members

Providers

How to Obtain Prior Authorization

As an Aetna Better Health provider, you will need to prescribe a medically necessary therapy or medication for a member. Some of these services require prior authorization.

A current list of the services that require authorization is available via the secure web portal. If you have questions about what is covered, consult your provider handbook or call 1-866-212-2851. 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 the Aetna Better Health website, letter (U.S. mail), telephone call or office visit.

Aetna Better Health works with certain subcontractors to coordinate services that are provided by entities other than Aetna Better Health, such as transportation, vision or dental services. If you have an Aetna Better Health member that needs one or more of these services, please contact Member Services at 1-866-212-2851.

Remember, prior authorization is not a guarantee of payment. Unauthorized services will not be reimbursed.

To submit a prior authorization request, you may do so via our secure web portal, fax the form to 855-320-8445, or call 1-866-212-2851.