How to Get Credentialed with Aetna Better Health in Michigan
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
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.
Michigan-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Michigan.
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.
Submit Your Application
Submit your completed enrollment package to Aetna Better Health.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application status 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 in Michigan.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
Free Tools for Your Aetna Better Health Enrollment
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Key Credentialing Terms
- Capitation
- A payment model where a payer pays a provider a fixed amount per member per month regardless of whether the member recei...
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- Managed Care
- A healthcare delivery system organized to manage cost, utilization, and quality through techniques such as provider netw...
- Network Adequacy
- The requirement that a health plan's provider network has enough providers in each specialty and geographic area to give...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
Credentialing Checklist
Make sure you have everything ready before applying to Aetna Better Health.
View Physician Credentialing Checklist →Contact Information
Provider Credentialing
National1-800-624-0756
Mon-Fri 8am-5pm
Provider Services
National1-800-624-0756
Claims & Billing
National1-800-624-0756
Quick Links
Aetna Better Health in Other States
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.