Provider events
Register for upcoming events for Aetna Better Health of Illinois network providers.
-
Aetna Better Health of Illinois Maternal Health Lunch & Learn Training
The Aetna Better Health® of Illinois Provider Experience team will host Maternal Lunch and Learn Trainings.
Virtual sessions will be offered on the following dates:
• Thursday, December 4, 12 PM - 1 PM CT
• Thursday, December 18, 12 PM - 1 PM CT
Register for one of the sessions at https://www.surveymonkey.com/r/J75SJ86
Newsletters
2026 Newsletters:
2025 Newsletters:
2024 Newsletters:
2023 Newsletters:
2022 Newsletters:
2021 Newsletters:
Spring/Summer 2021 Newsletter (PDF)
Here are some important notices we’ve gathered to help you:
March 2026
Policy updates effective May 1, 2026 (PDF)
Respiratory Syncytial Virus (RSV) season update (PDF)
Policy updates effective May 1, 2026 (PDF)
Non-par provider appeals process (PDF)
Quarterly Illinois Electronic Visit Verification (EVV) Townhall Webinar (PDF)
Prior approval requirement for wheelchair repairs over $1,500 – Effective March 1, 2026 (PDF)
February 2026
2026 Pay for Performance program (PDF)
Utilization Management changes to align with new legislation (PDF)
Pathways to Success Learning Collaboratives: Upcoming training opportunities (PDF)
Peer-to-Peer (P2P) portal relaunched within Availity® (PDF)
Policy updates effective April 1, 2026 (PDF)
Bill-IQ: AI-powered Medicaid billing assistant (PDF)
January 2026
Update on Electronic Claim Submissions (PDF)
Redetermination claims process (PDF)
December 2025
Illinois State Regulatory Compliance Addendum Updates (PDF)
New Availity inquiry feature within the Authorization Add request (PDF)
Cultural Competency Attestation (PDF)
System issue identified effecting Outpatient EAPG claims (PDF)
November 2025
Aetna Better Health of Illinois Maternal Health Lunch & Learn Training (PDF)
Time to Register! Aetna Better Health Webinar Understanding the CAHPS (PDF)
October 2025
Provider Summits - November 2025 (PDF)
Utilization Management changes to align with new legislation (PDF)
Maternal Health Provider Guide (PDF)
Mandatory ADA information requirement (PDF)
September 2025
Provider claim reconsideration, member appeal and provider complaint/grievance instructions (PDF)
Updated claims submission process for hospice services in ICF/ID and MC/DD facilities (PDF)
August 2025
H2015 and H2016 code limitations (PDF)
Enhancement to the EviCore prior authorization process (PDF)
July 2025
Provider Summits - August 2025 (PDF)
Temporary pause in recoupments related to retroactive IMPACT disenrollment (PDF)
June 2025
Electronic wheelchairs and wheelchair accessories guidelines (PDF)
Electronic Visit Verification (EVV) Requirements (PDF)
May 2025
Appointment and availability standards (PDF)
New review process for DRG claims (PDF)
2025 Provider Satisfaction Survey (PDF)
April 2025
Provider Summits May 2025 (PDF)
EviCore offers training on prior authorization portal (PDF)
Certified Community Behavioral Health Clinic claim reminders (PDF)
Policy updates effective 6/1/25 (PDF)
March 2025
Claims guidance for dialysis services (PDF)
Reimbursement for RSV vaccination claims (PDF)
February 2025
2025 Pay for Performance program (PDF)
Guidance for doulas and lactation consultants (PDF)
November 2024
Certified Community Behavioral Health Clinic (CCBHC) claims (PDF)
Enhancing claims intake editing for SNIP Types 1-4 (PDF)
October 2024
HCBS waiver training registration (PDF)
Aetna and Quest Analytics Partnership (PDF)
September 2024
H2015 and H2016 code limitations (PDF)
CLIA certificate on laboratory claims (PDF)
EFT/ERA registration vendor services (PDF)
August 2024
Policy update effective 10/1/24: Drugs and Biologicals (PDF)
Provider revalidation requirement (PDF)
Policy update effective 10/1/24 (PDF)
Provider Summits September 2024 (PDF)
June 2024
ECHO Health electronic payment system (PDF)
May 2024
Provider Summits June 2024 (PDF)
2024 Provider Satisfaction Survey (PDF)
April 2024
Policy updates effective 6/1/2024 (PDF)
Update on Change Healthcare: Recoupment resumption (PDF)
Policy updates effective 6/1/24 (PDF)
Update on Change Healthcare outage 4/3/24
March 2024
Update on Change Healthcare outage 3/25/24 (PDF)
Measles resources for providers (PDF)
Medicaid precertification optimization (PDF)
Policy updates effective 6/1/24 (PDF)
February 2024
