Health insurance plans are offered and/or underwritten by Aetna Life Insurance Company (Aetna). Health insurance plans contain exclusions and limitations. With Aetna's PPO health insurance plans, you’ll never have to choose between flexibility and savings. You get it all, from no referrals to broad networks to competitive discounts and more. Aetna Dental | Solutions and Resources for Dentists If you’re a Medicare beneficiary, you know how important it is to find the right healthcare provider. With so many options out there, it can be overwhelming to choose a doctor or s...The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT ®), copyright 2023 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical services and ...Jan 1, 2023 ... Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay. If you have other family ...100% of Current North Carolina Medicare Part B Drug Fee Schedule2 or if not available. 85% of Average Wholesale Price (AWP) 50% of eligible billed charges. f. Services Excluded from Pricing under this Service and Rate Schedule. The following services and codes are excluded from reimbursement under this Amendment. i.Becoming one of the estimated 33.2 million small businesses that operate in the U.S. is exciting, but it also means there’s quite a bit to take care of. Fees can chip away at your ...Aetna Better Health of Kentucky – Community Mental Health Center (CMHC) Fee Schedule 1 Confidential & Proprietary Procedure Code Description Unit Measure AF AM U3 U1 SA AH U8 90791 Psychiatric Diagnostic Evaluation Event $ 134.72 $ 91.92 $ 91.92 $ 84.00 $ 84.00 $ 89.24 $ 89.24 100% of Current North Carolina Medicare Part B Drug Fee Schedule2 or if not available. 85% of Average Wholesale Price (AWP) 50% of eligible billed charges. f. Services Excluded from Pricing under this Service and Rate Schedule. The following services and codes are excluded from reimbursement under this Amendment. i. Planning a trip can be an exciting experience, but sometimes unexpected circumstances arise that require you to cancel your reservation. Whether it’s due to a change in schedule, u... Call our Credentialing Customer Service department at 1-800-353-1232 (TTY: 711). Just go to the “Request participation“ section of our website to start the application process. The minimum criteria to become a credentialed Aetna® behavioral health care professional are: Aetna Medicare Plan (PPO) 2024 Schedule of Cost Sharing 35. Physician/Practitioner services, including doctor’s office psychiatric service • $55 copay for each visits (continued) (individual sessions) psychiatric service (individual sessions) psychiatrists and licensed • $25 copay for each therapists in all 50 states.To use a general fee schedule, Medicaid providers can click Static Fee Schedules. The fee displayed is the allowable rate for this service. Since September 1, 2011, the Online Fee Lookup (OFL) and static fee schedules include a column titled "Adjusted Fee." The Adjusted Fee column displays the fee with all of the percentage reductions applied.2022 ASP Drug Pricing. 2021 ASP Drug Pricing. 2005-2020 ASP Drug Pricing. Page Last Modified: 03/22/2024 10:10 AM. Help with File Formats and Plug-Ins. View the quarterly drug pricing files to see the Average Sales Price (ASP) of some Part B-covered drugs and biologicals: aetna provider fee schedule 2023jackson day school tuition. 21 Jun 23 By how far is meramec caverns from st lewis. pictures of witches' marks. 1304 n lawnwood cir, fort pierce, fl 34950 aetna provider fee schedule 2023libra opposed leo fight who would win. 16 Jun 23 By 1946 washington st, newton, ma. lamar middle school staff laredo sends The calendar year (CY) 2023 PFS final rule is one of several rules that reflect a broader Administration-wide strategy to create a more equitable health care system that results in better accessibility, quality, affordability, and innovation. Background on the Physician Fee Schedule. Since 1992, Medicare payment has been made under the …Every day, health plans and providers are working to improve health outcomes. But healthcare's inefficiencies make it difficult to exchange critical administrative and clinical information throughout the patient journey. Availity bridges this gap by optimizing healthcare revenue cycle activities for providers and improving access to information ...Fisher Investments charges a fixed percentage of the assets it manages, as Fisher Investments reports. Fees are not charged on a per-transaction basis, so Fisher Investments does n...3 Minority recruitment and retention plan..... 25You can see any licensed vision provider in the U.S. If you choose to receive services through EyeMed, your EyeMed provider will apply your allowance at the point of service and bill us directly. This eliminates the need for you to submit a reimbursement request. Aetna Medicare Elite Plan (HMO-POS) | H2056-005 | $0Plan features for the way you live. With Aetna Dental, you get: Affordable plans. Plan options start at $20. And your dental checkups, cleanings and X-rays are 100% covered. Choice of providers. You get access to a nationwide network with your choice of more than 445,000 dental providers.