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1. Click ‘Get Form’ to open the Aetna Better Health® of New Jersey authorization request form in the editor.
2. Begin by selecting the type of request: Adult or Pediatric. Check the appropriate box to indicate whether this is an Initial request, Re-authorization request, or a Change in Managed Care Organization.
3. Fill in the date submitted to Aetna Better Health of New Jersey and provide member demographic information including name, Member ID, date of birth, address, and phone numbers.
4. Indicate if translation services are needed and specify the language if applicable.
5. Complete the section regarding current authorization expiration and specify the requested number of days and hours per week for service.
6. Check any relevant codes for services requested and provide additional information supporting any changes in service requests.
7. Ensure all required additional information is filled out accurately, including provider details and any necessary attachments before submitting your form.

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