Thank you, aetna better health of louisiana 2019 aetna inc. Aetna better health of louisiana is not responsible or liable for non aetna better health content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Delegation provider manual this manual is a reference tool to help contracting delegates and their staff understand how to perform delegated functions to aetna standards. Met this requirement is addressed on pages 25 through 31 of the provider manual under chapter 5 covered and noncovered. Aetna better health of louisiana reimbursement policies are intended to provide a general reference for claims filing, coding and documentation guidelines. Provider manual 2021 provider manual 2020 amendment to chapter 2 of provider manual. For detailed information, refer to the provider manual located at. If you have any questions on electronic billing, just call provider services at 18552420802. The provider manual gives you easy access to information about a wide variety of topics, ranging from how to file a claim, which services are covered for aetna better health members, to grievance and appeals processes. Through the provider manual, providers should be able to identify information on the majority of issues that may affect working with aetna better health. As an aetna better health of west virginia provider, there are certain procedures and protocols you need to know.
Questions, problems, or concerns that the manual doesnt fully. Aetna careunify is a population health management system for healthcare providers and health plan resources to connect and manage patients continuity of care through multiple care settings. Box 61808 phoenix, az 850821808 for resubmissions, please stamp or write one of the following on the paper claims. If you have questions or concerns, please contact aetna better health of louisiana provider relations by calling 18552420802 and following the prompts. Remember, you can always find more information in our provider manual.
Manual as an aetna better health of louisiana provider, there are certain procedures and protocols you need to know. Ceo, aetna better health of louisiana salli joined aetna on december 15, 2014 as the first employee of aetna better health of louisiana. At aetna better health of kentucky, we value our provider partners. Aetna is the brand name used for products and services provided by one or more of the aetna group of subsidiary.
Provider taxonomy code claims requirement notification. These range from how to file a claim and the services that aetna better health covers, to grievance and appeals processes plus much more. Find more provider information and resources with aetna better health of louisiana. You can print a copy to keep handy, or bookmark this page on your computer.
Medicaid has published the chapter of the behavioral health services provider manual associated with provider qualifications and requirements for the provision of specialized behavioral health services sbhs. Feb 12, 2021 aetna better health of louisiana would like to remind providers that its behavioral health reimbursement policy is aligned with the louisiana department of healths medicaid services. We want to work with you to provide timely, safe and effective health care to our members. Medicaid provider manual home louisiana department of health. Provider manual the provider manual contains information and instructions. You can also mail hard copy claims or resubmissions to. Print a copy to keep handy, or bookmark this page on your computer. For detailed information, refer to the provider manual located at aetna better health of california is not responsible or liable for nonaetna. See attached act 582 legislation summary from the louisiana department of health. The provider manual gives you easy access to information on a wide variety of topics. We encourage providers to submit claims electronically through emdeon.
Aetna better health of louisiana is not responsible or liable for non aetna better health content, accuracy, or privacy practices of linked sites, or for. Thank you, aetna better health of louisiana 2019 aetna. Aetna better health of louisiana implements comprehensive and robust policies to ensure alignment with louisiana department of health ldh and to warrant that regulatory standards are met. For fqhcsrhcs the encounter code of t1015 physical health or h2020 behavioral health is expected to be the. Provider services aetna better health of louisiana. Medicaid claims provider resources aetna better health. Medical, dental, and other procedures are clearly denoted within the manual. Aetna better health of louisiana was chosen by ldh to be one of the healthy louisiana plan to arrange for care and services by specialists, hospitals, and providers including member engagement, which includes outreach and education functions, grievances, and appeals. Aboutthis provider manual this provider manual serves as a resource to providers and outlines operations for aetna better health. At aetna better health of louisiana, we believe in improving every life we touch as good stewards to those we serve.
Provider manual aetna better health of west virginia. For detailed information, refer to the provider manual. Salli was most recently vice president of operations for an emergency response and telehealth monitoring company, vri, in dayton, ohio. For health care providers aetna medicaid california. Access application guidelines, benefits, handbooks and more today. You benefit from ongoing support and learning opportunities. Aetna is the brand name used for products and services provided by one or more of the aetna group of companies aetna.
All aetna better health of louisiana fqhcrhc providers date. Links to various aetna better health and non aetna better health sites are provided for your convenience. Providers need to check the provider manual regarding the proper billing practices for behavioral health services. Provider services home bienvenido a aetna better health.
