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Notices and newsletters

Stay up to date on the latest provider news and helpful information for Aetna Better Health® of Michigan and Medicare-Medicaid (Aetna Better Health Premier Plan).

2024

2023

2024 Formulary Update (Medicare-Medicaid plan)  (PDF)

Emergent and Non-Emergent Transportation Claims (Medicare-Medicaid plan) (PDF)

Provider Letter MOP HP Provider Notification Code Removals (Medicaid plan) (PDF)

Cardiac Codes (Medicare-Medicaid plan) (PDF)

Lab NCDs and Precertification optimization (Medicare-Medicaid plan (PDF)

Wheelchair Payment Updates (Medicare-Medicaid plan) (PDF)

Genetic Codes (Medicare-Medicaid plan) (PDF)

Provider Letter - Updated_PN MI CXT New Policies 7.2023 (Medicaid) (PDF)

Provider Letter - MI MCAID CPT 92229 PN (Medicaid) (PDF)

Provider Letter - MI MCAID J0598 PN (Medicaid) (PDF)


Duals-Covid Non-Covered Services (Medicare-Medicaid plan) (PDF)

 

Provider Letter - PN QB 3734 20230518 Aetna MI Medicaid NPP Mtg 20230130_Provider Communication (Medicaid) (PDF)

 

Provider Letter - PN QB 3734  20230518 Aetna MI Duals NPP Mtg 20230130_Provider Communication (Medicare-Medicaid plan) (PDF)

 

Provider Letter - PN letter QB 3774  20230518 Aetna MI Medicaid Incontinence Supplies_Provider Communication (Medicaid) (PDF)

 

Provider Bulletin No 213 - MOP HP Provider Notification Code Additions Template (Medicaid) (PDF)

 

COVID-19 PHE Unwinding Liberalizations (both Medicaid and Medicare-Medicaid plan) (PDF)

 

Precertification Optimization 06/30/2023 (Medicare-Medicaid plan) (PDF)

 

Dual Plan Clinical Payment, Coding and Policy Changes - Genetic Testing (Medicare-Medicaid plan)

 

Provider Letter - Genetics Testing Policy Plus - Letterhead Template (both Medicaid and Medicare-Medicaid plan) (PDF)

 

Dual Plan Clinical Payment, Coding and Policy Changes (Medicare-Medicaid plan) (PDF)

 

Medicaid Clinical Payment, Coding and Policy Changes (Medicaid) (PDF)

 

Provider Letter - Duals NPP Meeting (Medicare-Medicaid plan) (PDF)

 

Provider Letter - Medicaid NPP Meeting (Medicaid) (PDF)

2022

Provider Bulletin No 210 - Sickle Cell Warriors - FY22 Provider fax blast (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 209 - MI Call to Action (both Medicaid and Medicare-Medicaid plan) (PDF)

 

Provider Bulletin No 208 - Attending Provider Billing (Medicaid) (PDF)

Provider Bulletin No 207 - New Policy Updates - Clinical Payment Coding and Policy Changes (Medicaid) (PDF)

Provider Bulletin No 206 - Meeting our Members' Language Needs (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 205 - Prior Auth Fax Number (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 204 - Change in Prior Authorization process for OB Ultrasounds (Medicaid) (PDF)

Provider Bulletin No 203 - New Transportation Provider (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 202 FINAL - ABH of MI Member Support in Pandemic (Medicaid) (PDF)

Provider Bulletin No 200 - ABH Shutdown Retraction (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 199 - Prior Auth Update Ordering Practitioner (Medicaid) (PDF)

Provider Bulletin No 198 SNIP Level editing (Medicaid) (PDF)

Provider Bulletin No 197 Updated Availity Flyer (both Medicaid and Medicare-Medicaid plan) (PDF)

Healthy Home Visit Program (Medicaid) (PDF)

MI Assistance Request on the Quality Management and Utilization Management Committees (Medicaid) (PDF)

Southwest Michigan Behavioral Health Program Ending (Medicare-Medicaid plan) (PDF)

Important Behavioral Health services change for MCCMH and SWMBH regions (Medicare-Medicaid plan) (PDF)

2021

Provider Bulletin No 196 - Change in Process for Credentialing & Contracting Submissions - Email box update (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin 195 - Availity Flyer (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin no. 194 - GIC Availity (Medicaid) (PDF)

Provider Bulletin No 191 - Letter PA for Hep C (Medicaid) (PDF)

Provider Bulletin No 190 - Post COVID Provider Survey Remediated (both Medicaid and Medicare-Medicaid plan) (PDF)

HEDIS 2020 - 2019 Quality report (Medicare-Medicaid plan) (PDF)

HEDIS 2020 - 2019 Quality report (Medicaid) (PDF)

Provider Bulletin No 189 - Aetna Mental Health Services - BCS (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 188 - ABH MI Prior Authorization Requirements (Medicaid) (PDF)

Provider Bulletin No 187 - ABH of MI Letter (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 186 - MI SNF Liberalization Status - ABH MI Admission statement (Medicaid) (PDF)