*. The coverage you need.May 7, 2024 · Physician Fee Schedule Look-Up Tool. To start your search, go to the Medicare Physician Fee Schedule Look-up Tool . To read more about the MPFS search tool, go to the MLN® booklet, How to Use The Searchable Medicare Physician Fee Schedule Booklet (PDF) . Page Last Modified: 05/07/2024 11:09 AM. Help with File Formats and Plug-Ins. Oct 15, 2022 · If you need your updated fee schedule before it’s online or if you’re a non-physician provider, fax your request and the CPT codes to 1-859-455-8650 after October 15, 2022. If you have questions, call the Provider Contact Center at 1-888 MD AETNA ( 1-888-632-3862) (TTY: 711). Thank you for your continued participation in the Aetna network. Are you looking to declutter your home and donate your furniture to a good cause? Goodwill is a trusted organization that accepts furniture donations and provides assistance to tho... Committed to cultural competency. Good health — and a good doctor/patient relationship — begins with understanding your patients' cultural, ethnic, racial and linguistic needs. Watch this presentation to learn more about cultural competence and the important role you play as a provider. Cultural competency training video. Benefits and Premiums are effective January 1, 2023 through December 31, 2023. SUMMARY OF BENEFITS PROVIDED BY AETNA LIFE INSURANCE COMPANY. Primary Care Physician (PCP): You have the option to choose a PCP. When we know who your provider is, we can better support your care. Referrals: Your plan doesn't require a …KY Medicaid Dental Fee Schedule 2023 Revised 11.29.2023 Proc Code Requirements Procedure Description UNDER AGE 21 Rate 21 and OVER Rate Notes D9994 DENTAL CASE MANAGEMENT - PATIENT EDUCATION TO IMPROVE ORAL HEALTH LITERACY $22.53 Effective July 1, 2023 - Units equals per patient per time frame $1659 if provided …https://navinet.navimedix.com. Our dedicated Provider Service Centers — for health maintenance organization (HMO)-based and Medicare plans, 1-800-624-0756; for all other plans, 1-888-MDAetna (1-888-632-3862) Appeals — You may appeal adverse benefits determinations and provider reimbursement decisions.... Aetna provider data; Plan options with coverage ... Chart refers to what the member pays in network ... You get access to discounts off the regular charge on ...Aetna fee schedule 2023 pdf. Things To Know About Aetna fee schedule 2023 pdf. Coverage Period: 01/01/2023 - 12/31/2023. The Summary of Benefits ...The CY 2024 Medicare Physicians Fee Schedule has been updated due to The Consolidated Appropriations Act, 2024. The fees are effective for dates of service March 9, 2024 through December 31, 2024. The CY 2024 MPFS fees posted are valid from January 1, 2024 through March 8, 2024.Meta description: ZayZoon introduces a fee-free Gas Card with a 5% bonus to help employees save on gas, providing flexible on-demand payment options. Earned Wage Access provider Za...Finding the right doctor matters. We’ve done the work for you. Aetna Smart Compare® is a designation we give to doctors in our network. These doctors have proven time and time again that they provide high-quality, effective care. You’ll find these doctors with the label “Quality Care,” “Effective Care” or both in your search.0113A 1/1/2023 – 4/18/2023 Moderna Covid-19 Pediatric Vaccine (Blue Cap with magenta border) - Administration - Third dose . 43.60 91312 8/31/2022 – 9/11/2023 Pfizer-BioNTech COVID-19 Vaccine, Bivalent Product (Aged 12 years and older) (Gray Cap) N/A (currently government supplied at no cost to the provider) 0121A 4/18/2023 – 9/11/2023A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This page provides comprehensive listings of fee maximums used to reimburse physicians/practitioners, ambulance suppliers, clinical laboratories, ambulatory surgery centers, drugs/biologicals, and other providers on a fee-for-service basis ...All providers practicing under that TIN will be part of CPP. *This is the 2023 fee schedule, which will be updated in May of 2024 and again May of 2025 as it is dependent on CMS. The Plan continues to offer its members copay waivers and reductions for those