12/10/2015 Prior Authorization AETNA BETTER HEALTH OF KENTUCKY (MEDICAID) NonFormulary Medications (KY88) This fax machine is located in a secure location as required by HIPAA regulations-2025

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States have authority over prior authorization practices in Medicaid and can implement prior authorization regulations that are stricter than federal requirements (Medicaid Health Plans of America (MHPA) 2023). Medicaid statute provides authority for utilization review in Medicaid ( 1902(a)(30) of the Act).
Provider Service Numbers Automated Voice Response800-807-1301 Prior Authorization Fax 800-807-7840 Prior Authorization Fax 502-327-9453 Home Health Fax 800-664-574911 more rows
Note: Prior authorization is not required for emergency or urgent care. Out-of-network physicians, facilities and other health care professionals must request prior authorization for all procedures and services, excluding emergent or urgent care.
Get ready to apply Before you start, have this info ready: Employer and income information: household monthly income, pay stubs and W-2 forms. Social Security numbers or document numbers for each household member applying. Date of birth for each household member applying for coverage.
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