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