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Education and tools

We make sure providers have the right tools and resources to take care of our members. On this page, you’ll find helpful links and training opportunities to boost your knowledge and serve your community.

 

¿Tiene alguna pregunta?

Just call Provider Relations at 1-866-638-1232 (TTY: 711). We’re here for you Monday through Friday, 8 AM to 5 PM.

Getting started

Getting started

When you join our network, we’ll provide an initial orientation. After that, you’ll have ongoing training and education, including webinars, periodic provider newsletters and bulletins, and so much more.

 

Questions about joining our network? Just visit the join our network page for more information.

 

You can also check the quick reference guide or the provider manual for answers to many of your questions. Or you can call us at 1-866-638-1232 (TTY: 711).

 

Quick reference guide (PDF)

 

Provider manual (PDF)

 

Availity® training

 

The Provider Portal is an online tool that lets us communicate health care information directly to  providers. In 2021, we transitioned from the Medicaid Web Portal (MWP) to Availity as our Provider Portal.

 

You need to register for the Availity Provider Portal before you can start using its many features. To learn more about how to register for the Availity Provider Portal, just visit the Provider Portal page.

 

Get training on Availity

Training and resources

Everyone should have a fair and just opportunity to be as healthy as they can be. Learn more about health equity and the obstacles and solutions to this goal on our health equity page

 

Cultural competency flyer (PDF)

Trauma-informed care responds to the impact of trauma through recognition and understanding. We take our members’ safety and ability to make their own choices seriously.


Trauma Informed Care (TIC) An Introduction for providers


Trauma Informed Care


Introduction to Trauma-Informed Care


View the Transcript

 

Trauma-Informed Care in Foster Care 


View the transcript

You can find more information about training on the HEDIS page.

Aetna Better Health Kids Behavioral Health

Wednesday June 26, 2024, 11 am EST

 

Topic: Behavioral Health

 

Aetna Better Health Kids is pleased to announce our upcoming Behavioral Health Provider Webinar. During this discussion, we will focus upon the following topics:

 

  • Value Added Benefits
  • Behavioral Health Quality Measures
  • Behavioral Health Survey Results
  • Authorization Tool Kit/Pharmacy
  • Provider Relations Updates

 

Join us and learn how you can support our members with a Behavioral Health Diagnosis

 

Register today! Hope to see you there!

 

Upcoming webinar dates and tentative topics:

 

All webinars are held from 11am-12pm EST

 

  • June 26, 2024 — Behavioral Health
  • August 21, 2024 — Credentialing
  • October 16, 2024 — Behavioral Health
  • December 18, 2024 — Topic To Be Determined

 

Check back closer to the registration date to RSVP.

Past webinar presentations

 

December 2023: Provider Appeals and Disputes (PDF)

 

September 2023: Quality Management, Benefits Update (PDF)

 

June 2023: MANNA, Pharmacy and Benefits Update (PDF)

 

March 2023: Updates and Changes

 

August 2022: Medicaid closure and CHIP update


July 2022: PA Medicaid closure process & CHIP team introductions (PDF)
 

June 2022: CHIP expansion and Medicaid closure (PDF)
 

May 2022: CHIP expansion and Medicaid closure (PDF)

April 2022: CHIP expansion and Medicaid closure (PDF)

March 2022: Provider benefits and CHIP expansion (PDF)

November/December 2021: Availity tips and cultural competency (PDF)

October 2021: Provider manual and hot topics (PDF)

September 2021: Billing requirements, long-term acute care (LTAC) and vendors (PDF)

August 2021: Prior authorizations (PDF)

July 2021: Special Needs Unit (PDF)


June 2021: Metropolitan Area Neighborhood Nutrition Alliance (MANNA) (PDF)

May 2021: Provider appeals and disputes (PDF)

April 2021: Availity (PDF)

March 2021: Claims and billing tips for successful outcomes (PDF)

February 2021: Credentialing (PDF)

2023 dates coming soon.
 

Questions about EVV before or after the webinar? Just email us and add “EVV question” in the subject line.

¡Muy pronto!

 

Communication between health care professionals can lead to better outcomes for patients. Not sure where to start? You can check out these FAQs about how to discuss sensitive topics.


When and how can you share info about patients you’re treating for mental health conditions?
 

What are some ways to address social determinants of health challenges?
 

Where can you learn more about the HIPAA privacy rule?


 

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

Also of interest: