Commercial
Aetna
Credentialing and enrollment guides for Aetna across 51 states.
90-150 days
CAQH Required
Re-credential every 3 yrs
Quick Overview
Timeline
90 - 150 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
51
How Aetna Credentialing Actually Works
Verified July 2026Apply Through
Aetna request for participation (via ProVault)
Timeline
Aetna commits to a network eligibility answer within 45 days (60 for facilities). No credentialing day count is published beyond that.
Recredentialing
Every 36 months
Aetna is contract first: submit the online request for participation, Aetna decides network eligibility, and only then pulls your credentialing application from CAQH ProView (Arkansas uses ARCCVS instead). Authorize Aetna on CAQH before you start or the pull fails.
Behavioral health routing: Behavioral health is run in house as an internal business unit of Aetna, with its own dedicated behavioral request for participation form, separate from the medical, dental, and facility flows.
The stall to avoid: The 45 day network need decision can end the process before credentialing ever starts. If you are declined, document the access gap you fill: specialty, language, geography, lines of business. Credentialing status line: (800) 353-1232.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
About Aetna
Major national commercial payer. Uses CAQH ProView as primary credentialing data source. Contracting processed through ProVault (3Won partnership).
How to Get Credentialed
1
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
2
Complete Your CAQH ProView Profile
Aetna requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
3
Submit Your Application
Submit your completed enrollment package to Aetna. Select your state below for state-specific submission details.
4
Track & Follow Up
Credentialing typically takes 90-150 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Aetna?
Our specialists handle the entire Aetna enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Photo
Professional Reference
W9_FORM
Enrollment Forms
Contact Information
Credentialing Status/Questions
1-800-353-1232
Provider Relations
1-800-441-5501
Mon-Fri 8am-7pm
ERA/EFT (Optum OPES)
1-800-353-1232
Claims Inquiry
1-800-624-0756
Provider Appeals
1-800-353-1232
Fax: 1-866-445-4387
Behavioral Health Credentialing
1-888-632-3862
Provider Credentialing
1-800-624-0756
Mon-Fri 8am-6pm ET
Provider Relations
1-800-441-5501
Mon-Fri 8am-7pm ET
Claims Inquiry
1-800-624-0756
Quick Links
Available States
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District Of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
+ 36 more states below
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Aetna-specific credentialing details including timelines, contacts, and local requirements.
Alabama
Open
Alaska
Open
Arizona
Open
Arkansas
Open
California
Open
Colorado
Open
Connecticut
Open
Delaware
Open
District Of Columbia
Open
Florida
Open
Georgia
Open
Hawaii
Open
Idaho
Open
Illinois
Open
Indiana
Open
Iowa
Open
Kansas
Open
Kentucky
Open
Louisiana
Open
Maine
Open
Maryland
Open
Massachusetts
Open
Michigan
Open
Minnesota
Open
Mississippi
Open
Missouri
Open
Montana
Open
Nebraska
Open
Nevada
Open
New Hampshire
Open
New Jersey
Open
New Mexico
Open
New York
Open
North Carolina
Open
North Dakota
Open
Ohio
Open
Oklahoma
Open
Oregon
Open
Pennsylvania
Open
Puerto Rico
Rhode Island
Open
South Carolina
Open
South Dakota
Open
Tennessee
Open
Texas
Open
Utah
Open
Vermont
Open
Virginia
Open
Virgin Islands
Washington
Open
West Virginia
Open
Wisconsin
Open
Wyoming
Open
Aetna credentialing requirements by state
Aetna enrollment is not identical everywhere. The table below lists what actually differs across the 51 states Aetna operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | MA members | Network | Portal / phone | State-specific notes |
|---|---|---|---|---|---|
| Alaska | Aetna (CVS Health) | 3,658 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Alabama | Aetna (CVS Health) | 65,145 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Arkansas | Aetna (CVS Health) | 55,814 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Arizona | Aetna (CVS Health) | 84,597 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| California | Aetna (CVS Health) | 442,403 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Colorado | Aetna (CVS Health) | 62,440 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Connecticut | Aetna (CVS Health) | 298,561 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| District Of Columbia | Aetna (CVS Health) | 8,139 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Delaware | Aetna (CVS Health) | 62,754 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Florida | Aetna (CVS Health) | 491,636 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. For Florida Medicaid, Aetna Better Health of Florida accepts credentialing applications via CAQH and requires a Letter of Intent; providers must hold an active Medicaid ID from AHCA. |
