Transcription of Services that require precertification* or authorization ...
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Services that require precertification* or authorization ...
Services that require precertification* or authorization The behavioral health precertification list These behavioral health Services require precertification or authorization ** This requirement applies only to Services covered under the member s benefits plan, including: Applied behavioral analysis (ABA) Inpatient admissions Partial hospitalization programs (PHPs) Residential treatment center (RTC) admissions Transcranial magnetic stimulation (TMS) How to request precertification or authorization Behavioral health Services , which include treatment for substance use disorders, require either precertification or authorization , as outlined above.
Choice, Aetna HealthFund PPO, Aetna Medicare, Aetna Open Access Managed Choice, Aexcel and QPOS benefits plans may include the option for members to elect to go outside the network and receive reduced benefits. † Aexcel is not available with HMO plans. The Aexcel designation is only a guide to choosing a physician. Members
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