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Prior authorization

Aetna Better Health® of California 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 on ProPAT, our online prior authorization search tool.


Tips for requesting authorization

Tips for requesting authorization

A request for prior authorization is not a guarantee of payment. Unauthorized services will not be reimbursed. You can make requesting prior authorization easier for yourself by:


For more information

Consult your provider manual. Or call us at 

1-866-329-4701 (TTY: 711)

How to request prior authorization


Here are the ways you can request prior authorization:


You can request prior authorization through our secure Provider Portal.


You can request prior authorization by calling us.


1-855-772-9076 (TTY: 711)

By fax

Download our prior authorization form. Then, fax it to us with any supporting documentation for a medical necessity review.


Sacramento: 1-866-489-7441

San Diego: 1-844-584-4450

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