Training

COVID-19 Telemedicine Information

Telemedicine Covid-19 Policy FAQs

KanCare All MCO Telemedicine Spring 2020 Presentation

 

Definitions of Claim Denial and Remark codes

Aetna Better Health of Kansas provides initial orientation for newly contracted providers after they join our network. Orientation also is available prior to joining our network and before you see members.

Following your initial provider orientation, we provide a variety of educational forums for ongoing provider training and education. These include:

  • Routine visits to your office
  • Group or individualized training sessions on select topics. Some examples are:

- Claims coding
- Appointment availability standards
- Member benefits
- Aetna Better Health of Kansas website navigation

Upcoming trainings

Each session has a maximum of 100 so, please RSVP through the appropriate link as soon as possible.

 

 

Aetna Better Health of Kansas cordially invites our provider community to take part in our New Provider Orientation Webinars. Aetna Better Health of Kansas staff will share critical information for new providers, such as:

  • Contract requirements and amendments
  • Special needs of the members served by the provider
  • Service coverage guidelines
  • Prior authorizations
  • Billing procedures and claim submission
  • How to access information through our website/secure provider portal

Staff will also be available to field questions from our provider partners about the Secure Provider Portal.

Virtual events will be held monthly at the following dates and times:

  • March 29, 2023 10:00 am – 11 am
  • June 28, 2023 10:00 am – 11 am
  • September 27, 2023 10:00 am – 11 am
  • October 29, 2023 10:00 am – 11 am

You may visit our website and register with this link. For more information, you may contact Provider Experience at 1-855-221-5656 or via email at providerexperience_KS@aetna.com.

Cultural competency is a process that promotes the ability to bridge differences effectively and respectfully between one’s own culture and the culture of others. It includes the development of practices, skills, and behaviors to ensure that all members receive high-quality, effective services that are respectful and responsive to the needs of diverse populations served.

Members are to receive covered services without concern about race, ethnicity, national origin, religion, gender, age, mental, or physical disability, sexual orientation, genetic information or medical history, ability to pay or ability to speak English. Aetna Better Health expects providers to treat all members with dignity and respect as required by federal law including honoring member’s beliefs, be sensitive to cultural diversity, and foster respect for member’s cultural backgrounds. Title VI of the Civil Rights Act of 1964 prohibits discrimination on the basis of race, color, and national origin in programs, and activities receiving federal financial assistance, such as Medicaid.

Aetna Better Health has developed effective provider education programs that encourage respect for diversity, foster skills that facilitate communication within different cultural groups and explain the relationship between cultural competency and health outcomes. These programs provide information on our members’ diverse backgrounds, including the various cultural, racial, and linguistic challenges that members encounter, and we develop and implement methods for responding to those challenges.

Providers receive education about such important topics as:

  • The reluctance of certain cultures to discuss mental health issues, and of the need to proactively encourage members from such backgrounds to seek needed treatment.
  • The impact that a member’s religious and cultural beliefs can have on health outcomes (e.g., belief in non-traditional healing practices).
  • The problem of health illiteracy and the need to provide patients with understandable health information (e.g., simple diagrams, communicating in the vernacular, etc.).
  • History of the disability rights movement and the progression of civil rights for people with disabilities.
  • Physical and programmatic barriers that impact people with disabilities accessing meaningful care.

Virtual events will be held at the following dates and times:

  • March 8, 2023 10:00 am – 11 am
  • June 14, 2023 10:00 am – 11 am
  • September 13, 2023 10:00 am – 11 am
  • November 8, 2023 10:00 am – 11 am

You may visit our website and register with this link. For more information you may contact Provider Experience at 1-855-221-5656 or via email at providerexperience_KS@aetna.com.

Early and Periodic, Screening, Diagnostic, and Treatment services, also known as EPSDT services, are a comprehensive array of prevention, diagnostic, and treatment services for low-income infants, children, and adolescents under age 21 as specified in Section 1905(r) of the Social Security Act (the Act). The EPSDT benefit is more robust than the Medicaid benefit for adults and is designed to assure that children receive early detection and care, so that health problems are averted or diagnosed and treated as early as possible.

Aetna Better Health of Kansas is committed to ensuring that the children we serve will receive health care they need when they need it – the right care to the right child at the right time in the right setting. As such, we have developed a webinar that covers all aspects of an EPSDT exam including best practices related to EPSDT services. We invite you to attend one of the following webinar dates for an in-depth presentation on EPSDT.