that visit CPP Providers in 2023.Meta description: ZayZoon introduces a fee-free Gas Card with a 5% bonus to help employees save on gas, providing flexible on-demand payment options. Earned Wage Access provider Za...ealth of Virginia Provider Manual Aetna Better Health of Virginia 1-800-279-1878 (TTY: 711) Monday – Friday, 8 AM – 6 PM 1 tter H Provider Manual Last reviewed/revised: October, 2023 Aetna Better Health® of Virginia For contract year October 1, 2023 – August 30, 2024Behavioral health coverage and fee schedule. Basic behavioral health. These services are provided by medical professionals or behavioral health consultants in medical clinics. Some common services include: Screening for common mental health conditions. Screening for alcohol or substance use issues. Medication management.... costs are based on the type of provider you use: ... Find in-network providers using the Aetna Provider Directory. ... Calendar · HR Staff · Forms · Subscr...The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT ®), copyright 2023 by the American Medical Association (AMA). CPT is developed by the AMA as a listing of descriptive terms and five character identifying codes and modifiers for reporting medical …To use a general fee schedule, Medicaid providers can click Static Fee Schedules. The fee displayed is the allowable rate for this service. Since September 1, 2011, the Online Fee Lookup (OFL) and static fee schedules include a column titled "Adjusted Fee." The Adjusted Fee column displays the fee with all of the percentage reductions applied.Finding the right doctor matters. We’ve done the work for you. Aetna Smart Compare® is a designation we give to doctors in our network. These doctors have proven time and time again that they provide high-quality, effective care. You’ll find these doctors with the label “Quality Care,” “Effective Care” or both in your search. This update applies to our commercial members. Effective September 1, 2023, Aetna® will deny unbundled services identified by CPT® codes 45499, 49329, 49650, 50715, 50949, 58578, 58679 and 64999 as incidental when billed with 58662 for the treatment of endometriosis.*. Note to Washington State providers: Your effective date for changes ... Primary benefits Your costs for in‑network care Your costs for out‑of‑network care Diagnostic radiology (e.g., MRI & CT scans) $250 40% Outpatient x‑rays $0 40% Hearing, dental, & vision Diagnostic hearing exam $0 40% Routine hearing exam $0 40% We cover one exam every year. All appointments should be scheduled …3. Request a copy of your fee schedule under the ‘Fee Schedule’ column 4. Request a copy of your participating provider agreement under the ‘Information Requests’ column For assistance with the website, call 1-800-853-2713 AETNA • Email [email protected] with TIN, contact telephone number, and a spreadsheet of CPT codes (andA fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and … Every day, health plans and providers are working to improve health outcomes. But healthcare's inefficiencies make it difficult to exchange critical administrative and clinical information throughout the patient journey. Availity bridges this gap by optimizing healthcare revenue cycle activities for providers and improving access to information ... 100% of Current North Carolina Medicare Part B Drug Fee Schedule2 or if not available. 85% of Average Wholesale Price (AWP) 50% of eligible billed charges. f. Services Excluded from Pricing under this Service and Rate Schedule. The following services and codes are excluded from reimbursement under this Amendment. i.In today’s digital age, having a reliable and efficient internet service provider is essential. Comcast is one of the leading providers in the United States, offering a wide range ...Aetna is responsible for the selection of doctors in their network. Visit www.aetnafeds.com or contact us at 1-800-537-9384 for a list participating doctors. Continued participation of any specific doctor cannot be guaranteed. Thus, you should choose your plan based on the benefits provided and not on a specific provider’s participation.A checking account has more upsides than downsides. Without one you’ll be missing out on interest payments on your savings, the safety of carrying a banking card rather than cash a...The NSW Train Timetable is an essential resource for commuters and travelers alike. It provides valuable information about train schedules, routes, and stops across various lines. ...KY MEDICAID Fee Schedule - Effective April 1, 2023 Revised 06/27/2023 Fee for Service Mental Health and Substance Use Disorder Treatment Fee Schedule. Notes: Red indicates new