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Procedures, programs, and drugs that require precertification

Procedures, programs, and drugs that require precertification Participating provider precertification list Starting February 1, 2022 Applies to: Aetna plans, except Traditional Choice plans All health benefits and insurance plans offered and/or underwritten by Innovation Health plans, Inc., and Innovation Health Insurance Company, except indemnity plans Foreign Service Benefit Plan, MHBP and Rural Carrier Benefit Plan All health benefits and health insurance plans offered, underwritten and/or administered by the following: Banner Health and Aetna Health Insurance Company and/or Banner Health and Aetna Health Plan Inc.

Services that require precertification: 1. Inpatient stays (except hospice) For example, surgical and nonsurgical stays, stays in a skilled nursing facility or rehabilitation facility, and maternity and newborn stays that exceed the standard length of stay (LOS) Ambulance . Precertification required for transportation

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