 

If you have an additional questions about this presentation, please contact Robin Simmons at SimmonsR@aetna.com

 

For your convenience the webinar and transcript are available for viewing here. 

 

Please complete the following survey after you have viewed the webinar here.

Aetna Better Health of Kansas cordially invites our provider community to take part in our Provider Town Halls.

Virtual events will be held at the following dates and times:

 

If you have any questions, please contact Provider Experience at 1-855-221-5656 or via email at providerexperience_KS@aetna.com.

 

Aetna Better Health of Kansas cordially invites our provider community to take part in our Provider 101 Refresher Training Webinars. Aetna Better Health of Kansas staff will review critical information for as a provider refresher course, such as:

  • Contract requirements and amendments
  • Special needs of the members served by the provider
  • Service coverage guidelines
  • Prior authorizations
  • Billing procedures and claim submission
  • How to access information through our website/secure provider portal

Staff will also be available to field questions from our provider partners about the Secure Provider Portal.

Virtual events will be held monthly at the following dates and times:

  • April 24, 2023 10:00 am – 11 am
  • June 21, 2023 10:00 am – 11 am
  • September 20, 2023 10:00 am – 11 am
  • November 22, 2023 10:00 am – 11 am

You may visit our website and register with this link. For more information, you may contact Provider Experience at 1-855-221-5656 or via email at providerexperience_KS@aetna.com.

 

Q:  How often is data refreshed in the Aetna Better Health of Kansas Web Portal?
A:  The Aetna Better Health of Kansas Web Portal connects with back-end systems in real-time so data is always current and up-to-date. 

Q:  If I have an issue/problem or suggestion related to the Aetna Better Health of Kansas Web Portal, who should I contact?
A:  You can use the portal secure internal messaging to communicate your issue/problem or suggestion directly to the health plan. You may also call the health plan Provider Experience Service’s staff at 1-855-221-5656.

Q:  When selecting the Submit Prior Authorization link in my Tasks navigation menu, I am connected to a new authorizations submission form and work queue. Should I look in this queue or in Search Authorizations for prior authorization status?
A:  Both systems will reflect the current status of a prior authorization but the new authorization system will contain all of the details of the authorization; the Search Authorizations function only provides the high level detail. 

Q:  I am a provider and I see that my address is incorrect in the Provider Details section of the portal. Can I correct that information myself?
A:  Please contact our Provider Experience Services staff at 1-855-221-5656 for address changes.

Cultural competency is a process that promotes the ability to effectively and respectfully bridge differences between one’s own culture and the culture of others. It includes the development of practices, skills, and behaviors to ensure that all members receive high-quality, effective services that are respectful and responsive to the needs of diverse populations served.

Members are to receive covered services without concern about race, ethnicity, national origin, religion, gender, age, mental, or physical disability, sexual orientation, genetic information or medical history, ability to pay or ability to speak English. Aetna Better Health expects providers to treat all members with dignity and respect as required by federal law including honoring member’s beliefs, be sensitive to cultural diversity, and foster respect for member’s cultural backgrounds.  Title VI of the Civil Rights Act of 1964 prohibits discrimination on the basis of race, color, and national origin in programs, and activities receiving federal financial assistance, such as Medicaid.

Aetna Better Health has developed effective provider education programs that encourage respect for diversity, foster skills that facilitate communication within different cultural groups and explain the relationship between cultural competency and health outcomes. These programs provide information on our members’ diverse backgrounds, including the various cultural, racial, and linguistic challenges that members encounter, and we develop and implement methods for responding to those challenges.

Providers receive education about such important topics as:

  • The reluctance of certain cultures to discuss mental health issues, and of the need to proactively encourage members from such backgrounds to seek needed treatment.
  • The impact that a member’s religious and cultural beliefs can have on health outcomes (e.g., belief in non-traditional healing practices).
  • The problem of health illiteracy and the need to provide patients with understandable health information (e.g., simple diagrams, communicating in the vernacular, etc.).
  • History of the disability rights movement and the progression of civil rights for people with disabilities.
  • Physical and programmatic barriers that impact people with disabilities accessing meaningful care.

Cultural Competency Policy

KS Provider Cultural Competency Training

As always, if you have any questions, just give us a call at 1-855-221-5656.