Managed Care Organization

How to Get Credentialed with Aetna Better Health in Ohio

Network: Open
CAQH Required

Quick Overview

Timeline

Varies

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Ohio-Specific Requirements

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.

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 Ohio.

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

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