1. Aetna Clinical Policy Bulletins
Medical · Formularies & Pharmacy... · Aetna policy deviations by state
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2. Medical Clinical Policy Bulletins - Aetna
Medical Clinical Policy Bulletins (CPBs) detail the services and procedures we consider medically necessary, cosmetic, or experimental and unproven.
Explore the medical clinical policy bulletins that Aetna uses to decide which services and procedures we will cover.
3. Clinical Policy Bulletins Alphabetical List - Aetna
Safety Items- CPB-0623 · Salivary Hormone Tests- CPB-0608 · Scalp Cooling (Hypothermia) to Prevent Hair Loss During Chemotherapy- CPB-0290 · Screening for Lipid ...
4. Clinical Policy Bulletins Numerical List - Aetna
0251-Dermabrasion, Chemical Peels, and Acne Surgery · 0253-Injections for Vocal Cord Paralysis · 0255-Inpatient Admission Prior to Surgery (Preop Days) · 0256- ...
5. Clinical Guidelines and Policy Bulletins | Aetna Medicaid California
Clinical practice guidelines summarize evidence-based management and treatment options for specific diseases or conditions.
6. Clinical Policy Bulletin (CPB) FAQs for Health Care Providers - Aetna
The Clinical Policy Bulletins (CPBs) express Aetna's determination of whether certain services or supplies are medically necessary, experimental and ...
Health care providers - get answers to the most frequently asked questions about Clinical Policy Bulletins (CPBs) from Aetna.
7. Dental CPBs - Health Care Professionals - Aetna
Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are ...
View a list of Aetna's Dental Clinical Policy Bulletins (Dental CPBs).
8. Clinical guidelines and policy bulletins - Aetna Better Health
We've chosen certain clinical guidelines to help our providers get members high-quality, consistent care that uses services and resources effectively.
Clinical Policy Bulletins help us decide what health care services and procedures we will and will not cover. Clinical guidelines help our providers get members high-quality, consistent care.
9. Tables and Boards - Medical Clinical Policy Bulletins - Aetna
Policy · Medical Necessity. Aetna considers rental, or if less costly, purchase, of the following tables and boards medically necessary durable medical ...
Number: 0481
10. Cosmetic Surgery and Procedures - Medical Clinical Policy Bulletins
Abdominoplasty, Suction... · Breast Reduction Surgery · Gender Affirming Surgery
Number: 0031
11. Physical Therapy - Medical Clinical Policy Bulletins - Aetna
Physical therapy is generally covered for members with eligible conditions that require improvement in the activities of daily living (ADLs). These include, but ...
Number: 0325
12. Injectable Medications - Clinical Policy Bulletins - Aetna
Aetna covers injectable medications when an appropriate oral alternative drug does not exist. This coverage includes those medications intended to be self- ...
Number: 0020
13. Infertility - Medical Clinical Policy Bulletins - Aetna
For purposes of this entire policy, Aetna covers diagnostic infertility services to determine the cause of infertility and treatment only when specific coverage ...
Number: 0327
14. Clinical Trials, Coverage of Routine Patient Care Costs - Aetna
All rights reserved. Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor ...
Number: 0466
15. [PDF] Provider education bulletin - Maryland.gov
Jun 14, 2022 · Aetna's Clinical Policy Bulletins (CPBs) are internally developed policies that we use as a guide for determining health care coverage for our ...
16. Chronic Pain Programs - Medical Clinical Policy Bulletins - Aetna
Medical Necessity · Aetna considers a screening examination medically necessary for members who are being considered for admission into a chronic pain program.; ...
Number: 0237
17. Occupational Therapy - Medical Clinical Policy Bulletins - Aetna
The amount, frequency and duration of occupational therapy services must be medically appropriate for the specific treatment regimen and be performed by an ...
Number: 0250
18. [PDF] Clinical Policy Process
Aetna has developed more than 600 Clinical Policy. Bulletins (CPBs). • The goal is to develop objective, clinically supported and defensible determinations.
19. Provider Resources : SLU
SLU's University Health Plan is administered through Aetna Student Health. Aetna Medical Clinical Policy Bulletins (CPBs) provide guidance on services and ...
This page offers information for medical providers participating in SLU's University Health Plan Student Health Insurance. Aetna Student Health administers this plan for Saint Louis University Students
20. Aetna's Clinical Policy Bulletins Available on HealthLibrarian, a ...
Jul 30, 2009 · One note of caution: Aetna's clinical policy bulletins provide a scientific and clinical basis on which Aetna medical directors can evaluate the ...
Aetna is the first commercial insurance company to make its clinical guidelines available through the HealthLibrarian semantic search engine for health data.
21. Resources & Support for Health Care Providers - Aetna
Since Clinical Policy Bulletins (CPBs) can be highly technical and are designed to be used by our professional staff in making clinical determinations in ...
Discover all of our resources for health care professionals and join the Aetna providers network. Build relationships while helping patients with Aetna.
22. Meritain Health Follows Aetna Clinical Bulletins
Meritain Health follows all Aetna Clinical Bulletins. These may be found here. 1 Likes. 0. Shares. 0. Recent Posts. Meritain Health Podcast: If a Dollar ...
Meritain Health follows all Aetna Clinical Bulletins. These may be found here.
23. Aetna Clinical Policy Bulletin Explained: What You Need to Know
Apr 7, 2023 · Aetna Clinical Policy Bulletin Explained: What You Need to Know · Diagnostic testing, such as CT scans, MRIs, and ultrasounds · Surgery, such as ...
Aetna is a leading health insurance company that provides a wide range of health insurance plans to individuals and employers. Like other…
24. [PDF] How to access Aetna Medical Clinical Policy Bulletins (CPB) - Mercy Care
Mercy Care uses clinical criteria from the Aetna Medical Clinical Policy Bulletins when reviewing requests for prior authorization.
25. Genetic Testing - Medical Clinical Policy Bulletins - Aetna
Aetna considers genetic testing of PTPN11, SOS1, or KRAS genes medically necessary for the diagnosis of Noonan syndrome in persons with characteristic features ...
Number: 0140
26. Aetna Medical Policy Updates - April 2021
May 19, 2020 · Botulinum Toxin [Medicare] – Medical Clinical Policy Bulletins | Aetna · BRCA Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy ...
Click here to view the Aetna Medical Policy Updates » April 2020 Aetna Medical Policy Updates: Abatacept (Orencia) Abatacept (Orencia) - Medical Clinical
27. Aetna's Prior Authorization Policy Spawns Opposition
Aug 10, 2021 · ” You can find Aetna's clinical policy bulletin in the Resources tab on aetna.com. ... Review was also sent a link to Aetna's cataract clinical ...
On July 1st, Aetna implemented a new policy requiring prior authorization for cataract surgery. Ophthalmologists, as well as the American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery, are up in arms, saying that this new policy is disruptive and burdensome and will result in delays in care for thousands of patients.
28. Aetna - Clinical Policy Bulletin - Lipedema News
Aetna has covered lymph sparing liposuction for patients with lipedema before and this policy update makes it more likely that they will cover it in the future ...
If you are diagnosed with lipedema, be sure to read through this article and learn about what you can do to help yourself today. Click here now!
29. Speech Therapy - Medical Clinical Policy Bulletins - Aetna
Medical Necessity · The member's physician has determined that the member's condition can improve significantly with speech therapy; and · The speech therapy is ...
Number: 0243
