What types of policy changes does Aetna Better Health of Virginia issue?

Aetna Better Health of Virginia regularly publishes coverage updates including prior authorization requirement changes, billing code additions or deletions, plan-type coverage modifications, and clinical policy revisions. PolicyChanges.app monitors these notices and summarizes the impact for providers.

How often does Aetna Better Health of Virginia update its policies?

Aetna Better Health of Virginia typically releases policy bulletins on a rolling basis throughout the year. Our system checks for new updates daily and adds them to this feed as soon as they are identified.

What should I do when Aetna Better Health of Virginia changes a prior authorization policy?

Review each change's effective date and action-required notes. Update your billing and clinical workflows before the effective date to avoid claim denials. Each policy detail page on PolicyChanges.app includes a plain-English summary and action items.

Aetna Better Health of Virginia Policy Changes 2026 | Prior Auth & Coverage Updates

Q: How many Aetna Better Health of Virginia policy changes are tracked here?

This page currently tracks 46 documented Aetna Better Health of Virginia policy changes. New items are added as they are identified.

Aetna Better Health of Virginia Policy Changes & Prior Auth Updates

We track 46 documented policy changes from Aetna Better Health of Virginia across MI, VA. Each entry includes an AI-generated plain-English summary, effective date, affected billing codes, and a direct link to the original Aetna Better Health of Virginia notice. Use the related links below to narrow results by specialty or state, or sign up for a free daily alert to receive new Aetna Better Health of Virginia updates automatically.

High impact

New Policy Updates - Clinical Payment, Coding, and Policy Changes Effective October 1, 2025

Aetna Better Health of Virginia·Effective Oct 1, 2025

Aetna Better Health of Virginia is implementing five new clinical payment and coding policies effective October 1, 2025: (1) Multiple gestation diagnoses must include both complication and multiple gestation codes; (2) DME suppliers must have eligible referring/ordering NPIs; (3) NDC codes must match non-specific HCPCS drug codes; (4) Duplicate vaccine claims will be denied; (5) Infliximab for regional enteritis is limited to 5 administrations per 26 weeks. These policies will trigger claim denials if not followed.

Cotiviti PCCV Implementation

Provider Notification - Prior Authorization Updates

Provider Notice on Medicaid Coverage of JW Modifier

New Policy Updates - Clinical Payment Coding and Policy Changes effective January 1, 2026

Provider Notification - New Timeline for Prior Authorizations

Winter

New Policy Updates - Clinical Payment, Coding, and Policy Changes Effective October 1, 2025

Provider Notification - Residential Treatment Center Provider Billing and Encounter Issues

Provider Notification - E&M Ophthalmology - Error Fix for Denied Claims

Provider Notification - Implementation of New Front-End Editing Tool and Error Code Updates

UPDATED: Implementation of New Front-End Editing Tool and Error Code Updates

Notification of Licensing Status for Residential Crisis Stabilization Unit (RCSU)

Personal, Respite and Companion Care Services Require Electronic Visit Verification

Fax Blast - Policy Changes to Mental Health-Partial Hospitalization Program (MH-PHP) H0035 Provider Requirements

Provider Reminder - CLIA Certificate Editing

Best Practices for Verifying Coverage and Prior Authorization Requirements for Services

Provider Registration Requirements Reminder

Provider Notification - Notification of Hospice Claim Recoupments & Implementation of Processing Edits

What You Need to Know About Balance Billing

Provider Notification - New Front-End Claim Edits - Provider Specialty & Type

Introducing Aetna Prior Authorization Bundles for Oncology

Provider Notification - SNIP Types 5 and 6 Enhanced Editing Implementation Update

Spring

Provider Notification - SNIP Types 5 and 6 Enhanced Editing Implementation

Coming Soon: Use Eviti Connect™ to Submit Requests for All Cancer Types and Imaging

Provider Notification - Updates to Our Payment Schedule

Provider Notification - Criminal Background Screening Policy

Do's and Don'ts of Colorectal Screening for Clinicians

Quick Reference Guide

Provider Notification - Claims Payments

Provider Reminder - CLIA Certificate Editing

Fall

Winter

Provider Notification - Resubmission through Availity

Developmental Screening in the First Three Years of Life (DEV)

Fall

Provider Notification - Understanding Reversal Payments

Provider Notification - Enhancing Claim Submission Capabilities Through Availity

Prenatal Risk Assessment Form Provider Incentive Flyer

National Suicide Prevention Lifeline - Use “988” for Mental Health Support

Spring

Time to Register! Aetna Better Health Webinar Understanding the CAHPS

Spring

Summer

Summer

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