Effective August 28, 2018, the following new-to-market drugs require precertification:
Effective September 1, 2018, the following new-to-market drug requires precertification:
Effective March 1, 2019, we’ll require precertification for whole exome sequencing.
We encourage you to submit precertification requests at least two weeks before the scheduled services. To save time, request precertification electronically — it’s fast, secure and simple! Most precertification requests can be submitted electronically through the provider website or by using your Electronic Medical Record (EMR) system portal.
You can find more information about precertification under the General Information section of the NPL.
Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites.