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Better Health International Frequently Asked Questions
What is the incentive to providers to join this network?
Aetna Better Health Premier Plan MMAI will support you in the management of the member’s care, which may increase PCP visits, case and disease management programs, and help avoid unnecessary services and ER visits.
Why should I become an Aetna Better Health Premier Plan MMAI provider?
Aetna Better Health Premier Plan MMAI is fully committed to serving the most vulnerable segments of the population. In fact, their mission is to do just that. They are excited about the opportunity to partner with the state and providers in Illinois to deliver a program that will meet the needs of adults with disabilities and older adults eligible for the Integrated Care Program.
They are prepared to provide services to assist in better managing your Medicaid members. Specifically, they offer programs to help you work more effectively with the Medicaid populations — services including support to schedule your patients more effectively and profiling tools to help you to better identify and manage high risk members and have easier access to disease management and other programs.
What experience does Aetna Better Health Premier Plan MMAI have serving this population?
Aetna Better Health Premier Plan MMAI is committed to working with providers on improving health outcomes of the Medicaid population. They have over 30 years of experience and proven capabilities with the aged, blind, hearing impaired and disabled population and expertise implementing Medicaid programs, which meet member and provider needs.
Their services will be tailored and customized to meet the needs of the state’s Medicaid Integrated Care Program and your needs as a participating provider in their network.
- Aetna has extensive experience operating Medicaid plans throughout the country. Their teams and systems are operating in 16 states, serving nearly two million Medicaid beneficiaries.
What is the reimbursement mechanism?
The Aetna Better Health Premier Plan MMAI fee schedule is competitive with the market and reflective of Medicaid rates.
Will there be any changes to the claims submission process?
Providers who contract with Aetna Better Health Premier Plan MMAI will receive a provider handbook outlining the claims submission policies and procedures. The provider handbook and other information will be available online and through a provider specific portal.
What information can I provide to your organization for a smooth transition of care to another provider?
A case manager may call you to get specific information about member health care needs (i.e., medications prescribed, service information, etc.). A Transition of Care form is available online as well. Aetna Better Health Premier Plan MMAI may also request medical records.