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CommercialReimbursementMedium impact

OfficeLink Updates - February 2025 notices and reminders - edition 2/10/25 (PDF)

Aetna·TX·Newsletter
Effective date
Not stated
We identified it
Jun 23, 2026
Days to comply
—

Summary

Aetna has reversed a previously announced reimbursement reduction for nurse practitioner (SA) and nurse midwife (SB) modifiers. The planned reduction to 85% of allowed amounts for April 1, 2025 will not be implemented, maintaining current reimbursement rates.

Action Required

Action needed
Immediately: Billing team should disregard any previous communications about modifier SA and SB reimbursement changes scheduled for April 1, 2025. No system updates or workflow changes are needed - continue billing modifiers SA (nurse practitioner) and SB (nurse midwife) at current reimbursement rates.

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