D-SNP Provider Training

As an Aetna® provider, there are certain procedures and protocols that your organization needs to know. Therefore, we have provided a DSNP provider Training Presentation so that your group can learn more about the program and what Aetna has to offer.  You’ll find most of the information needed in the presentation. You’ll learn which services our plan covers and about our value added benefits. You’ll also find information about a wide variety of topics, ranging from provider responsibilities, to how to file a claim, to grievance and appeals processes etc.

Thank you for being a valued partner and we trust that this information will be valuable to you.

Required Course

Aetna® providers who care for D-SNP members must take 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 members of Coventry or Aetna D-SNP plans must complete the training.

* Training must be done:

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

You don’t have to send us an attestation of training completion. But you could be audited by us or CMS so be sure to keep a record of completion.

 

Where can I take the course?       

The course is online.

  • Direct link at:

Model of Care Training

 

We’re here to help

Do you have questions about the training? Would you like a printed copy of the training presentation?

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

When we think of culture, we might first think of race or ethnicity. But culture means much more than that. It’s a major factor in how people respond to health services. And it affects their approach to coping with illness, getting care and working toward recovery.
Patient satisfaction and positive health outcomes are linked to good communication between members and providers. Each segment of our population requires special sensitivities and strategies to embrace cultural differences. Culturally competent providers:
 

  1. Effectively communicate with patients 

  2. Understand their individual concerns

Ensure patients understand their care plans
*Complete the training*
 
You’ll want to complete a short training about cultural competency. Take these quick steps:
 
1. Complete this 7-minute video training about How Effective Healthcare Communication Contributes to Health Equity.
2. Then, email us to confirm you’ve completed the training. Once we receive your email, we can give you credit for completing the training on this topic.

How health literacy affects cultural competency


The Patient Protection and Affordable Care Act of 2010, Title V, defines health literacy as the degree to which an individual has the capacity to obtain, communicate, process and understand basic health information and services to make appropriate health decisions.
 
In short, how well can patients find, understand and use information to make good decisions? Anyone who provides health info and services to others also needs health literacy skills to:

  • Help people find info and services

  • Communicate about health and health care

  • Process what people are explicitly and implicitly asking for

  • Understand how to provide useful info and services

  • Decide which info and services work best for different situations and people, so they can act in their own best interest

Our Cultural Competency Program (PDF)  is designed to provide guidance and technical assistance to help facilitate compliance with applicable federal and state laws, regulations, standards, and policies.

Our Provider Experience Department provides initial orientation for newly contracted providers within 180 days of joining network. In follow up to initial orientation, our Provider Experience Department provides a variety of forums for ongoing provider training and education support, such as routine office/site visits, webinars, group or individualized training sessions on select topics, (e.g., claims coding, enrollee benefits, website navigation).

For provider orientation, see our VA Provider Orientation