Member materials
- Member handbook – English (PDF)
- Member handbook – Spanish (PDF)
- Managed long-term services and supports (MLTSS) handbook – English (PDF)
- Managed long-term services and supports (MLTSS) handbook – Spanish (PDF)
- Hello to Health magazine – English (PDF)
- Hello to Health magazine – Spanish (PDF)
- Medicaid Housing Supports Insert — English (PDF)
- Medicaid Housing Supports Insert — Spanish (PDF)
- MLTSS Housing Supports Insert — English (PDF)
- MLTSS Housing Supports Insert — Spanish (PDF)
Forms
- Online appointment assistance request form
- Appointment assistance request form – English (PDF)
- Appointment assistance request form – Spanish (PDF)
The Appointment Assistance Request Form can be mailed to the address below:
Aetna Better Health of New Jersey - Appointment Assistance Request
PO Box 818003
Cleveland, OH 44181-8003
- Transition of care form – English (PDF)
- Transition of care form – Spanish (PDF)
- Online grievance and appeal form
- Online fraud, waste and abuse form
- Authorization to Release Protect Health Information (PHI) – English (PDF)
- Authorization to Release Protect Health Information (PHI) – Spanish (PDF)
- Authorization to Release Psychotherapy Notes – English (PDF)
- Authorization to Release Psychotherapy Notes – Spanish (PDF)
- Protected Health Information (PHI) Access Request – English (PDF)
- Protected Health Information (PHI) Access Request – Spanish (PDF)
- Request for Accounting of Disclosures of Protected Health Information (PHI) – English (PDF)
- Request for Accounting of Disclosures of Protected Health Information (PHI) – Spanish (PDF)
- Removal of Authorization Previously Given to Aetna – English (PDF)
- Removal of Authorization Previously Given to Aetna – Spanish (PDF)
- Community Based Palliative Care: Program Eligibility Screening Tool (PDF)