Does OrthoNet review and authorize requests for splints, braces, and other DME?
There is no change to the current Aetna policies for dispensing splints, braces, and/or other forms of durable medical equipment. Any item currently requiring pre-certification or pre-notification will continue to require approval by Aetna. Reimbursement will be made by Aetna according to Aetna payment policies and fee schedules. Providers should refer to their Aetna Provider Manual or contact Aetna Provider Services at 1-800-624-0756 if they should have any questions regarding this issue. Supplies, other than the items described above, that would normally be dispensed or utilized during a therapy visit such as Thera-Band, exercise putty, home exercise sheets, disposable electrodes, elastic bandages, and iontophoresis/phonophoresis medications are considered included visit reimbursement fees.
