Member self-referrals

Covered members can self-refer to any participating Mental Health/Substance Abuse provider within our network without prior authorization or a referral from their Primary Care Provider (PCP).

Primary Care Provider (PCP) referrals

We promote early intervention and health screening for identification of behavioral health problems and patient education. To that end, Aetna Better Health of New Jersey providers are expected to:

  • Screen, evaluate, treat and/or refer (as medically appropriate), any behavioral health problem/disorder
  • Treat mental health and/or substance abuse  disorders within the scope of their practice
  • Inform members how and where to obtain behavioral health services

Understand that covered members may self-refer to an Aetna Better Health of New Jersey behavioral health care provider without a referral from the member’s Primary Care Provider (PCP).