Change Healthcare outage (PDF)
Durable medical equipment verification and authorization (PDF)
January 2024
Register for our 2024 Provider Summits (PDF)
Redetermination claims process (PDF)
Clinical, payment and coding policy changes (PDF)
December 2023
2024 Pay for Performance program (PDF)
UPDATED: HBIA/HBIS member population effective 1/1/24 (PDF)
Payment of claims related to hysterectomy and sterilization claims (PDF)
New Medicaid claims and encounters front end edits (PDF)
November 2023
Hospice nursing home room and board adjustments and repayment sunset (PDF)
September 2023
Clinical payment, coding and policy changes: Q3 2023 NPP Review (PDF)
Clinical payment, coding and policy changes: Q3 2023 PUR Review (PDF)
August 2023
June 2023
Itemized bill submission (PDF)
Monovalent COVID-19 vaccine codes (PDF)
May 2023
Supplemental Data Exchange (PDF)
April 2023
Clinical, payment and coding policy changes (PDF)
March 2023
Reconsideration tracking numbers in Availity (PDF)
Telehealth claims denials from local public health clinics (PDF)
February 2023
Age restriction rejection notice (PDF)
January 2023
Pathways to Success behavioral health program (PDF)
November 2022
Change in timeframe for grievance and appeal retro-authorization (PDF)
October 2022
Referring provider rejection notification (PDF)
COVID-19 treatment options letter from IDPH (PDF)
Hospice nursing home recoup and repayment (PDF)
September 2022
Claim denials and front-end rejections (PDF)
Long-Term Care Facilities telehealth originating site fee (PDF)
Claims from Behavioral Health Clinics and Community Mental Health Centers (PDF)
August 2022
Out-of-network benefits notice (PDF)
July 2022
Policy updates: Clinical, payment and coding policy changes (PDF)
FAQ for SNIP Level 3 and 4 Edits (PDF)
Claims: Untimely submissions and mailing address (PDF)
June 2022
Precertification optimization effective 8/1/2022 (PDF)
Pediatric COVID vaccination (PDF)
Provider Education: Coding Validation (PDF)
April 2022
Medicaid precertification optimization notice (PDF)
SNIP Level Editing Notice (PDF)
2022 Medicaid Pay-for-Performance (P4P) Program (PDF)
March 2022
Outpatient Dialysis Provider Notice (PDF)
February 2022
March Vision Care Claims Address Change Notification (PDF)
January 2022
Provider Portal Sunset Delay Notice (PDF)
HEDIS Supplemental Data Channel Instructions (PDF)
December 2021
Resubmission of Misdirected Vision Claims Notice (PDF)
Pay for Performance Payout Information (PDF)
November 2021
Availity Reporting Capabilities Bulletin (PDF)
Availity MVP Sunset Notice (PDF)
Regulatory Compliance Addendum (PDF)
Telehealth Claims Notification (PDF)
October 2021
Provider Demographic Data Verification Notice (PDF)
Holiday Check Run Schedule Notification (PDF)
State Compliance Addendum (PDF)
Edit 915 Provider Notification (PDF)
August 2021
Follow Up After Hospitalization Measure Modifications for HEDIS (PDF)
July 2021
Historical IlliniCare Claims Run Out Notification (PDF)
Invalid Claim Denials Notification (PDF)
June 2021
Aetna Checks Returned Notification (PDF)
Availity Portal Information (PDF)
T1502 and T1019 PA Requirements (PDF)
May 2021
LTC 90 Day Max Benefit Denial Bulletin (PDF)
April 2021
Hospital Inpatient Reminder (PDF)
Long Term Care Biling Reminder (PDF)
Hospice Providers Reminder (PDF)
HCBS Waiver Providers Reminder (PDF)
March 2021
H0047 Claims Denial Notification (PDF)
EOP Denial Ambulance H2H Transportation Claims Notification (PDF)
EOP Denial BH Claims Notification (PDF)
2021 Pay-for-Performance Program Details
February 2021
Diabetic Retinopathy Screening (PDF)
OB Ultrasound Policy Notification (PDF)
Cologuard Service Prior Authorization Notification (PDF)
January 2021
Notification on MLR Reporting (PDF)
Changes in Prior Authorization Requirements (PDF)
Correct BH Forms Notification (PDF)
Correct Prior Authorization Fax Number Notification (PDF)
December 2020
Changes to Encounter Clinic Billing Requirement (PDF)
Paper Claims Submission and Check Run Notification (PDF)
Correct Payer ID for Claim Submissions (PDF)
Prior Auth Training and Video (PDF)
Pharmacy Roster Rejects Notification (PDF)
Check Run Pay Dates Notification (PDF)
HFS Practitioner Fee Schedule Notification (PDF)
Prior Auth Delay Notification (PDF)
Welcome to ABH-IL Letter (PDF)
November 2020
August 2020
Hospital to Hospital Billing (PDF)
May 2020