codes or changes for the most current revision date. PLEASE CONTINUE TO USE THE ADDITIONAL HF MODIFIER FOR ALL SUD SERVICES FOR TRACKING …To View and Download in: Excel Format PDF Format. RBRVS 2024 R BRV S 2 024 Effective 4/1/24 - 3/31/25. RBR VS 20 23 R B R V S 2 0 23 Effective 4/1/23 - 3/31/24. RBRVS 2022 RBR VS 2 022. RBRVS 2021 RBR V S 2021 Effective 4/1/21-3/31/22 ONLY. RBRVS 2 021 RBRVS 2021 Effective 1/1/21-3/31/21 ONLY. CMS has implemented the new legislation by adjusting the CY 2023 CF of $33.07 by 2.93 percent and the budget neutrality adjustment for a CY 2024 CF of $33.29 for dates of service March 9 through December 31. CMS is also releasing updated payment files, including the MPFS and associated abstract files, the Ambulatory Surgical Center (ASC) FS ... This Aetna Dental® Preferred Provider Organization (PPO) benefits summary is provided by Aetna Life Insurance ... on a negotiated fee schedule. When emergency services are provided by a non-participating dentist, you will be ... Any charge in excess of any benefit, dollar, visit, or frequency limit stated in the schedule of benefits. 3 ...Efective May 1, 2023. This document is a quick guide for your ofice to use for behavioral health precertification with patients enrolled in Aetna health plans. This process is also known as prior authorization or prior approval. You can use this document as an overview of best practices working with Aetna. It will be your reference for Current ...Provider Manual Provider Services Department: 1-855-772-9076 AetnaBetterHealth.com/California. Aetna Better Health® of California . CA-22-10-02 F (Rev 5/11/23) 1 Aetna Medicare Plan (PPO) 2024 Schedule of Cost Sharing 35. Physician/Practitioner services, including doctor’s office psychiatric service • $55 copay for each visits (continued) (individual sessions) psychiatric service (individual sessions) psychiatrists and licensed • $25 copay for each therapists in all 50 states. Aetna Fee Schedule Instructions Provider Notice: However, we Please use this document to help you use the Fee Schedules. ... AMFS= AETNA Market Fee Schedule You will use the AMFS schedule- Fee schedules as “as is” in spreadsheet. No calculations needed. For Medicare ... Author: Ginger Lento Created Date: 3/8/2023 11:45:18 AM ...Skilled Nursing Facility (SNF) Care $0 per day, days 1-20; $75 per day, days 21-100 Limited to 100 days per Medicare Benefit Period. The member cost sharing applies to covered benefits incurred during a member's inpatient stay. A benefit period begins the day you go into a hospital or skilled nursing facility.Medical Providers. Medicaid Reimbursement. Durable Medical Equipment. ... 2023 Fee Schedule. DME Fee Schedule Effective 01/01/2023 Updated 06/01/2023 (xlsx)Learn about Aetna’s provider cost estimate and physician fee scheduling tools at help thou judge forbearing costs. 2023 A Fee-for-Service (High and Standard Options) health plan with a Preferred Provider Organization IMPORTANT • Rates: Back Cover • Changes for 2023: Page 14 • Summary of Benefits: Page 128 This plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. 3. Request a copy of your fee schedule under the ‘Fee Schedule’ column 4. Request a copy of your participating provider agreement under the ‘Information Requests’ column For assistance with the website, call 1-800-853-2713 AETNA • Email [email protected] with TIN, contact telephone number, and a spreadsheet of CPT codes (andFee Schedule Provisions: The 2023 proposed anesthesia conversion factor (CF) is 20.7191, representing a decrease of 3.91% from the 2022 anesthesia CF of $21.5623. The 2023 proposed RBRVS CF is 33.0775. This represents a decrease of 4.42% from the 2022 CF of 34.6062. The CFs are proposed to decrease because of two factors:Members and theirs providers becoming what to discuss the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. Learn about fee schedule updates required all plans in your market. Beginning October 15, 2023, we'll adjust is standard feind planning (the Aetna® ...You pay your coinsurance or copay along with your deductible. Some plans do not offer any out-of-network benefits. For those plans, out-of-network care is covered only in an emergency. Otherwise, you are responsible for the full cost of any care you receive out of network. The information on this page is for plans that offer both network and ...of the lesser of the actual charge or 85% of what a physician would be paid f or the same service, and section 150, which indicates Medicare pays 75% of the physician fee schedule for clinical social worker services.) a. 2. Update the AMFS rates periodically. The frequency varies by market.If you