arizona (OHNAZ)
Arizona Priority Care (AZPC)Availity Essentials™ (auth feature)
EviCore Request*
Fax Request
Optum Health Network Arizona (OHNAZ)
Arizona Priority Care (AZPC)
Quick Transfer Program - Acute Care to SNFPart D Drugs - Retail and Mail Order:
ePA covermymeds
ePA surescripts
Mail Order Fax 1-800-491-7997CMS National Coverage Determinations (NCD)
Local Coverage Determinations (LCD)
EviCore Guidelines
Medicare Advantage Ambulance Services
Bioengineered Skin and Soft Tissue SubstitutesMCG Care Guidelines (for anything not
covered by the above sources):
Call AZ Blue at 1-800-446-8331* All AZ Blue-administered Medicare Advantage plans are included in our eviCore Medicare Advantage program.