All home- and community-based services (HCBS) waiver providers are required to bill Aetna Better Health® of Illinois on a medical claim form.
HCBS and supportive living programs (SLPs) need to bill Aetna Better Health via our online portal or on the Health Care Finance Administration (HCFA) 1500 form. We have a variety of resources available to providers to help you bill correctly.
Please visit our “Waiver resources” page for more information. Below, please find a chart outlining the services, as well as corresponding codes and increments that should be used when billing for services provided to an Aetna Better Health member.
Note:
Rates are subject to change. All rates reflect the current Medicaid fee schedule for the services listed.
Joe Member goes to adult day service for 3 hours every weekday. Sunrise Day Center needs to submit a claim to Aetna Better Health with the code S5100. Here’s how to calculate the bill:
SLP rates are based upon the geographic area. Aetna Better Health does not pay for room and board, but we do reimburse for services provided in the SLP. Rates for our service area are included in the link below.
Rates for our service area are included below:
You can call Provider Services at 1-866-329-4701 (TTY: 711).
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