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Participating providers are required to pursue precertification for procedures and services on the lists below. 2022 Participating Provider Precertification List – Effective date: May 1, 2022 (PDF) Behavioral health precertification list – effective date: January 1, 2019 (PDF) For Aetna’s commercial plans, there is no precertification. uses the OB modifier (so they can be pulled out of the Medicaid Cost Study), the OB modifier goes on all services including labs that are included in the package billing, per the Medicaid Consultant NC Alliance for Public Health (Steven Garner). • If the labs are included in the package billing code, then “yes” they need an OB modifier. •.

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