We’ll work with you to understand your business and meet your needs — no matter what services you offer or where you offer them. When you take part in our strong provider network, you benefit from:
Ongoing support and learning opportunities
Timely and efficient claims processing
Advanced technology to help enhance patient care
After you join our network, we’ll assign your facility a Network Relations Representative. They’ll be your primary point of contact with our plan, sharing important information with you. They’ll also help you with any administrative or operational concerns.
Your Provider Relations team manages the network. And they’ll work to:
Share our administrative policies and procedures
Communicate changes and updates that help you in the efficient administration of our plans
Advocate on your behalf to resolve issues
Manage changes to your demographic information
We’re contracted with a certified Centralized Credentialing Verification Organization (CVO), Kentucky Hospital Association (KHA) and Center Care. KHA and Center Care became responsible for direct credentialing for our network of providers. Independent Physician Practice Associations (IPA) and Hospital Organizations that currently have a delegated credentialing agreement are excluded from this process. For complete information about the credentialing process and other requirements for participation, you can download our provider manual (PDF). Here are some more links that will help you apply for credentialing:
The KHIE is a secure, interoperable network in which participating providers with certified electronic health records technology (CEHRT) can share needed patient health information with other providers at the point of care. As part of our commitment, we are working with the newly designed KHIE platform to develop a transformative solution to optimize care coordination and service delivery and to achieve quality outcomes.
Providers who contract with us are encouraged to sign a participation agreement with KHIE. This will also help providers fulfill meaningful use requirements in order to qualify for Medicaid’s EHR Incentive Payment Program, since providers must have a signed participation agreement and signed addendums on file with KHIE for each public health objective selected for attestation.
Intended for all facilities, Aetna Better Health also recommends the submission of ADTs (Admission, Discharge, Transfer messages) to KHIE.
For providers who do not have electronic health records, Aetna Better Health recommends that those providers (offices) sign a Participation Agreement with KHIE. Aetna Better Health also recommends signing up for Direct Secure Messaging services so that the clinical information can be shared securely with other providers in their community of care.
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