![]() The ABA Medical Necessity Guide does not constitute medical advice. The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Please don’t use the EDI process to make your request.īy clicking on “I Accept”, I acknowledge and accept that: If you’re a provider in Louisiana in the process of credentialing with us - and need to find out if a service requires prior authorization - call the precertification phone number on the member’s ID card. You will be notified when a coverage decision is made. The tracking number does not indicate approval. ![]() Note: If we need to review applicable medical records, we may assign a tracking number to your precertification request. Participating providers are required to pursue precertification for procedures and services on the lists below.Ģ023 Participating Provider Precertification List – Effective date: J(PDF)īehavioral health precertification list – effective date: (PDF)įor Aetna’s commercial plans, there is no precertification required for buprenorphine products to treat opioid addiction. Precertification applies to all benefits plans that include a precertification requirement. ![]()
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