Transcription of Services requiring precertification*/authorization - Aetna
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Services requiring precertification*/authorization - Aetna
D (3/17) health precertification list Services requiring precertification*/authorizationBehaviora l health Services requiring precertification/authorization**This applies only to Services covered under the member s benefits plan. Inpatient admissions Residential treatment center (RTC) admissions Partial hospitalization programs (PHPs) Intensive outpatient programs (IOPs) Psychological testing Neuropsychological testing Outpatient detoxification Applied behavior analysis (ABA) Transcranial magnetic stimulation (TMS) (effective November 1, 2016) * The term precertification means the utilization review process to determine whether the requested service or procedure meets the company s clinical criteria for coverage.
How to request precertification/authorization Mental health, substance abuse or behavioral health services require precertification/authorization.
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