Managed Care Organization

How to Get Credentialed with Aetna Better Health in California

Network: Unknown
CAQH Required

Quick Overview

Timeline

Varies

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

California-Specific Requirements

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.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for California.

2

Complete Your CAQH ProView Profile

Aetna Better Health requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Aetna Better Health.

4

Track & Follow Up

Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

Contact Information

Credentialing

National

Network Enrollment

National

Quick Links

Need Help?

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Aetna Better Health in Other States

Florida Illinois Indiana Kansas Kentucky Louisiana Maryland Michigan Missouri New Jersey

Other Payers in California

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Kaiser Permanente Anthem Blue Cross (California) Blue Shield of California
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