Aetna Better Health Prior Authorization Department

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Prior authorizations - Aetna Better Health

(3 days ago) WEBIf you have questions about what is covered, consult your provider handbook (PDF) or call 1-866-212-2851 (ICP) or 1‑866‑600-2139 (Premier Plan) for more information. If covered services and those requiring prior authorization change, you will receive at least 60 days’ advance notice via provider newsletter, e-mail, updates to this website

https://www.aetnabetterhealth.com/illinois/providers/prior-auth

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Prior Authorization Forms - Aetna Better Health

(2 days ago) WEBWe encourage you to call the Prior Authorization department at 1-855-676-5772 for all urgent requests. Peer to Peer Consultations. Peer to peers are scheduled by calling 1-855-711-3801 ext. 1. within the timeframe outlined in the denial notification. Peer-to-peer consultations occur between the treating practitioner and an Aetna Better Health

https://www.aetnabetterhealth.com/michigan/providers/prior-authorization

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Prior authorization Aetna Better Health Premier Plan MMAI

(2 days ago) WEBWe encourage you to call the Prior Authorization department at 1‑866‑600-2139 for all urgent requests. Subcontractors. Aetna Better Health Premier Plan MMAI works with certain subcontractors to coordinate services that are provided by entities other than the health plan, such as transportation, vision or dental services.

https://www.aetnabetterhealth.com/illinois/providers/resources/priorauth

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Prior authorization - Aetna Better Health

(7 days ago) WEBJust call us at 1-866-316-3784 (TTY: 711 ). We’re here for you Monday through Friday, 8 AM to 5 PM. Aetna Better Health ® of Michigan. Some health care services require prior authorization or preapproval first. Learn more about …

https://www.aetnabetterhealth.com/michigan/prior-authorization.html

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Prior authorization - Aetna Better Health

(8 days ago) WEBYou can fax your authorization request to 1-855-734-9389. For assistance in registering for or accessing this site, please contact your Provider Relations representative at 1-855-364-0974. When you request prior authorization for a member, we’ll review it and get back to you according to the following timeframes: Routine – 14 calendar days

https://www.aetnabetterhealth.com/ohio/providers/resources/priorauth

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Prior Authorization Aetna Medicaid Illinois - Aetna Better …

(6 days ago) WEBDownload our prior authorization form . Then, for Physical Health fax it to us at 1-877-779-5234 or for Behavioral Health fax it to 1-844-528-3453 with any supporting documentation for a medical necessity review. Aetna Better Health of Illinois. Prior authorization is required for select, acute outpatient services and planned hospital …

https://www.aetnabetterhealth.com/illinois-medicaid/providers/prior-authorization.html

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Prior Authorization for Providers Aetna Medicaid Virginia

(7 days ago) WEBFor LTSS authorization requirements, visit the Department of Medical Assistance website. You can use the materials found there to determine which forms are required for LTSS authorization from Aetna Better Health® of Virginia. You can fax all LTSS authorization requests to 1-844-459-6680.

https://www.aetnabetterhealth.com/virginia/providers/prior-authorization.html

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Contact Us for Providers Aetna Medicaid Michigan - Aetna Better …

(8 days ago) WEBOther ways to connect. Medicaid Provider Relations: 1-866-316-3784 (TTY: 711) Medicare-Medicaid plan Provider Relations: 1-855-676-5772 (TTY: 711) Still need support? If you’ve already tried the above service options and haven’t been able to resolve your question or issue, contact us. It may take several days to receive a response.

https://www.aetnabetterhealth.com/michigan/providers/contact-us.html

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Prior Authorization Process & Guidelines Aetna

(8 days ago) WEBSome procedures, tests and prescriptions need prior approval to be sure they’re right for you. In these cases, your doctor can submit a request on your behalf to get that approval. This is called prior authorization. You …

https://www.aetna.com/individuals-families/prior-authorization-guidelines.html

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Medicare-Medicaid Prior Authorization - Aetna Better Health

(2 days ago) WEBPrior authorization form. Aetna Better Health Premier Plan providers follow prior authorization guidelines. If you need help understanding any of these guidelines, just call Member Services. Or, you can ask your case manager. It may take up to 14 days to review a routine request. We take less than or up to 72 hours to review …

https://www.aetnabetterhealth.com/michigan-mmp/members/medicare-medicaid/prior-authorization

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Prior authorization: What you need to know Aetna

(4 days ago) WEBHome health aide services. Medical equipment and supplies. Some inpatient hospital care. For more help understanding what you need prior authorization for, call the Member Services number on your member ID card, 1-833-570-6670 (TTY: 711). We’re available between 8 AM and 8 PM, 7 days a week.

https://education.aetnamedicare.com/article/benefit-spotlight/prior-authorization-what-to-know

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Provider Secure Web Portal Aetna Better Heath of Michigan

(4 days ago) WEBThe Provider Portal helps you spend less time on administration. This way, you can focus more on patient care. You get a one-stop portal to quickly perform key functions you do every day. You can: Look up the status of a claim, or submit new claims through Change Healthcare. Submit authorizations or check the status of a previously submitted

https://www.aetnabetterhealth.com/michigan/providers/portal.html

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For Health Care Providers Aetna Better Heath of Michigan

(3 days ago) WEBAbout us. Aetna Better Health® of Michigan is part of Aetna® and the CVS Health® family, one of our nation’s leading health care organizations. We’ve been serving people who use Medicaid and Medicare-Medicaid plan benefits for over 30 years — from kids, adults and seniors to people with disabilities or other serious health issues.

https://www.aetnabetterhealth.com/michigan/providers/index.html

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Aetna Precertification and Referral guide

