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Prior authorization (PA)

Aetna Better Health® of Kentucky requires PA for some outpatient care, as well as for planned hospital admissions. PA is not needed for emergency care. Behavioral health providers can ask for PA 24 hours a day, 7 days a week. A current list of the services that require authorization is available on ProPAT, our online prior authorization search tool.

Tips for requesting authorization

Tips for requesting authorization

A request for PA doesn’t count as a payment. Unauthorized services won’t be reimbursed. You can make requesting PA easier by:


  • Verifying member eligibility prior to providing services

  • Completing the appropriate PA form for all physical or behavioral health requests

  • Attaching supporting documentation when submitting

How to request PA

Here are the ways you can ask for PA:



You can ask for PA through our secure Provider Portal.


Provider Portal

By phone


You can call us Monday through Friday, from 8 AM to 6 PM ET, at 1-888-725-4969 (TTY: 711) for physical health PA. You can call us at 1-888-470-0550 (TTY: 711) for physical health or inpatient concurrent review requests. Or you can call us at 1-855-300-5528 (TTY: 711), 24 hours a day, 7 days a week to request PA for behavioral health inpatient services. 

By fax


You can download the appropriate PA form. Then, send your:


If you’re requesting PA for Supporting Kentucky Youth (SKY) members, just download the appropriate PA form. Then, send your:


  • Physical health PA request for a SKY member to 1-833-689-1422

  • Physical health concurrent review request for a SKY member to 1-833-689-1423

  • Behavioral health outpatient request for a SKY member to 1-833-689-1424

  • Behavioral health and testing PA request for SKY members to 1-844-885-0699

For more information

Consult your provider manual (PDF). Or call us at 1-855-300-5528 (TTY: 711).

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