Aetna Better Health
Credentialing and enrollment guides for Aetna Better Health across 18 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
18
How Aetna Better Health 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 Better Health is Aetna's per state Medicaid brand. The federal Medicaid rule applies: an active state Medicaid ID is required (42 CFR 438.602) before the plan can enroll you, then the Aetna contract and CAQH credentialing flow runs per state plan.
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: Enroll with the state Medicaid program first, and apply to the specific state Aetna Better Health plan, not national Aetna.
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 Better Health
Aetna Better Health is the Medicaid managed care division of Aetna (CVS Health). They administer Medicaid, CHIP, and dual-eligible plans in multiple states, providing coverage for low-income individuals and families.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
Aetna Better Health requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Aetna Better Health. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Aetna Better Health?
Our specialists handle the entire Aetna Better Health 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 Reference
Contact Information
Provider Credentialing
1-800-624-0756
Mon-Fri 8am-5pm
Provider Services
1-800-624-0756
Claims & Billing
1-800-624-0756
Quick Links
Need Help?
Let PayerReady handle your Aetna Better Health credentialing and enrollment.
Get Started NowAvailable States
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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 Better Health-specific credentialing details including timelines, contacts, and local requirements.
Aetna Better Health credentialing requirements by state
Aetna Better Health enrollment is not identical everywhere. The table below lists what actually differs across the 18 states Aetna Better Health operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | Network | Portal / phone | State-specific notes |
|---|---|---|---|---|
| California | Aetna Better Health of California | Unknown | — | Aetna Better Health of California participates in the Medi-Cal managed care program. Providers must first enroll as a Medi-Cal provider through DHCS, then apply to Aetna Better Health via CAQH ProView. Active California medical license and NPI are required. Service areas are county-specific and cover select regions. Medi-Cal requires completion of the Provider Enrollment Division application before MCO credentialing can begin. |
| Florida | Aetna Better Health of Florida | Open |
Provider portal
1-800-441-5501
|
Aetna Better Health of Florida is Aetna's Florida Medicaid managed-care plan. To join, complete a Letter of Intent and LOI Information Form and email it to FLMedicaidContracting@aetna.com. The plan accepts credentialing applications through CAQH, and the LOI collects each physician's CAQH number. You must hold an active State of Florida Medicaid ID (from AHCA) for each location, or attest that you have applied. |
| Illinois | Aetna Better Health of Illinois | Open | — | Aetna Better Health of Illinois participates in the Illinois Medicaid managed care program. Providers must first enroll with Illinois Medicaid through HFS, then apply to Aetna Better Health via CAQH ProView. Active Illinois medical license and NPI are required. Service areas cover select Medicaid managed care regions across the state. Behavioral health credentialing may be handled through a separate behavioral health carve-out depending on the region. |
| Indiana | Aetna Better Health of Indiana | Unknown | — | Aetna Better Health of Indiana participates in the Healthy Indiana Plan (HIP) and Hoosier Healthwise programs. Providers must first enroll with Indiana Medicaid through IHCP, then apply to Aetna Better Health via CAQH ProView. Active Indiana medical license and NPI are required. Service areas cover all 92 Indiana counties. The plan covers HIP adults, Hoosier Healthwise children and pregnant women, and Hoosier Care Connect populations. |
| Kansas | Aetna Better Health of Kansas | Open | — | Aetna Better Health of Kansas participates in the KanCare Medicaid managed care program. Providers must first enroll with Kansas Medicaid through KMAP, then apply to Aetna Better Health via CAQH ProView. Active Kansas medical license and NPI are required. Service areas cover all 105 Kansas counties. KanCare integrates physical health, behavioral health, and disability services under one managed care contract. |
| Kentucky | Aetna Better Health of Kentucky | Open | — | Aetna Better Health of Kentucky participates in the Kentucky Medicaid managed care program. Providers must first enroll with Kentucky Medicaid through DMS, then apply to Aetna Better Health via CAQH ProView. Active Kentucky medical license and NPI are required. Service areas cover all 120 Kentucky counties. The plan serves traditional Medicaid, KCHIP, and Medicaid expansion populations across the state. |
| Louisiana | Aetna Better Health of Louisiana | Open | — | Aetna Better Health of Louisiana participates in the Healthy Louisiana Medicaid managed care program. Providers must first enroll with Louisiana Medicaid through LDH, then apply to Aetna Better Health via CAQH ProView. Active Louisiana medical license and NPI are required. Service areas cover all 64 parishes statewide. The plan covers physical health and basic behavioral health services for Healthy Louisiana enrollees. |
| Maryland | Aetna Better Health of Maryland | Open |
Provider portal
1-866-827-2710
|
