As a healthcare provider, you may encounter patients who are members of Aetna Better Health, a Medicaid plan that provides comprehensive, affordable coverage to those who are eligible. In some cases, patients may require specialized care that is not covered under their current plan. This is where a single case agreement (SCA) can help.
An SCA is a written agreement between an insurance company and a healthcare provider to cover services that would not otherwise be covered under a patient`s plan. For Aetna Better Health members, an SCA form must be completed and submitted for approval before the services can be provided.
The Aetna Better Health SCA form is a straightforward, two-page document that asks for information about the patient, the services requested, and the provider`s qualifications and credentials. The form also specifies the duration of the agreement and any terms or restrictions that may apply.
When completing the form, it is important to provide as much detail as possible about the services being requested, including why they are necessary and how they will benefit the patient. It is also important to ensure that the provider`s qualifications and credentials are clearly stated and that any necessary supporting documentation is included.
Once the SCA form is completed and submitted, it may take several days or weeks for Aetna Better Health to review and approve the request. In some cases, additional information or clarification may be required before approval can be granted.
Overall, the Aetna Better Health SCA form can be a useful tool for healthcare providers who wish to provide specialized care to their patients. By following the guidelines and providing detailed information, providers can increase their chances of receiving approval for the services they need to provide.