Managed Care Organization

How to Get Credentialed with Aetna Better Health in Illinois

Network: Open
CAQH Required

Quick Overview

Timeline

Varies

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Illinois-Specific Requirements

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.

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 Illinois.

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?

Let PayerReady handle your Aetna Better Health enrollment in Illinois.

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Aetna Better Health in Other States

California Florida Indiana Kansas Kentucky Louisiana Maryland Michigan Missouri New Jersey

Other Payers in Illinois

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Blue Cross and Blue Shield of Illinois Illinois Medicaid Molina Healthcare (Medicaid)
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