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Aetna BHAP Rates

North Carolina Behavioral Health Providers


The Aetna Behavioral Health Access Program (BHAP) is a specialized network designed to support access to behavioral health services across North Carolina. Participation, reimbursement, and enrollment requirements under BHAP may differ from standard Aetna commercial plans.

This page is intended to provide general BHAP rate information and important considerations for behavioral health providers reviewing network participation and reimbursement alignment.

About Aetna BHAP


BHAP applies to eligible behavioral health providers credentialed with Aetna under the Behavioral Health Access Program. Reimbursement structures, credentialing status, and claim outcomes can vary depending on provider type, contract effective date, rendering provider setup, and service modality, including telehealth.

Understanding BHAP participation is essential for ensuring accurate reimbursement and financial sustainability within your practice.

BHAP Rate Information


Below are commonly referenced BHAP reimbursement rates for North Carolina behavioral health providers. These rates are shared to support general review and planning and should not be interpreted as guaranteed payment amounts.

These rates are based on the Office Setting - Non-facility. 


1.90791 - Rate: $171.05

2. 90834 - Rate: $106.99

3. 90837 - Rate: $158.43

4. 90846 - Rate: $102.00

5.90847 - Rate: $106.37

6. 90853 - Rate: $28.82


Before Relying on BHAP Rates, Consider the Following

Many reimbursement issues occur not because of the rate itself, but due to enrollment or billing setup discrepancies. Providers should confirm:

  • BHAP network participation status is active and current
     
  • Credentialing is completed under the correct TIN and rendering provider
     
  • Claims are processing under BHAP and not standard Aetna plans
     
  • Telehealth services are billed with appropriate modifiers and place of service
     
  • Reimbursements align with contracted BHAP rates
     

If any of these elements are misaligned, reimbursement may be delayed, reduced, or denied.

How Divine Billing & Credentialing Services Can Support You

Divine Billing & Credentialing Services works with North Carolina behavioral health providers to support accurate enrollment, reimbursement, and billing processes related to Aetna BHAP and other payer networks.


Support services may include:

  • BHAP network participation confirmation
  • Credentialing and revalidation assistance
  • Reimbursement and rate alignment review
  • Claim troubleshooting and follow-up
  • Ongoing behavioral health billing support for solo and group practices

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