This bill proposes to amend current statutes by adding a new section to the Arizona Revised Statutes, specifically title 36, chapter 29, article 1. The new section, 36-2930.07, would prohibit the Arizona Health Care Cost Containment System Administration (AHCCCS) from requiring prior authorization for behavioral health services provided to members under the American Indian Health Plan (AIHP) starting January 1, 2027. This requirement would only be waived if AHCCCS meets with the provider, implements a corrective action plan, and the provider fails to comply within ninety days of the plan's implementation.

The bill effectively updates the existing legal framework by introducing specific conditions under which prior authorization can be mandated, thereby enhancing access to behavioral health services for members of the AIHP. The current law does not specify these conditions, which could lead to unnecessary barriers for service provision. Overall, the bill aims to streamline the process for accessing behavioral health services while ensuring accountability from providers when issues arise.

Statutes affected:
Introduced Version: 36-2930.07