Aetna Better Health of Maryland is Aetna's Maryland Medicaid managed-care plan. It credentials all provider types through CAQH (NCQA standards, Credentials Committee approval). Providers serving Medicaid MCO members must register with Maryland Medicaid via ePREP before rendering services. |
| Michigan | Aetna Better Health of Michigan | Open | — | Aetna Better Health of Michigan participates in the Healthy Michigan Plan and Michigan Medicaid managed care programs. Providers must first enroll with Michigan Medicaid through CHAMPS, then apply to Aetna Better Health via CAQH ProView. Active Michigan medical license and NPI are required. Service areas are organized by MDHHS Health Plan regions. Behavioral health services are carved out to Community Mental Health Service Programs (CMHSPs) in most counties. |
| Missouri | Aetna Better Health of Missouri | Open | — | Aetna Better Health of Missouri participates in the MO HealthNet Managed Care program. Providers must first enroll with MO HealthNet through the state enrollment portal, then apply to Aetna Better Health via CAQH ProView. Active Missouri medical license and NPI are required. Service areas cover select MO HealthNet managed care regions. The plan covers MO HealthNet populations including Medicaid expansion members in designated service areas. |
| New Jersey | Aetna Better Health of New Jersey | Open | — | Aetna Better Health of New Jersey participates in the NJ FamilyCare Medicaid managed care program. Providers must first enroll with NJ Medicaid through the NJMMIS portal, then apply to Aetna Better Health via CAQH ProView. Active New Jersey medical license and NPI are required. Service areas cover all 21 New Jersey counties. The plan serves children, pregnant women, parents, and adults under the NJ FamilyCare umbrella. |
| New York | Aetna Better Health of New York | Open | — | Aetna Better Health of New York participates in the NY Medicaid Managed Care program. Providers must first enroll with NY Medicaid through eMedNY, then apply to Aetna Better Health via CAQH ProView. Active New York medical license and NPI are required. Service areas include NYC boroughs and select counties across the state. Behavioral health services are subject to the NYS behavioral health carve-in requirements. |
| Ohio | Aetna Better Health of Ohio | Open | — | Aetna Better Health of Ohio participates in the Ohio Medicaid Managed Care program. Providers must first enroll with Ohio Medicaid through MITS, then apply to Aetna Better Health via CAQH ProView. Active Ohio medical license and NPI are required. Service areas cover most Ohio counties organized by ODM managed care regions. The plan serves CFC, ABD, and Medicaid expansion populations. |
| Oklahoma | Aetna Better Health of Oklahoma | Open |
Provider portal
1-844-365-4385
|
Aetna Better Health of Oklahoma is a SoonerSelect Medicaid plan. OHCA enrolls providers into SoonerSelect separately from credentialing, so you must also contract and credential with the plan. Credentialing takes up to 45 calendar days (a 15-day extension is possible); the provider portal is Availity. |
| Pennsylvania | Aetna Better Health of Pennsylvania | Open | — | Aetna Better Health of Pennsylvania participates in the HealthChoices Physical Health managed care program. Providers must first enroll with Pennsylvania Medicaid through PROMISe, then apply to Aetna Better Health via CAQH ProView. Active Pennsylvania medical license and NPI are required. Service areas are organized by HealthChoices zones. Behavioral health services are carved out to separate Behavioral Health MCOs in each county or zone. |
| Texas | Aetna Better Health of Texas | Open | — | Aetna Better Health of Texas participates in the STAR and CHIP managed care programs administered by HHSC. Providers must first enroll in Texas Medicaid via TMHP, then apply to Aetna Better Health via CAQH ProView. Active Texas medical license and NPI are required. Service areas are organized by HHSC service delivery areas. The plan serves STAR, CHIP, and STAR+PLUS populations in select regions. |
| Virginia | Aetna Better Health of Virginia | Open | — | Aetna Better Health of Virginia participates in the Medallion 4.0 Medicaid managed care program. Providers must first enroll with Virginia Medicaid through DMAS, then apply to Aetna Better Health via CAQH ProView. Active Virginia medical license and NPI are required. Service areas cover multiple DMAS managed care regions. Medallion 4.0 integrates physical health, behavioral health, and pharmacy services under one managed care contract. |
| West Virginia | Aetna Better Health of West Virginia | Open | — | Aetna Better Health of West Virginia participates in the Mountain Health Trust Medicaid managed care program. Providers must first enroll with West Virginia Medicaid through BMS, then apply to Aetna Better Health via CAQH ProView. Active West Virginia medical license and NPI are required. Service areas cover all 55 West Virginia counties. The plan serves traditional Medicaid and Medicaid expansion populations under Mountain Health Trust. |
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 Better Health credentialing
How long does Aetna Better Health credentialing take?
Aetna Better Health credentialing typically takes 30–60 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 Better Health require CAQH?
Yes. Aetna Better Health pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Aetna Better Health 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 Better Health operate in?
Aetna Better Health has credentialing operations in 18 states. 16 of those 18 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.