All aetna better health of louisiana providers date. The primary care provider pcp designation identifies family practice, internal medicine and pediatric practices, participating in an aetna commercial plan, that deliver highquality effective care to pediatric and adult patients based on recognized industry measures. Our ability to provide excellent service to our members is dependent on the quality of our provider network. Jun 16, 2017 the provider manual is an essential resource for all of our providers. Aetna better health of louisiana provider quick reference guide this guide is intended to be used for quick reference and may not contain all of the necessary information. Aetna better health dba aetna better health of louisiana. Welcome providers at aetna better health of louisiana, we value our provider partners. Download the medicaid, lachip and lamoms provider manual online. Youll find most of the information you need in the provider manual. Provider network notification bhs provider manual updates february 2021 february 2021 overview. Aetna better health of louisiana provider manual provider experience department.
There are many great reasons to join the aetna better health of louisiana network. Louisiana department of health s ldh medicaid services manuals. This manual serves as a resource to practitioners providers and outlines operations for aetna better health of west virginia. The aetna better health of new york provider manuals give you easy access to information about a wide variety of topics, including how to file a claim, which services are covered for members, grievance and appeals processes and more. Whether you are looking for information about covered services, specific treatment protocols or how claims are handled, your aetna better health provider manual is a comprehensive resource.
Good communication among our providers and our plan administrators is key to the delivery of quality health care services to our members. Provider policies aetna better health of louisiana. Provider portal bienvenido a aetna better health of. This guide is intended to be used for quick reference and may not contain all of the necessary information. Aetna better health of louisiana 2400 veterans memorial blvd. Aetna better health of louisiana is updated and made available to providers via the. Resubmission, rebill, corrected bill, corrected or rebilling. At aetna better health of louisiana, we value our provider partners. Aetna better health of louisiana is offered statewide. Through the manual, practitioners and providers should be able to identify information on the majority of issues that may affect working with aetna better health. Aetna premier care network aetna premier care network plus provider guide behavioral health provider manual this manual has information about our specialty programs and clinical practice guidelines, along with information on credentialing. If you have any questions on electronic billing, just call provider services at 18552420802 you can also mail hard copy claims or resubmissions to. Aetna better health policy louisiana department of health. Medicaid transportation resources aetna better health of.
As an aetna better health of kansas provider, there are certain procedures and protocols you need to know. Find a provider contact about us register as member register as provider. Youll learn which services are covered for our members. Aetna better health medicaid and chip provider manual. The provider manual is an essential resource for all of our providers. Aetna better health of louisiana offers provider information and resources.
This behavioral health provider manual, the eap manual and other related communications are posted on. Please use the following address when submitting claims to aetna better health of louisiana aetna better health of louisiana p. It contains information for health care professionals. By joining our network, you are helping us serve those louisianans whoneed us most. Aetna is the brand name used for products and services provided by one or more of the aetna group of companies, including aetna life insurance company and its affiliates aetna. Our provider relations staff works hard to understand your business issues and meet your needs. The plan gives a description of the mco in a section entitled introduction to aetna better health of louisiana. Please list policy feedbackdraft statuspolicy name as it appears below in the subject line of your email. Whether you are looking for information about covered services, specific treatment protocols or how claims are handled, your aetna better health of texas provider manual is a comprehensive resource. There has been an amendment to the provider manual by the department of medical assistance. Find answers to your medicaid, lachip and lamoms questions with aetna better health of louisiana. All nonpreferred drugs are required to follow the prior authorization process. Aetna better health of louisiana department of health. Youll also find information about a wide variety of topics, ranging from provider responsibilities, to how to.
Medicaid claims provider resources aetna better health of. If you wish to make a standing request to receive all materials in a language other than english or in an alternate format, you can call aetna better health of louisiana member services at 18552420802, tty 711, 24 hours a day, 7 days a week. When submitting claims to our plan, use the provider id number 128la for both cms 1500 and ub 04 forms. Aetna better health of louisiana call 24 hours a day7 days a week 18552420802, tty 711 we believe that our members should have the opportunity to be leaders in their care. Aetna better health of louisiana abhla is aligned with the louisiana department of health s medicaid services manual, and would like to remind providers to refer to these manuals when submitting claims. If you dont want to leave the member site, click or tap the x in the upper righthand corner. Aetna better health of louisiana offers medicaid provider resources including. Aetna behavioral health refers to an internal business unit of. Whether you are a primary care physician or provide home and communitybased services. Reimbursement policy statement louisiana medicaid aetna.
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