(6 days ago) WEBVerify the date of birth and resubmit the request. Please call the appropriate number below and select the option for precertification: 1-888-MD-AETNA (1-888-632-3862) (TTY: 711) for calls related to indemnity and PPO-based benefits plans. 1-800-624-0756 (TTY: 711) for calls related to HMO-based benefits plans.

https://www.aetna.com/document-library/healthcare-professionals/assets/documents/aetna-precertification-and-referral-guide.pdf

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ProPAT CPT Code Lookup : Aetna Better Health Premier Plan

(7 days ago) WEBPlease call our transportation vendor MTM, at 888-513-1612; hours of operation for provider lines 8:00a.m. to 8:00p.m. (EST) Aetna Better Health of Illinois-Medicaid. If you have any questions about authorization requirements, benefit coverage, or need help with the search tool, contact Aetna Better Health of Illinois Provider Relations at:

https://medicaidportal.aetna.com/propat/default.aspx?C=OJxy3GmqGOej6dsKd%2FJtAtJbmPC%2BxlDNK8PehU0q0RodWPSDcEchO8pSVxEaNgDSndmS0%2FXtzcUj%0A4x6V%2BNRUyHP5eGP9NIZSKuyubekaCvRvX9oS%2BuL5I4fG5MlmAFSwNi7AkTm1UUHbXUxXVcXH4roZ%0Ax7lGnkOCPBZZbB0yYzW9WovwKMkllS8g%2Fa%2BlJCMaMKmXlEiewqJybq7xos41h2GuCknwo2Dbjxj2%0AlTF%2B1b1O2LvjR5NCRKg9EIc9%2BxoV0ntfdFUiOSatsIBOnKZ9bQ8GJ2vWbw8XRUDzsOvuzKrhlmef%0ADVX%2B1hU%2BiuAAQ0GCkgxAZOxBrOZvA1GIx9xQIg%3D%3D

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Forms and applications for Health care professionals - Aetna

(3 days ago) WEBMedicaid providers serving patients with Aetna Better Health insurance coverage must use the process indicated by the health plan they are serving. Texas Standard Prior Authorization, Health Care Services request (PDF) Texas Telemedicine and Telehealth Services Reimbursement Policy (PDF) as applicable for U.S. Department of Defense

https://www.aetna.com/health-care-professionals/health-care-professional-forms.html

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Aetna Better Health of Louisiana

(7 days ago) WEBAetna Better Health® of Louisiana . 2400 Veterans Memorial Blvd, Suite 200 Kenner, LA 70062 . 1-855-242-0802 . Aetna Better Health® of Louisiana. In compliance with ACT233, ABHLA has listed services and codes requiring a prior authorization. The term Prior Authorization (PA) is the utilization review process used to determine whether the

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/louisiana/providers/pdf/ABHLA_Prior_Authorization_Requirements.pdf

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Contact Us - Health Care Providers - Aetna

(6 days ago) WEBAetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. Contact Aetna to get the answers you need as a health care professional. Find an

https://www.aetna.com/health-care-professionals/contact-aetna.html

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AETNA BETTER HEALTH® Policy - Louisiana Department of …

(6 days ago) WEBThe Prior Authorization department is principally responsible for carrying out the day-to-day operations (e.g., evaluating requests, documenting requests and decisions, and issuing authorization numbers for documented in the Aetna Better Health authorization system.8 As part of Aetna Better Health’s appeal procedures,

https://ldh.la.gov/assets/medicaid/MCPP/12.3.21/1174_ABH_Applied_Behavior_Analysis.pdf

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AETNA BETTER HEALTH® Policy - Louisiana Department of …

(2 days ago) WEBObjectives of the Peer Support Services prior authorization process are to: Accurately document all Peer Support Services authorization requests. Verify that a member is eligible to receive Peer Support Services at the time of the request and on each date of service. Assist providers in providing appropriate, timely, and cost-effective Peer

https://ldh.la.gov/assets/medicaid/MCPP/12.3.21/1173_ABH_Peer_Support_Services.pdf

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Precertification – Health Care Professionals Aetna

(9 days ago) WEBProcedures and services on the Aetna Behavioral Health Precertification List No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of

https://www.aetna.com/health-care-professionals/precertification.html

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AETNA BETTER HEALTH® Policy - Louisiana Department of …

(5 days ago) WEBThe Prior Authorization department is principally responsible for carrying out the day-to-day operations (e.g., evaluating requests, between medical directors and treating practitioners/providers are to be documented in the Aetna Better Health authorization system.9 As part of Aetna Better Health’s appeal procedures, Aetna Better Health

https://ldh.la.gov/assets/medicaid/MCPP/3.1.24/2256_ABH_A_LA_7100.35_Assertive_Community_Treatment_ACT_Services.pdf

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AETNA BETTER HEALTH® Policy - Louisiana Department of …

(4 days ago) WEBThe chief medical officer (CMO) is responsible for directing and overseeing the Aetna Better Health prior authorization of PCS. The Prior Authorization department is principally responsible for carrying out the day-to-day operations (e.g., evaluating requests, documenting requests and decisions, and issuing authorization numbers for

https://ldh.la.gov/assets/medicaid/MCPP/5.23.22/1329_ABH_A_LA_XXXX.XX_Personal_Care_Services_Behavioral_Health.pdf

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AETNA BETTER HEALTH® Policy - Louisiana Department of …

(3 days ago) WEBA-LA 7000.84 Personal Care Services- Behavioral Health. PURPOSE: The purpose of this policy is to define Aetna Better Health’s clinical requirements for the prior authorization of Personal Care Services (PCS). STATEMENT OF OBJECTIVE: Objectives of the PCS prior authorization process are to: Define PCS services.

https://ldh.la.gov/assets/medicaid/MCPP/3.7.24/2336_ABH_A_LA_7000_84_Personal_Care_Services_Behavioral_Health.pdf

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