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Prior authorization (PA)
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.
Tips for requesting authorization
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Tips for requesting authorization
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
How to request PA
Here are the ways you can ask for PA:
By phone
You can ask for PA by calling us at 1-866-827-2710 (TTY: 711).
By fax
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).