Aetna Better Health Of Ky Medicaid

Why Register For This Secure Web Portal

Whether you are a member or provider, you’ll find helpful information and resources within this section of our Web site. In a secured environment, you can review your claims or authorizations, validate member eligibility or submit requests. We invite you to register and learn more about what the secure web portal can offer you. If you are already registered, please Sign In.

Please click on the link to access Centene’s Illinicare Provider portal for review of claims with a date of service prior to 12/01/2020

Haga clic en el enlace para acceder al portal de proveedores de Illinicare de Centene y revisar reclamaciones con una fecha de servicio anterior al 12/01/2020

Please register if you are a current provider or member and wish to access your account.

Do You Want To Join The Aetna Better Health Of Kentucky Network

Here is how it works:

Step 1

To join our network, you must first be enrolled in Kentucky Medicaid. To enroll in Kentucky Medicaid, please go to the Medicaid Provider Portal Application .

Step 2

Providers who are not participating need to request a contract by completing the provider nomination form. Once completed please return to .

Step 3

Once the nomination form is received and reviewed, someone from the contracting team will send you a contract and credentialing packet. Please complete and return the both via the instructions.

Step 4

While the contract is being reviewed, the credentialing information is forwarded to our Credentialing Verification Organization Aperture Health. Aperture Health is responsible for direct credentialing for our network of providers.

**Independent Physician Practice Associations and Hospital Organizations that currently have a delegated credentialing agreement are excluded from this process. For complete information about the credentialing process and other requirements for participation, you can download our provider manual .

Step 5

Once credentialing is completed, your contract will be finalized, and you will receive your welcome materials from your assigned Network Manager.

If you need more information about our application and credentialing process, email or see Credentialing links below.

Healthcare Effectiveness Data And Information Set Scores

At Aetna Better Health of Kentucky, our goal is to improve access to quality health care for our members. We provide a broad network of providers and community organizations to achieve improved health outcomes. HEDIS scores help us see if were meeting our goals. You can learn more about HEDIS on the NCQA website and view our latest HEDIS results below.

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What Is The Sky Program

SKY members receive their coverage and extra benefits through Aetna Better Health of Kentucky. Our care management team includes nurses and social workers. We’ll work with health care providers, agencies and others to get your child the services they need. We can help make appointments and discuss your childs care with their doctor. We can also help families find their way and make it easier to get the resources they need.

Extra Benefits For Sky Members

Through the SKY program, well provide extra benefits . These help our members stay connected with their support systems.

Eligible SKY members also have access to:

• Connections for Life : Free smartphone and wireless plan

• Connections for Life : Free laptop for eligible members

• SKY Duffel Bag Program: Duffel bag filled with personal hygiene items, supplies and a blanket for SKY members who are going from one home to another

• Birthday in a Box: Eligible members get a birthday in a box, which includes party supplies and a gift

• FamilyConnect: An app that makes key info available to members and their caregivers, like appointments, care plans, claims, ID cards and messaging

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National Experience Local Impact

Aetna Better Health is proud to be part of the CVS Health® family. Together, we share a vision to be a trusted health partner in the local communities we serve. We go beyond offering a traditional medical approach by providing a full array of services that enhance overall wellness and improve everyday life. Because our goal is to build a better health experience thats responsive to the needs of our members.

We invite you to explore all Aetna Better Health has to offer and see how our national experience comes to life at the local level.

Who Can Enroll In The Sky Program

The SKY program serves children:

• In foster care, adopted from foster care or formerly in foster care

• Placed with fictive kin

• Dually committed to the Department for Community Based Services and the Department of Juvenile Justice

• DJJ youth eligible for Medicaid

We directly support members, foster parents, adoptive caregivers, community partners and workers from DCBS and DJJ.

DCBS approves eligibility for the SKY program. Not sure if youre eligible? Just call your local DCBS office at 18553068959. You can also find out if you qualify for programs like Medicaid or the Kentucky Childrens Health Insurance Program . Just visit the Assistance and Support Programs for Kentuckians website.

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Why Our Network

Well work with you to understand your business and meet your needs no matter what services you offer or where you offer them. When you take part in our strong provider network, you benefit from:

• Ongoing support and learning opportunities

• Timely and efficient claims processing

• Advanced technology to help enhance patient care