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Starting October 3, certain states need to start using Anna™ software for the concurrent review process


This article applies to Delaware, Indiana, New York, Pennsylvania and West Virginia.


Aetna® has partnered with Post-Acute Analytics (PAA) to automate the concurrent review process by using its Anna™ software platform. Starting October 3, you must use the platform for the skilled nursing facility (SNF) concurrent review process.


PAA is a business associate that works with health systems, payers and post-acute providers. PAA works with providers and payers that participate in Aetna Medicare Advantage (MA) plans and programs to help them understand how members receive care across the care continuum.


What’s changing?


Starting October 3, 2022, all SNFs in Delaware, Indiana, New York, Pennsylvania and West Virginia that admit Aetna MA members who reside in and receive care in those states will be required to work with PAA and use Anna to:


  • Notify Aetna of a member’s arrival in the facility (admission verification notification)
  • Conduct concurrent review processes, including providing clinical documentation to receive authorization of additional days beyond the initial approved days

The precertification and concurrent management process


Aetna will continue to make utilization management decisions and send the appropriate letters and other communications.


PAA will provide clinical programming services for identified SNF partners, under the oversight of their Chief Clinical Officer and Senior Medical Officer. One of these services is a root cause analysis, which PAA does to ensure that members receive appropriate care and services. The goal is to prevent unnecessary readmissions and to make sure members get the right follow-up care.


How to start using Anna


PAA will contact you soon to walk you through how to set up and use this tool. It will reduce manual processes, decrease administrative burden and streamline communication with Aetna utilization managers. This can lead to better clinical outcomes and make working with Aetna easier.


Aetna and PAA may integrate your electronic medical records (EMR) system with Anna. You will not be charged any fees from Aetna or PAA. The integration is important for high-volume providers, since it will make working with Aetna simpler.


One of PAA’s Post-Acute Care (PAC) engagement managers will contact you to schedule a meeting and answer questions. If you prefer to contact PAA directly, you can send a message to Network Development.


Sending “continued stay” documentation


Use the Anna portal (which is the preferred method) to send “continued stay” documentation. Note that you should continue to send pre-certification documentation through our Availity provider portal.*


How to reach us


If you have questions for Aetna about this change, you can send us an email message.


If you have questions about the Aetna utilization review process, you can contact your facility’s assigned utilization review nurse or the Provider Contact Center at 1-888 MD AETNA (1-888-632-3862 (TTY: 711).


*Availity® is available only to U.S. providers and its territories.

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).

Health benefits and health insurance plans contain exclusions and limitations.

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