have any questions, please contact Leigh Ann Moore (OAMR) at 304-356-4916. Fee Schedule Updates. The following fee schedules will now be effective April 1st through March 31st starting in calendar year (CY) 2019: Physician's (RBRVS) Fee Schedule. Clinical Lab Fee Schedule.When making an employee schedule, find out who's available when, have employees fill in their preferred hours and then you fill in the rest. Learn how to make an employee schedule ...About us. Aetna Better Health® of West Virginia is part of Aetna® and the CVS Health® family, one of our nation’s leading health care organizations. We’ve been serving people who use Medicaid benefits for over 30 years — from kids, adults and seniors to people with disabilities or other serious health issues. Our national experience ...Catering Schedule - A catering schedule is essential in planning and executing an event. Find out how a catering schedule is created and what factors affect a catering schedule. Ad...Aetna is a leading provider of Medicare Advantage plans, and they understand the importance of making it easy for their members to pay their premiums. AetnaMedicare.com offers seve...Fee Schedule is based on Diagnosis Related Groups (DRGs) Market Basket base rate increased by 4.1% to $242,450. The outlier threshold for 2023 is $140,000. The LTCH fee schedule does not incorporate any new technology add-on payments. Providers must bill LTCH charges upon discharge only. Health insurance plans are offered and/or underwritten by Aetna Life Insurance Company (Aetna). Health insurance plans contain exclusions and limitations. With Aetna's PPO health insurance plans, you’ll never have to choose between flexibility and savings. You get it all, from no referrals to broad networks to competitive discounts and more. This update applies to our commercial members. Effective September 1, 2023, Aetna® will deny unbundled services identified by CPT® codes 45499, 49329, 49650, 50715, 50949, 58578, 58679 and 64999 as incidental when billed with 58662 for the treatment of endometriosis.*. Note to Washington State providers: Your effective date for changes ... As part of the 2023 final rule, CMS described how it will use the Physician Fee Schedule annual rulemaking process to determine whether additional dental services should be considered for payment ...published 2022-10-24. July 7, 2022, Centers for Medicare & Medicaid Services ( CMS) published Medicare Physician Fee Schedule (MPFS) proposed rule and solicited public comments before the rule becomes effective on or after January 1, 2023.2023 A Fee-for-Service (High and Standard Options) health plan with a Preferred Provider Organization IMPORTANT • Rates: Back Cover • Changes for 2023: Page 14 • Summary of Benefits: Page 128 This plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides.Jan 1, 2023 · Medical Providers. Medicaid Reimbursement. Durable Medical Equipment. ... 2023 Fee Schedule. DME Fee Schedule Effective 01/01/2023 Updated 06/01/2023 (xlsx) Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations. See all legal notices. See our health insurance FAQs to get answers about insurance ...... Aetna provider data; Plan options with coverage ... Chart refers to what the member pays in network ... You get access to discounts off the regular charge on ...Plan features for the way you live. With Aetna Dental, you get: Affordable plans. Plan options start at $20. And your dental checkups, cleanings and X-rays are 100% covered. Choice of providers. You get access to a nationwide network with your choice of more than 445,000 dental providers.*. The coverage you need. Finding the right doctor matters. We’ve done the work for you. Aetna Smart Compare® is a designation we give to doctors in our network. These doctors have proven time and time again that they provide high-quality, effective care. You’ll find these doctors with the label “Quality Care,” “Effective Care” or both in your search. Primary care physicians providing only prenatal care should bill for the prenatal visits they have provided using CPT Code 59425 (antepartum care only; 4 to 6 visits) or CPT Code 59426 (antepartum care only; 7 or more visits), and will be reimbursed according to Aetna's fee schedule. The member must choose a participating obstetrician as a co ...
Explanations of Benefits (EOBs) are on our secure provider website. Patient cost estimator is available on our provider portal on Availity. We highly encourage providers to register for EFT and ERA. Please call our Provider Services Department at 1-844-528-5815 for assistance or your assigned Network Consultant.. Hermione fleur
