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 Formulary Plans 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 SNF Part D Drugs - Retail and Mail Order: ePA covermymeds ePA surescripts Mail Order Fax 1-800-491-7997	CMS National Coverage Determinations (NCD) Local Coverage Determinations (LCD) EviCore Guidelines Medicare Advantage Ambulance Services Bioengineered Skin and Soft Tissue Substitutes MCG Care Guidelines (for anything not covered by the above sources): Call AZ Blue at 1-800-446-8331 Part B Step Therapy Policies 2026, 2027

* All AZ Blue-administered Medicare Advantage plans are included in our eviCore Medicare Advantage program.