Provider news and updates

Providers serve in advisory roles on a variety of Aetna’s committees both locally and nationally, providing invaluable feedback on strategies for improving member care and services. In Texas, contracted STAR/CHIP providers from all service areas may participate in our established and active PAG.

Our Texas PAG currently consists of providers from the Bexar and Tarrant service areas. We will work to ensure participation and representation by providers from each service area we have the privilege of serving. The PAG consists of representatives from the following provider types: acute care, pharmacy, family practice, pediatrics, obstetrics and gynecology, psychiatry, and nurse practitioners.

If you are interested in joining our PAG, please contact your Provider Relations Representative and someone from our leadership team will contact you to discuss further.

For claims processing, please refer to the provider manual.

Whether you are a member or provider, you'll find helpful information and resources within this section of our website.

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We communicate important information and updates to you in the Aetna Better Health of Texas Provider Newsletter. These newsletters are mailed two times per year, and are always available on the website.  

 

Texas STAR Kids Medicaid Managed Care Program

Aetna Better Health of Texas is recruiting providers to join our network for the new Texas STAR Kids Medicaid Managed Care Program.

Beginning Sept. 1, 2016, children and young adults under the age of 21 who receive Supplemental Security Income (SSI), or receive services through Home and Community-Based Services (HCBS) Waiver programs operated by HHSC, the Department of Aging and Disability Services (DADS), and the Department of State Health Services (DSHS) will receive services through a STAR Kids health plan.

Aetna Better Health of Texas intends to bid to provide STAR Kids services. You are invited to join our network if you meet the following requirements:

  • Must be an attested/ enrolled provider in Texas Medicaid Health Partnership TMHP with a Texas Provider Identifier (TPI);
  • Must have a valid National Provider Identifier (NPI) Number; and
  • Cannot have opted-out of Medicaid or have any sanctions or reprimands by any licensing authority or review organizations.

Requests to join must be submitted by Sept. 8, 2016 for consideration. For more information about participation in the Aetna Better Health of Texas STAR Kids program, call Provider Relations at 1-800-306-8612.

Please also review our submittal process for your letter of interest and prospective provider form.

Cell phones offered to Medicaid members at no cost.