| Georgia | Aetna (CVS Health) | 269,408 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Hawaii | Aetna (CVS Health) | 52,126 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Iowa | Aetna (CVS Health) | 122,085 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Idaho | Aetna (CVS Health) | 26,528 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Illinois | Aetna (CVS Health) | 436,054 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Indiana | Aetna (CVS Health) | 130,310 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Kansas | Aetna (CVS Health) | 70,471 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Kentucky | Aetna (CVS Health) | 101,128 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Louisiana | Aetna (CVS Health) | 117,358 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. Louisiana Medicaid providers enroll separately through Aetna Better Health of Louisiana. |
| Massachusetts | Aetna (CVS Health) | 280,145 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Maryland | Aetna (CVS Health) | 150,180 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Maine | Aetna (CVS Health) | 48,058 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Michigan | Aetna (CVS Health) | 154,029 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. Michigan Medicaid providers enroll separately through Aetna Better Health of Michigan. |
| Minnesota | Aetna (CVS Health) | 62,624 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Missouri | Aetna (CVS Health) | 161,789 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Mississippi | Aetna (CVS Health) | 66,130 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Montana | Aetna (CVS Health) | 21,178 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| North Carolina | Aetna (CVS Health) | 227,546 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| North Dakota | Aetna (CVS Health) | 15,388 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Nebraska | Aetna (CVS Health) | 38,046 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| New Hampshire | Aetna (CVS Health) | 34,287 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| New Jersey | Aetna (CVS Health) | 320,548 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| New Mexico | Aetna (CVS Health) | 14,412 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Nevada | Aetna (CVS Health) | 56,090 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| New York | Aetna (CVS Health) | 849,341 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Ohio | Aetna (CVS Health) | 503,129 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Oklahoma | Aetna (CVS Health) | 45,964 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Oregon | Aetna (CVS Health) | 45,829 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Pennsylvania | Aetna (CVS Health) | 724,550 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Rhode Island | Aetna (CVS Health) | 28,942 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| South Carolina | Aetna (CVS Health) | 222,887 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| South Dakota | Aetna (CVS Health) | 21,054 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Tennessee | Aetna (CVS Health) | 68,544 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Texas | Aetna (CVS Health) | 362,154 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Utah | Aetna (CVS Health) | 30,909 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Virginia | Aetna (CVS Health) | 161,663 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Vermont | Aetna (CVS Health) | 16,506 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Washington | Aetna (CVS Health) | 103,288 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Wisconsin | Aetna (CVS Health) | 74,463 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| West Virginia | Aetna (CVS Health) | 77,550 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
| Wyoming | Aetna (CVS Health) | 14,594 | Open |
Provider portal
1-888-632-3862
|
Aetna (a CVS Health company) credentials providers through CAQH ProView. Begin by completing the online request for participation; Aetna evaluates network need in your area, then pulls your CAQH ProView application once you designate Aetna as an authorized plan. Credentialing and contracting are separate processes and both must complete before you are in-network. Aetna confirms participation eligibility within 45 days for medical providers (60 days for facilities); the full credentialing turnaround is not published as a fixed figure. Primary source verification covers state license, DEA/prescribing authority, and board certification for specialists. To check credentialing status, call 1-800-353-1232. Recredentialing occurs every 3 years. Aetna's Medicaid plans operate separately as Aetna Better Health, with their own state enrollment. |
MA member counts: CMS Monthly Enrollment by Contract/Plan/State/County (2026-07), verified July 2026. Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified June 10, 2026. Network status changes without notice — confirm before you file.
Common questions about Aetna credentialing
How long does Aetna credentialing take?
Aetna credentialing typically takes 90–150 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Aetna require CAQH?
Yes. Aetna pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Aetna before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.
Which states does Aetna operate in?
Aetna has credentialing operations in 51 states. 51 of those 51 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.