Aetna Better Health NJ: new bundled oncology condition specific prior auth

If you are a NJ provider that accepts Aetna Better Health members and performs oncology services, then this blog post is for you!


In May of 2026, Aetna Better Health announced that they will strengthened their relationship with NantHealth to offer new condition-specific bundled PA oncology requests; through Eviti.


What is changing?

  • Aetna Better Health will step away from single code prior authorizations
  • Focus on condition- specific oncology  authorizations that would include amaging services.

The following imaging services will be included:

  • MRI
  • CT
  • PET
  • SPECT

The purpose of this change:

  • Streamline the prior auth process- provider submits 1 PA request
  • Eviti Medical Office performs additional  clinical review
  • Reduced PA decision time for patients – faster treatment for patients

What is not changing for the providers:

  • If you are already using  Eviti Connect portal- then you will continue to use it and use the prompts to select the imaging services
  • No new peer requirenments needed for bundling the imaging services

Rebursement:

  • Nothing has been mentioned yet

Training for providers:

  • Please contact Aetna Better Health of NJ NJProviderExperienceMailbox@AETNA.cm
  • Or NantHealth: Elizabeth Diefendorf EDiefendorf@NantHealth.com)

Find this information useful? Follow my blog for more on payer reimbursement/prior authorization policies.


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