We have added Aetna Better Health to our list of forms.

For Aetna Better Health of Texas (STAR, CHIP & STAR Kids members)

  • All referral/authorization forms must be signed by a PCP or ordering physician that has a valid referral from a PCP.
  • Benefit coverage may vary by member and may be subject to special conditions. For additional information regarding benefit coverage click here or call Medicaid STAR 1-800-248-7767 (Bexar), 1-800-306-8612 (Tarrant) Medicaid STAR Kids 1-844-STRKIDS (1-844-787-5437) CHIP or CHIP Perinate 1-866-818-0959 (Bexar), 1-800-245-5380 (Tarrant) 1-800-735-2989 (for the hearing impaired)
  • Aenta Better Health uses the Texas Standardized Form.
  • https://www.aetnabetterhealth.com/texas/assets/pdf/provider/StandardPAFormTX.pdf

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