Aetna Behavioral Health Medical Necessity

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Applied behavior analysis medical necessity guide

(2 days ago) WEBApplied behavior analysis is a scientifically supported model of treatment to remediate the functional impairments typically found in people with Autism Spectrum Disorder (ASD). It is a time-limited treatment that should result in progressive, measurable gains in …

https://www.aetna.com/content/dam/aetna/pdfs/health-care-professionals/applied-behavioral-analysis.pdf

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APPLIED BEHAVIOR ANALYSIS MEDICAL NECESSITY GUIDE

(9 days ago) WEBeach ten hours of behavioral therapy by the supervised provider, and at least one hour a month face‐to‐face, on‐site with the patient. Medical Necessity Criteria for Initiation of …

https://lookatmegoodjoblooking.com/wp-content/uploads/2019/04/Aetna-Medical-Necessity.pdf

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Medical Necessity Resources - COABA

(6 days ago) WEB(training on billing and medical necessity) • Pediatric Behavioral Therapy Changes 2020 • Aetna Applied Behavior Analysis Medical Necessity GuideVariables on Behavior …

https://coaba.org/wp-content/uploads/2021/12/Medical-Necessity-Resources.pdf

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Clinical guidelines and policy bulletins - Aetna Better Health

(5 days ago) WEBGuidelines. We’ve chosen certain clinical guidelines to help our providers get members high-quality, consistent care that uses services and resources effectively. These include …

https://www.aetnabetterhealth.com/clinical-guidelines-policy-bulletins.html

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AETNA BETTER HEALTH® Policy - Louisiana Department of …

(3 days ago) WEBd/b/a Aetna Better Health of Louisiana Policy Policy Name: Personal Care Services- Behavioral Health Page: 1 of 4 Department: Medical Management Policy Number: …

https://ldh.la.gov/assets/medicaid/MCPP/3.7.24/2336_ABH_A_LA_7000_84_Personal_Care_Services_Behavioral_Health.pdf

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AETNA BETTER HEALTH® Policy - Louisiana Department of …

(6 days ago) WEBthe clinical information presented. Using the approved criteria and the behavioral health medical director’s clinical judgment, a determination is made to approve, deny or reduce …

https://ldh.la.gov/assets/medicaid/MCPP/12.3.21/1174_ABH_Applied_Behavior_Analysis.pdf

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AETNA BETTER HEALTH®

(9 days ago) WEBCPST and PSR authorizations are for up to one hundred eighty (180) days. Aetna Better Health turn-around time (TAT) is consistent with LDH expectation of eighty percent …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/louisiana/providers/pdf/abhla_Community%20Psychiatric%20Support%20and%20Treatment%20and%20Psyc.pdf

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Applied behavior analysis medical necessity guide - Aetna

(6 days ago) WEBApplied behavior analysis is a scientifically supported model of treatment to remediate the functional impairments typically found in people with Autism Spectrum Disorder (ASD). It …

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/documents-forms/applied-behavioral-analysis.pdf

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Choice POS II medical plan Booklet

(7 days ago) WEBFor more information see the How your plan works – Medical necessity and pre-certification section. Behavioral health Mental health disorders treatment Covered …

https://cache.hacontent.com/ybr/R516/05728_ybr_ybrfndt/downloads/AetnaHSA.pdf

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Stay in the know - Aetna

(9 days ago) WEBThis includes behavioral health and comorbidity assessment, case formulation, care planning, and focused follow-ups. • The program refers members with positive …

http://es.aetna.com/healthcare-professionals/assets/documents/bh-insights-summer-2019.pdf

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Medical - Aetna Better Health

(5 days ago) WEBAll clinical standards and guidelines used in the UM program have been reviewed and approved by practicing, participating physicians in our network. Need a copy of our …

https://www.aetnabetterhealth.com/florida/providers/medical-management.html

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AETNA BETTER HEALTH® Policy - Louisiana Department of …

(4 days ago) WEBthe clinical information presented. Using the approved criteria and the behavioral health medical director’s clinical judgment, a determination is made to approve, deny or reduce …

https://ldh.la.gov/assets/medicaid/MCPP/5.23.22/1329_ABH_A_LA_XXXX.XX_Personal_Care_Services_Behavioral_Health.pdf

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Clinical guidelines and policy bulletins - Aetna Better Health

(5 days ago) WEBThese bulletins state our policy about the medical necessity or investigational status of medical technologies and other services to help with coverage decisions. A national …

https://www.aetnabetterhealth.com/louisiana/providers/clinical-guidelines-policy-bulletins.html

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Medical Necessity American Behavioral Solutions

(2 days ago) WEBMedical necessity is a fundamental concept that permeates our professional practice. This approach underscores the importance of ABA in contributing to significant health …

https://www.americanbehavioralsolutions.com/blogs/post/medical-necessity

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Mental Health Parity and Addiction Equity Act Disclosure …

(Just Now) WEBMental Health Parity and Addiction Equity Act Disclosure Medical Necessity Frequently Asked Questions Medical Necessity Frequently Asked Questions (FAQ) Applicable …

https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/Medical-Necessity-FAQ.pdf

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AETNA BETTER HEALTH® Policy

(4 days ago) WEBThe b ehavioral health medical director will review the ABA request, the member’s need, and the clinical information presented. Using the approved criteria and the behavioral …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/louisiana/providers/pdf/abhla_Applied%20Behavior%20Analysis.pdf

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Mental Health & Substance Use Disorders Medicare

(Just Now) WEBMental Health America – Find help for you or someone else. To learn more about mental health care. National Institute of Mental Health – Get care tips and resources. National …

https://www.medicare.gov/coverage/mental-health-substance-use-disorder

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Online Certification Process

(4 days ago) WEBOnline Certification Process. Welcome to the Meritain Health benefits program. **Please select one of the options at the left to proceed with your request. PLEASE NOTE: The …

https://meritain.mednecessity.com/

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AETNA BETTER HEALTH® Policy

(4 days ago) WEBAETNA BETTER HEALTH® d/b/a Aetna Better Health of Louisiana . Policy . Policy Name: Personal Care Services - Behavioral Health Page: 1 of 4 : Department: Medical …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/louisiana/providers/pdf/abhla_Personal%20Care%20Services-%20Behavioral%20Health.pdf

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Better health outcomes for substance use disorders - Aetna

(1 days ago) WEBRefer patients to a behavioral health professional (CPBs) define Aetna's clinical policy, medical necessity determinations in connection with coverage decisions are made on a …

https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-september-2021/behavioral-health-updates/better-health-outcomes-for-substance-use-disorders.html

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