Here you’ll find handy links to the important info you need, plus the latest news, policy and legal developments and resources.
May 1: new Texas filing requirements begin.
Effective May 1, 2023, the days allotted for timely filing will change to align with the Texas requirement of 95 days. All claims must be sent within 95 days of the date of service(s), unless you are legally unable to notify us. This policy update does not apply to provider contracts with specific filing requirements. If you have questions about this change, please email: texashealthaetnanetworkteam@aetna.com
DFW Referral Pilot Program Update - March 1
Clinical policy updates
Clinical questionnaire for prior authorizations
State regulations
Disputes and appeals process
Precertification
Referral Policy
Visit page 33 of the Provider Manual
Pre-authorization reports
COVID-19 Communications Update: Temporary Changes in Prior Authorization/Precertification for Skilled Nursing Facility (SNF) admissions
Three different cards for care
Please note our members will have one of these three ID cards to denote which network they’re in.