Document Library

For your convenience, Aetna Better Health of Florida has compiled the most frequently used documents in one location. This collection of files and forms is available to you from our health plans. Here you will find provider manuals, formularies, pre-certification requirements, and other supporting documentation to help you provide superior service to our members. If you wish, you may view, print, or store these files below for your future reference.

Coronavirus Disease 2019 (COVID-19)

Share facts about COVID-19

Stop the spread of germs

What you need to know English | Spanish

Symptoms of coronavirus disease 2019 - English | Spanish

What to do if you are sick with COVID-19 - English | Spanish

Claims Information

Electronic Claims Submission Step Guide

Claims Training Powerpoint

Claims and Appeals Timely Filing Guidelines

Early Intervention Services (EIS)

Early Intervention Services (EIS) Webinar Presentation

Early Intervention Services Snapshot

Effective 04/01/2020, Aetna Better Health of Florida will implement changes on the way that Early Intervention Services (EIS) Therapy claims are billed. TL Modifier will be required in order to ensure that claims are paying with the correct reimbursement fee when billing Physical Therapy (PT), Occupational Therapy (OT) and Speech-Language Therapy (ST) Treatment and Assistance claims.

Please review the table below for details about the codes that require the TL Modifier when billing Aetna Better Health of Florida.

Prior Authorization for these services will NOT be required if claims are submitted with the TL modifier for EIS members.

Early Intervention Services (EIS) – Billing Therapy with TL Modifier

Therapy Service	Code	Aetna NEW Required Modifier	Description	Maximum Allowable Units
Physical Therapy	97110	TL	Physical Therapy Treatment Visit	4 per day, 14 per week
Physical Therapy	97110	TL	Physical Therapy Visit Provided by a Physical Therapy Assistant	4 per day, 14 per week
Occupational Therapy	97530	TL	Occupational Therapy Treatment Visit	4 per day, 14 per week
Occupational Therapy	97530	TL	Occupational Therapy Visit Provided by an Occupational Therapy Assistant	4 per day, 14 per week
Speech-Language Therapy	92507	TL	Speech Therapy Visit	4 per day, 14 per week
Speech-Language Therapy	92508	TL	Group Speech Therapy per child in the group per 15 minutes	4 per day, 14 per week
Speech-Language Therapy	92507	TL	Speech Therapy Visit Provided by a Speech Therapy Assistant	4 per day, 14 per week
NOTE: The TL modifier is to be used only for therapy associated with an IFSP.

Flu Information