Materials
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- DMAS Memos and Bulletins
- Provider manual (PDF)
- Provider Manual Regulatory Compliance Addendum (PDF)
- Provider Manual Regulatory Compliance Addendum (PDF)
- Provider quick reference guide (PDF)
- COVID-19 Billing Reference Guide - Updated May 27, 2021 (PDF)
- Remit – How to Read (PDF)
- Virginia FAQ for PRSS and Cures Act Compliance (PDF)
- Hepatitis B Vaccine Tip Sheet for Providers (PDF)
- Guide to Submit Claims Electronically with Office Ally Clearinghouse (PDF)
- Echo Health electronic payment system guide (PDF)
- Availity - Coding and Condition Gaps Instructions (PDF)
- Quick pay program (PDF)
- Provider Resources and Enhanced Benefits Guide Book (PDF)
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- Early Intervention Provider Resources (PDF)
- Recording Newborn Name on the E213 (PDF)
- Brain Injury Services Targeted Case Management - A Guide for Providers (PDF)
- Doula Provider Manual (PDF)
- EVV Provider Resource Guide for Agencies (PDF)
- EVV Provider Resource Guide for Facilities (PDF)
- Tobacco Use Cessation in Pregnant Women - Reimbursement for Screening Pregnant Women (PDF)
- Applied Behavioral Analysis (PDF)
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Shared decision-making aids are communication tools that can help providers and their patients make informed health care decisions based on what is important to their patients. They do not replace physician guidance; they are intended to help complement discussions between patients and providers on treatment decisions.
Below are evidence-based aids that provide information about treatment options, lifestyle changes, and outcomes.
- American Heart Association | Health Topics
- Diabetes | American Heart Association
- Flu Prevention | American Heart Association
- Heart Facts | American Heart Association
- Mayo Clinic | Care that fits
- Statin Choice | Mayo Clinic
- Depression Medication Choice | Mayo Clinic
- Cardiovascular Primary Prevention Choice | Mayo Clinic
Forms
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- Medicaid Attestation Form on the Appropriateness of the Qualified Clinical Trial (PDF)
- EFT ERA Registration Services (PDF)
- Provider dispute and resubmission form (PDF)
- Behavioral health/community mental health rehabilitation services (CMHRS) expansion forms
- Critical incident report form (PDF)
- Managed care organization (MCO) authorization processes form (PDF)
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Provider network files
This link provides access to our Aetna Better Health of Virginia provider directory CSV files which can be downloaded by third parties and used to review data.
Member materials and forms
Find all the forms a member might need — right in one place.