Aetna Better Health® of Maryland requires PA for some outpatient care as well as for planned hospital admissions. PA is not needed for emergency care. A current list of the services that require authorization is available on ProPAT, our online prior authorization search tool.
A request for PA doesn’t count as a payment. Unauthorized services won’t be reimbursed. You can make requesting PA easier by:
Registering for the Provider Portal if you haven’t already
Verifying member eligibility prior to providing services
Completing the PA form (PDF) for all medical requests
Attaching supporting documentation when submitting
Here are the ways you can ask for PA:
You can ask for PA by calling us at 1-866-827-2710 (TTY: 711).
Download our PA form (PDF). Then, fax it to us at 1-855-661-1967. Please add any supporting material that can be used for the review.
Consult your provider manual (PDF). Or call us at 1-866-827-2710 (TTY: 711).
Aetna Better Health of Maryland is not responsible or liable for content, accuracy or privacy practices of linked sites or for products or services described on these sites. If you did not intend to leave our site, click or tap the "x" in the upper right-hand corner.
This link will take you to the Aetna Better Health® of Maryland provider website. It contains information for health care professionals. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner.
This link will take you to the main Aetna® Medicaid website (AetnaBetterHealth.com). Aetna Better Health of Maryland is not responsible or liable for this specific content.
