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MedicaidPrior AuthHigh impact

Introducing Aetna Prior Authorization Bundles for Oncology

Aetna Better Health of Virginia·VA · Oncology, Radiology·Prior Authorization
Effective date
Not stated
We identified it
Aug 13, 2026
Days to comply

Summary

Aetna Better Health of Virginia is launching a new Prior Authorization Bundles program for oncology that allows providers to submit a single bundled request for oncology treatment and imaging services (CT, PET, SPECT, MRI) together, instead of multiple separate requests. The change streamlines the PA process through the existing Eviti portal with automated and expedited approvals based on evidence-based guidelines.

Action Required

Action needed
Before training sessions begin (date TBD): (1) Billing and clinical teams must register for Aetna-provided training on bundling imaging with oncology services via the link to be sent by Aetna Better Health of Virginia. (2) Update internal workflows and staff training to instruct providers to submit single bundled PA requests through the Eviti portal for oncology + imaging services instead of separate submissions. (3) Notify all oncology and radiology providers in the practice that they should begin bundling imaging requests (CT, PET, SPECT, MRI) with cancer treatment plans in a single Eviti submission. (4) Update billing system instructions and encounter templates to reflect the bundled PA workflow for Aetna Better Health of Virginia members. No changes to existing Eviti portal access or peer review requirements. Failure to bundle requests may result in delayed approvals or claim processing issues.