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Our provider training

At Aetna Medicare FIDE (HMO D-SNP), we make sure our providers have the right tools and resources to take care of our members. Below is information to help make your transition to our team as smooth and easy as possible. You’ll also find information about required compliance trainings that you and your staff must complete.  

New provider orientation

We see you as our ally in providing high-quality health care services to our Aetna® members. As you strive to deliver the best care possible and to better understand the health plan, we hope you’ll take advantage of all the resources we provide. For providers of Aetna, see our Provider Orientations (PDF). If you are an LTSS provider, see our LTSS Provider Presentation (PDF) You can also watch the Provider Orientation or LTSS Provider Overview.

 

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 include: Claims coding, Appointment availability standards, Member benefits, Aetna website navigation and periodic provider newsletters and bulletins containing updates and reminders. 

We’ll help you learn about the programs and services we provide, including our:

 

  • Grievance system
  • Managed care services
  • Policies and procedures
  • Member rights and responsibilities
  • Cultural competency
  • Health education requirements standards

Cultural competency

Providers should be educated on the importance of cultural competency. To learn more, you can watch this video: How Effective Healthcare Communication Contributes to Health Equity.

 

Once complete, email us at COEProviderServices@AETNA.com to let us know you’ve viewed the training video, so we can identify your office as trained in cultural competency.

CMS-required compliance training for all providers

Dual Eligible Special Needs Plans (D-SNPs) Model of Care training

Medicare providers who care for D-SNP members are required to complete compliance training each year. The Centers for Medicare & Medicaid Services (CMS) requires it.

 

This training is mandatory. All network providers and their employees who serve Aetna Medicare FIDE (HMO D-SNP) members must complete the training. Training must be done:

  • When a new provider or employee is hired
  • Each calendar year (but no later than December 31)

Note: You don’t have to send us an attestation of training completion. But you could be audited by CMS or us. For that reason, please be sure to keep a record of completion.

 

Appointment Standard and Timeframes

Learn about our standards and timeframes for appointments (PDF) with our members.

How to take the training 

 

The Dual Eligible Special Needs Plans (D-SNPs) Model of Care training is available online.

 

Special Needs Plans (SNPs) Model of Care (MOC) Training (PDF)

 

Thank you for the care you give our D-SNP members.

More training and resources

Questions?

For more information about our trainings or any of the topics on this page, call us at 1-844-362-0934 (TTY: 711). You can also check out our office hours.

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