Florida Medicaid Health Care Alert

February 18, 2022

Provider Type(s): ALL

Aetna Better Health of Florida, Inc. (Aetna) Transitioning Behavioral Health Services In-House in Regions 6, 7, & 11 Effective 3/1/2022

Effective March 1, 2022, Aetna will no longer contract with Beacon Health Strategies LLC d/b/a Beacon Health Options (Beacon) for the management of Aetna Medicaid members covered for behavioral Health services.

Effective March 1, 2022, Aetna will transition to an integrated medical and behavioral management model and will contract with Behavioral Services Network (BSN) for its behavioral health and substance abuse provider network. Aetna will handle all other behavioral health related services, such as clinical and operational functions, including care management, utilization management, and claims

Authorization Requests:

For behavioral health service requests for Medicaid members prior to March 1, 2022, Beacon will continue to process authorizations. Please continue to submit your authorization requests to Beacon.

Behavioral health service requests for Medicaid members on or after March 1, 2022 will need to be submitted to Aetna at http://aetnabetterhealth-florida.aetna.com, or you can contact Aetna’s Utilization Department at 1-800-441-5501.

Claims Submissions:

For behavioral health services rendered to Medicaid members prior to March 1, 2022, please continue to submit claims to Beacon:

Electronic Claims

Payer EDI: 43324

Paper Claims

Beacon Health Options, Inc.

Attn: Claims and Correspondence

PO Box 1870

Hicksville, NY 11802-1870

For behavioral health services rendered to Medicaid members on or after March 1, 2022, please submit claims directly to Aetna:

Electronic Claims

Payer EDI: 128FL

Real Time Payer ID: ABHFL

Paper Claims

Aetna Better Health of Florida

P.O. Box 982960

El Paso, TX 79998-2960

Continuity of Care:

Providers that are out of network as of March 1, 2022 will be eligible for a 60 day continuity of care period where claims will be payable to allow time for members to transition to a new provider, if necessary.  The continuity of care period ends on April 30, 2022.  All impacted members were notified by mail of this transition.

Becoming a Participating Provider with Aetna:

If you are interested in becoming a participating provider with Aetna for behavioral health, please go to www.bsnnet.com/index.php/join-us to complete the Request to Join form. If you have questions, you may email Aetna at [email protected] or speak to a provider relations specialist at 305-907-7470.

If you need further assistance, or want to access Aetna’s contracted behavioral health providers, please visit their website, www.aetnabetterhealth.com/florida, or contact Aetna Provider Services between 8 a.m. and 7 p.m. Monday through Friday at 1-844-645-7371 for LTC and 1-800-441-5501 for MMA, or by email at [email protected].

QUESTIONS? [email protected]

COMPLAINTS OR ISSUES? ON LINE http://ahca.myflorida.com/Medicaid/complaints/ | CALL 1-877-254-1055

The Agency for Health Care Administration is committed to its mission of providing "Better Health Care for All Floridians." The Agency administers Florida’s Medicaid program, licenses and regulates more than 48,000 health care facilities and 47 health maintenance organizations, and publishes health care data and statistics at www.FloridaHealthFinder.gov. Additional information about Agency initiatives is available via Facebook (AHCAFlorida), Twitter (@AHCA_FL) and YouTube(/AHCAFlorida).