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CMDP Providers
Thank you for being a CMDP provider helping to improve health care for children in out-of-home care. CMDP provides the support you need to deliver quality care to our members by providing helpful links, self-service tools and policy information. Please reach out to the Provider Services Department [email protected] if you have additional questions.
Provider Resources
- DES Trading Partner Website (Please contact your CMDP Provider Services Representative to discuss your options.)
- CMDP Provider Manual
- Provider Directory
- Check Claim Status
- Check Member Eligibility
- AZ AHP Facility Application
- AZ AHP Organizational Data Form
- AZ AHP Practitioner Data Form
- Application for Enrollment into AHCCCS Children’s Rehabilitative Services
- Appointment Availability Standards
- Use of Social Determinants of Health Codes for Member Outcomes
Pharmacy
Effective Monday, October 1, 2018, CMDP will be using OptumRx as the new Pharmacy Benefits Manager (PBM) to provide prescription coverage for CMDP Members.
OptumRX Contact information
Customer Service: 855-577-6310
Fax: 866-463-4838
Members currently receiving specialty prescriptions through Diplomat will transition to Optum’s BriovaRx Specialty Pharmacy. BriovaRx’s number is 1-855-427-4682.
- Find a Pharmacy (518 KB PDF)
- Pharmacy: Prior Authorization form for Medication (93 KB PDF)
- Synagis Prior Authorization Request Form (105 KB PDF)
- Optum Rx News
- CMDP Preferred Drug List (708 KB PDF)
- CMDP Additional Preffered Drug List (297 KB PDF)
Immunizations/VFC
- Immunization Schedule 0-18 years
- Catch- Up Immunization Schedule
- Vaccine Billing Under VFC in Arizona's Medicaid System
- VFC Resources
- TAPI- The Arizona Partnership for Immunization
- Parent/Patient Education from the CDC
- Vaccine Safety info for families
- Vaccine Education Center at Children’s Hospital of Philadelphia
Prior Authorization
Effective 10/1/2017 – Any expedited prior authorization being requested outside of normal business hours (Monday-Friday, 8a-5p and on any state observed holiday) needs to be faxed to 602.351.8529 as well as sent electronically to the following email address: [email protected] to ensure timely processing.
For any questions, please contact CMDP at 602.351.2245 and follow prompts to speaking with a representative in Medical Services.
Thank you!
Prior Authorization Guidelines
- Guideline for the Extraction of Third Molars 2017
- Sensory and Auditory Integration Training and Facilitated Communication for Children 2017
- Pediatric Procedural Sedation 2017
- Palivizumab (Synagis) Administration 2017
- Occupational, Physical, and Speech Therapy Services Guideline 2017
- Myringotomy & Tympanostomy Tube Insertion Guideline 2017
- Medically Necessary Orthodontia Guideline 2017
- Medical Services in a Foreign Nation Guideline 2017
- Medical Marijuana Guideline 2017
- Genetic Testing Guideline 2017
- Frenectomy Indications for Ankyloglossia Guideline 2017
- Criteria for Use of Recombinant Growth Hormone in Children Guideline 2017
- Cranial Banding (Cranial Orthosis) Guideline 2017
- Consults by Developmental-BH Pediatricians Guideline 2017
- Considerations for Wart or Other Skin Lesion Removal Guideline 2017
- Circumcision Guideline 2017
- Allergy Testing Guideline 2017
Read More
- Prior Authorization Matrix (128 KB PDF)
- Prior Authorization Forms for Therapies (93 KB DOC)
- Prior Authorization Forms Medical/ Surgical Services (73 KB DOC)
- Prior Authorization Forms Medical Equipment and/or Supplies (85 KB DOC)
- Pharmacy: Prior Authorization form for Medication (93 KB PDF)
- Fax Notification Form (49KB DOC)
Dental Information
Behavioral Health Information Tool Kits
Clinical Guidelines
- Arizona Comprehensive Asthma Control Plan
- The Autism Disorder
- ADHD - Diagnosis, Evaluation, and Treatment of Attention Deficit Hyperactivity Disorder (777 KB PDF)
- AAP Updates Recommendations on Treating Bronchiolitis in Young Children
- Diabetes and Youth
- Upper Respiratory Tract Infections
- 2018 Arizona Opioid Prescribing Guidelines
- Antimicrobial Resistance and urinary Tract Infection Recurrence
- Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder
- Acute Otitis Media in the 21st Century: What Now?
- Childhood Epilepsy, Febrile Seizures, and Subsequent Risk of ADHD
Medical Management
- A Guide to Psychotropic Medications (719 KB PDF)
- ADBHS Psych Best Practices Birth to Five (270 KB PDF)
- ADBHS Sleep Hygiene Birth to Five (18 KB PDF)
- Division of Behavioral Health Services, Department of Child Safety
- Childhood Obesity
- Guidelines for Identifying Substance-Exposed Newborns (661 KB PDF)
- SEN: Substance Exposed Newborns
- Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain
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