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OfficeLink Updates™

March 2024

Find updates on important changes to plans and procedures, behavioral health topics, drug lists, Medicare information and state-specific details.

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APCN+ member eligibility

Starting January 1, 2024, some of your patients might be in our Aetna Premier Care Network Plus (APCN+) Multi-Tier program. It’s a new national performance network offering.

You can identify these members by checking the ID card, which will have “Aetna Premier Care Network Plus Multi-Tier” on it. You should also check your participation and tier status.

Featured this quarter


Reminder: Be sure your profile information is up to date


Help members find you by making sure that your information is correct and available to them when they need care.


Have an Availity® account? You can use our quick reference guide (PDF) to make essential updates in the Provider Data Management (PDM) tool on our provider portal on Availity.


New to Availity? This portal is available to providers in the U.S. and its territories. You can register to set up your account. If you’re unable to use Availity, find options to update your provider data.

Maternal mental health screening


Mental health concerns include not only depression but also conditions like anxiety disorders and postpartum psychosis. These conditions are often missed or mistaken as normal within pregnancy and postpartum periods.


Careful screening can identify those with mental health conditions and improve the outcome for at least two patients, if not the whole family.


We reimburse for screening


Submit your claim with the following billing combination: CPT® codes 96127 or G0444 (brief emotional/behavioral assessment) in conjunction with diagnosis code Z13.31 (screening for depression).


Screening tools


You can use the following screening tools:


Patient Health Questionnaire-9 (PHQ-9) (PDF)

Edinburgh Postnatal Depression Scale (PDF)


Scoring references are included.


Read the maternal mental health screening article (PDF)

90-day notices and related reminders

Includes pharmacy updates


We regularly adjust our clinical, payment and coding policy positions as part of our ongoing policy review processes. Our standard payment policies identify services that may be incidental to other services and, therefore, ineligible for payment.


We’re required to notify you of any change that could affect you either financially or administratively at least 90 days before the effective date of the change. These changes may not be considered material changes in all states. Unless otherwise stated, policy changes apply to both Commercial and Medicare lines of business.


Use the drop-down box below to get a glimpse of the policy-related information you’ll need to know about this quarter.

State-specific updates


Find updates on state policies and regulations that matter to your practice. This quarter, you will find information regarding the following states:

Behavioral health updates

Behavioral health updates

A majority of patients treated in a primary care setting have a physical ailment that’s affected by anxiety, depression or another psychological issue. Without the right support, these issues are often underdiagnosed.


We help you stay informed about behavioral health topics so that you can deliver the best possible treatment to your patients.


Use the drop-down box below to read summaries of a few of the behavioral health articles you’ll find in this issue.

News for you

Find general information — like new services, tools and reminders — to help your office comply with regulations and administer plans.

Medicare updates

Get information, including timely reminders and guidelines, to help treat your Medicare patients.

Looking for more updates?

OLU newsletters


Browse past editions in the OLU library.


OLU newsletter library

Special topics newsletters


Find previous editions of our behavioral health and FDR newsletters.


Special topics archive

Legal notices

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).

CPT® is a registered trademark of the American Medical Association. 2023 All rights reserved.

Health benefits and health insurance plans contain exclusions and limitations.

Also of interest: