Aetna Better Health of Kansas requires prior authorization for select, acute outpatient services and planned hospital admissions. Prior authorization is not required for emergency services. A current list of the services that require authorization is available via the provider secure web portal. If you have questions about what is covered, consult your provider manual or call 1-855-221-5656.
Tips for requesting authorizations:
- ALWAYS verify member eligibility prior to providing services
- Complete the form for all medical requests
- Attach supporting documentation when submitting
Remember, a request for prior authorization is not a guarantee of payment. Unauthorized services will not be reimbursed.
To request an authorization, find out what services require authorization or check on the status of an authorization, visit our provider secure web portal. For more information about prior authorization, review your provider manual.
The online prior authorization search tool can also be used to determine if prior authorization (PA) is required for services.
The prior authorization request forms can be found here. You can fax your authorization request to 1-855-225-4102. If you have questions, please call us at 1-855-221-5656.