Behavioral Health

In addition to medical care, behavioral health care services are available for Aetna Better Health members.

For more details on behavioral health benefits, please refer to the Provider Manual, or our HEDIS® tips for behavioral health measures.

Your behavioral health services include: 

  •          Assessment and treatment planning
  •          Psychiatric services
  •          Substance abuse services
  •          Medication management
  •          Inpatient services
  •          Outpatient therapy
  •          Intensive outpatient services 
  •          Case management services

Effective September 1, 2014, Aetna Better Health of Texas is responsible for payment and management of services for our Medicaid (STAR) members receiving Targeted Case Management and Mental Health Rehabilitative services in compliance with Texas Resilience and Recovery Utilization Management Guidelines.  All members currently receiving these services will be automatically authorized to continue receiving those services until December 1, 2014.   

All members new to these services, as of September 1, 2014, will require authorization by utilizing the Mental Health Rehabilitative and Mental Health Targeted Case Management Services Request Form in UMCM Chapter 15.2.  Members already receiving services on September 1, 2014 will need new prior authorizations by December 1, 2014. More