Provider Facility Participation Criteria - Aetna

HeadlineProvider and Facility Participation Criteria E (4 /18) Our network is the gold standard Here you ll find everything you need to know about Participation in the Aetna Provider network. If you want to find the standards and Criteria for a specific service, just look in the index. It s divided into these categories: Ancillary Facility Provider , including nurse practitioner and physician assistant Other Provider Behavioral health services For these services, a core set of Criteria apply. In some cases, additional Criteria apply. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates ( Aetna ). 2 .. Table of contentsAncillary core Participation Criteria and additional Criteria 4 Ancillary core Participation criteria4 National adult immunization Provider additional Criteria 6 Durable medical equipment Provider additional Criteria 6 Home health Provider additional Criteria 6 Home health infusion Provider additional Criteria 7 Home sleep testing additional criteria7 Lab, fee-for-service and capitated, Provider additional criteria8 Medical transportation Provider additional criteria8 Facility core Participation and additional Criteria 10 Facility core Participation criteria10 Diagnostic radiology Facility additional criteria12 Dialysis Facility a

• Facility • Provider, including nurse practitioner and physician assistant ... power in case of a power failure, when appropriate. For example, the generator requirement applies to ... techniques and home care management, including, but not limited to, providing written patient education ...

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  Management, Aetna, Power, Facility

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