Aetna Medical Policy Physical Therapy

Physical Therapy - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/300_399/0325.html

Aetna considers physical therapy (PT) medically necessary when this care is prescribed by a chiropractor, DO, MD, nurse practitioner, podiatrist or other health professional qualified to prescribe physical therapy according to State law in order to …

Medical Clinical Policy Bulletins - Aetna

https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html

Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely …

Clinical Policy Bulletin: Physical Therapy Services

https://www.aetnabetterhealth.com/pennsylvania/assets/pdf/provider/guidelines/medical/Medical/0325_Physical%20Therapy%20Services-Medical.pdf

physical therapy in the management of individuals with chronic diseases, except as indicated in our coverage rules. In most cases, this short-term limitation does not …

Occupational Therapy - Medical Clinical Policy Bulletins

https://www.aetna.com/cpb/medical/data/200_299/0250.html

Aetna's Policy Clarifications Increase Access to PT Care …

https://www.apta.org/news/2018/09/04/aetnas-policy-clarifications-increase-access-to-pt-care

Although Aetna’s policy reads that "physical therapy evaluations will be eligible for payment once every 180 days," Aetna representatives have informed APTA …

Electrical Stimulation for Pain - Medical Clinical Policy …

https://www.aetna.com/cpb/medical/data/1_99/0011.html

Policy. Aetna considers transcutaneous electrical nerve stimulators (TENS) medically necessary durable medical equipment (DME) when used as an adjunct or as an …

Suit Therapy - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/600_699/0696.html

Aetna considers Dynamic Movement Orthoses experimental and investigational for the treatment of members with CP, hemiparesis/hemiplegia, scoliosis, and all other …

Clinical & Payment Policies for Providers - Aetna

https://www.aetnabetterhealth.com/illinois-medicaid/providers/clinical-payment-policies.html

Aetna Better Health® of Illinois Clinical and payment policies Clinical policies We use clinical policies to help administer health plan benefits, either with prior authorization or …

Acupuncture and Dry Needling - Medical Clinical Policy …

https://www.aetna.com/cpb/medical/data/100_199/0135.html

Policy. Note: Standard Aetna plans extend coverage of acupuncture for medically necessary indications when administered by a health care provider practicing …

Speech Therapy - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/200_299/0243.html

The plan of care should include sufficient information to determine the medical necessity of treatment. The plan of care should be specific to the diagnosis, presenting symptoms, …