Precertification Lists
Precertification information
Precertification applies to all benefits plans that include a precertification requirement. Participating providers are required to pursue precertification for procedures and services on the lists below.
2021 Participating Provider Precertification List – Effective date: November 1, 2021 (PDF)
Behavioral Health Precertification List – Effective date: January 1, 2019 (PDF)
If you’re a provider in Louisiana in the process of credentialing with us — and need to find out if a service requires prior authorization — call the precertification phone number on the member’s ID card. Please don’t use the EDI process to make your request.
Note: If we need to review applicable medical records, we may assign a tracking number to your precertification request. The tracking number does not indicate approval. You will be notified when a coverage decision is made.
For Aetna’s commercial plans, there is no precertification required for buprenorphine products to treat opioid addiction.
Search by CPT code
Use our search tool to see if precertification is required. Enter one or more 5-digit CPT codes. This tool also helps to determine if a special program applies.
Please note that the Aetna Student Health Precertification List is currently under revision.
For assistance and information, contact Aetna Student Health Customer Service at 1-877-480-4161.
