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08×21/2015 Prior Authorization AETNA BETTER HEALTH OF TEXAS CHIP (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations. Complete×review information, sign and
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How to fill out Aetna Better Health of?

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Visit the Aetna Better Health website or contact their customer service to request an application form.
02
Fill out the application form with accurate and up-to-date information about yourself or the person you are applying for.
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Provide personal information such as name, address, date of birth, and contact details.
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Include information about your current healthcare coverage, if any, and any special needs or medical conditions that may require additional support.
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Make sure to carefully read and understand all the questions before providing your answers.
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Double-check all the information you have provided to ensure accuracy and completeness.
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Attach any required supporting documents or medical records, if necessary.
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Submit the completed application form either online, by mail, or by fax, as per the instructions provided by Aetna Better Health.
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If needed, follow up with the Aetna Better Health representative to confirm the receipt of your application and check the status.
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Keep a copy of your completed application form and any supporting documents for your records.

Who needs Aetna Better Health of?

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Individuals who are eligible for Medicaid or other government-funded healthcare assistance programs.
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People who require additional support and services for their healthcare needs due to chronic illnesses, disabilities, or other medical conditions.
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Families and individuals who are looking for affordable and comprehensive healthcare coverage options.
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Aetna Better Health offers Medicaid managed care plans.
Members enrolled in Aetna Better Health plans are required to provide necessary information.
To fill out Aetna Better Health forms, members must provide accurate and updated health information.
The purpose of Aetna Better Health forms is to ensure members receive appropriate care and services.
Members must report their current health status, medications, treatments, and any changes in their health.
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