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Health Choice Arizona
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Most of the documents posted on the Health Choice Generations' Web sites are available for viewing or printing in Adobe PDF format. If you do not have Adobe Reader installed, please download from here for free:
 
Health Choice Generations Forms

Most of the documents posted on the Health Choice Generations' Web sites are available for viewing or printing in Adobe PDF format (including Member and Provider Newsletters and the plan's forms located on the Commonly Used Forms page). If you do not have Adobe Reader installed on your computer, please download from here for free:
Effective 10/1/2010, all Prior Authorization requests must use the forms below. Please fax to the toll-free numbers referenced on each form.

Medical Services Prior Authorization (PA) Form - Last updated 08/04/2010

Pharmacy/Medication Prior Authorization Form - Last updated 08/04/2010

Medicare Prescription Drug Coverage and Your Rights
File size: 17.07KB

Formulary Exception Request Form (Request for Addition to the Formulary)
File size: 44.04KB

Q & A for Contracted Providers
File size: 161.64KB

HC Generations Case Management Referral Form
File size: 120.89KB

HC Generations Prior Authorization Requirements
File size: 41.75KB

Fraud & Abuse Referral Form
File size: 33.02KB

Comprehensive List of RBHA Contact Information
File size: 43.20KB

HC Generations Contact Resource Sheet
File size: 237.78KB

HC Generations Waiver of Liability Statement
File size: 20.78KB    Note: To be used by non-contracted providers only.

EFT/ERA Request form
File size: 1.97MB

2009 Medicare High Performance PA Criteria
File size: 281.70KB