Aetna Better Health of Pennsylvania is committed to the quality of health care services delivered to our members. In support of this commitment, we have structured provider credentialing and contracting processes in place.
Practitioners joining an existing, participating Aetna Better Health of Pennsylvania provider practice should complete, sign, and submit the Practitioner Application. Practitioners may not treat members until they become credentialed.
As a participant with the Council for Affordable Quality Healthcare (CAQH), Aetna Better Health utilizes the CAQH uniform provider application.
If you have a current CAQH application on file, be sure to include your CAQH ID # on the Application. If you do not currently have a MEDICAID/PROMISe ID you must complete the Disclosure Of Ownership Form (OIG Form), in addition to this application. Effective July 1, 2019, all providers must be enrolled and have a valid PROMISe Identification Number (PROMISe ID) for each location where services are rendered.
Practitioners may not treat members until they become credentialed.
You will be notified of your participation effective date with ABH when the full credentialing and contracting
process is complete.
Please contact your PR representative or call 1-866-638-1232.