Enroll in the Aetna Dental DMO plan. Get the Aetna Health app by texting “GETAPP” to 90156. for simple, budget-friendly coverage. for a link to download the app and create an account. Message and data rates may apply.***. *Th is plan does not cover out-of-network benefits except to the extent required by state law.qualified providers to deliver care and services to patients. Modifiers: 95, GT Telehealth POS: 02 * Some codes might not be covered by HFS’ Practitioner Fee Schedule but are required to close HEDIS gaps in care. Synchronous telehealth visits Require real-time face-to-face interactive audio and visual (video) telecommunications with patients. APrecertification Optimization 06/30/2023. EFT and ERA Program Update. Clinical Payment, Coding and Policy Changes, eff. 3/1/2023 ... Provider Services. Aetna Better Health Premier Plan MMAI. Phone: 866-600-2139. ... Fee Schedule Updates . The following fee schedule updates have been processed at Aetna Better Health:CHIP benefit changes (effective 12/1/2015) Provider reports management tool. Emergency Department (ED) claim review policy and diagnosis codes. Aetna Better Health Kids. Stay informed about updates to the Aetna Better Health Kids plan by checking on these provider notices and newsletters.2023 Preventive Health Fee Schedule (Provider type 20) revised 2/5/2023 New 2023 Codes are in red. ** The appearance on this schedule of a code and rate is not an indication of coverage, nor a guarantee of payment Notes CPT only copyright 2022 American Medical Association. All rightsreserved. 1If you’re a Medicare beneficiary, you know how important it is to find the right healthcare provider. With so many options out there, it can be overwhelming to choose a doctor or s... Aetna Dental | Solutions and Resources for Dentists 100% of Current North Carolina Medicare Part B Drug Fee Schedule2 or if not available. 85% of Average Wholesale Price (AWP) 50% of eligible billed charges. f. Services Excluded from Pricing under this Service and Rate Schedule. The following services and codes are excluded from reimbursement under this Amendment. i. Doing Business with Aetna - new provider onboarding webinar ... that’ll make your day-to-day tasks with us simple and quick. Open to existing providers and staff as well. Get the schedule and register at ... of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Aetna.com ©2023 Aetna Inc. 1955551-01-01 (5/23) ...Finding the right doctor matters. We’ve done the work for you. Aetna Smart Compare® is a designation we give to doctors in our network. These doctors have proven time and time again that they provide high-quality, effective care. You’ll find these doctors with the label “Quality Care,” “Effective Care” or both in your search.Committed to cultural competency. Good health — and a good doctor/patient relationship — begins with understanding your patients' cultural, ethnic, racial and linguistic needs. Watch this presentation to learn more about cultural competence and the important role you play as a provider. Cultural competency training video.Every day, health plans and providers are working to improve health outcomes. But healthcare's inefficiencies make it difficult to exchange critical administrative and clinical information throughout the patient journey. Availity bridges this gap by optimizing healthcare revenue cycle activities for providers and improving access to information ...Enroll in the Aetna Dental DMO plan. Get the Aetna Health app by texting “GETAPP” to 90156. for simple, budget-friendly coverage. for a link to download the app and create an account. Message and data rates may apply.***. *Th is plan does not cover out-of-network benefits except to the extent required by state law.This drug is part of the opthalmic injectable category. AltuviiioTM (efanesoctocog alfa) — precertification is required effective July 1, 2023. This drug is part of the blood clotting factors category. Lamzede® (velmanase alfa) — precertification is required effective July 1, 2023. This drug is part of the enzyme replacement drugs category.About us. Aetna Better Health of Louisiana is part of Aetna®, one of the nation's leading health care providers and a part of the CVS Health® family. We have over 30 years of experience serving Medicaid populations, including children, adults and people with disabilities or other serious health conditions. We bring our national experience to ...Provider manuals. You will find guides to support you in providing care, managing your practice and working with us. Read our quick-reference guide (PDF) Network participation criteria. We have a set of criteria for participation in our provider network. See the criteria (PDF).