Provider Bulletin No 185 - The Availity Provider Portal - For HPs to use to announce Availity Remediated (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin 182 (both Medicaid and Medicare-Medicaid plan) (PDF)

Aetna Portal Upgrade (both Medicaid and Medicare-Medicaid plan) (PDF)

IMPART Alliance Infection Control Training (both Medicaid and Medicare-Medicaid plan) (PDF)

Upgrades to the Provider Portal (both Medicaid and Medicare-Medicaid plan) (PDF)

Prior Authorization Fax Numbers for Providers (both Medicaid and Medicare-Medicaid plan) (PDF)

2021 VBS Booklet (Medicaid) (PDF)

Change of Claims Mailing Address (Medicaid) (PDF)

New P.O. Box Address and Vendor for Paper Claim and Claim Correspondence (Medicare-Medicaid plan) (PDF)

Archives

Provider Letter - Web Access introduction Letter (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Letter - Secured File Transfer Protocol (sFTP) Information Request (both Medicaid and Medicare-Medicaid plan) (PDF)

COVID 19: Taking Action (Medicaid) (PDF)

PDGM Provider Communication (both Medicaid and Medicare-Medicaid plan) (PDF)

PDPM Provider Communication (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Letter - Quest Diagnostic letter (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Letter - MI HRA Fax Blast (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Notice of PHQ9 and SBIRT Tool and Information (both Medicaid and Medicare-Medicaid plan) (PDF)

Novermber 2017 Provider Webinar invitation (Medicaid) (PDF)

PCMH Survey 8-25-2017 (Medicaid) (PDF)

PCMH Survey 9-7-2017 (Medicaid) (PDF)

Quest Diagnostic Letter (both Medicaid and Medicare-Medicaid plan) (PDF)

September 2017 Provider Webinar Invitation (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin 181 (Medicaid) (PDF)

Provider Bulletin No 180 - Office Location Change (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 179 - November ABH Webinar Coding Specific Topic Closing HEDIS gaps for HEDIS 2021 (Medicaid) (PDF)

Provider Bulletin No 178 - AET One Call NEMT (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 177 - SNF Grants (Medicaid) (PDF)

Provider Bulletin No 176 - Provider Relief Extended (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 172 Attachment - MI P4Q 2020 Incentive Program (Medicaid) (PDF)

Provider Bulletin No 170 - Provider Notification for 2020 Code Changes from PA Y to PA N (Medicaid) (PDF)

Provider Bulletin No 167 - G and A Change of Address (Medicaid) (PDF)

Provider Bulletin No 167 - Non Par Appeal Form (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 167 - Dispute Form 6-2019 (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 166 - PA Change J3145 (Medicaid) (PDF)

Provider Bulletin No 165-Change in PA Requirements S2900 2019 (Medicaid) (PDF)

Provider Bulletin No 164- Payment Integrity Project (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 162 - ABH Emergency Room Facility Claims Bulletin (Medicaid) (PDF)

Provider Bulletin 159 - Additional Copies of Remittance Advice (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin 158 - PA Codes 2019 Updates (Medicaid) (PDF)

Provider Bulletin No. 157 - Medicaid Participating Pharmacies (Medicaid) (PDF)

Provider Bulletin No 154 - HRA (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No 153 - Prior Authorization Requirements (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No. 148 - Health Risk Assessment (Medicaid) (PDF)

Provider Bulletin No. 149 - Nursing Home Bulletin (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No. 150 - Prior Authorization (both Medicaid and Medicare-Medicaid plan) (PDF)
 

Provider Bulletin No. 151 CHAMPS enrollment (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin No. 152 - Cotiviti Overpayment Letter (both Medicaid and Medicare-Medicaid plan) (PDF)

Bulletin No. 141 Preauthorization List (both Medicaid and Medicare-Medicaid plan) (PDF)

Bulletin No. 142A Satisfaction Survey Letter (both Medicaid and Medicare-Medicaid plan) (PDF)

Bulletin No. 142 Satisfaction Survey Results (both Medicaid and Medicare-Medicaid plan) (PDF)

Bulletin No. 143 DentaQuest Dental Program (both Medicaid and Medicare-Medicaid plan) (PDF)

Bulletin No. 144 Medicaid MiChild (Medicaid) (PDF)

Provider Bulletin #146 PHQ-9 SBIRT (both Medicaid and Medicare-Medicaid plan) (PDF)

Provider Bulletin #147 MOON (both Medicaid and Medicare-Medicaid plan) (PDF)

MOON-FAQs (Medicare-Medicaid plan) (PDF)

Urgent Authorization Request (Medicaid) (PDF)

Nursing Home Billers (both Medicaid and Medicare-Medicaid plan) (PDF)

Jimmo v. Sebelius letter (both Medicaid and Medicare-Medicaid plan) (PDF)

Cross Claim Payment Policy (Medicaid) (PDF)

HEDIS Training Webinar Series (Medicaid) (PDF)

Provider Letter - Final Prior Auth letter (Medicaid) (PDF)

Provider Letter - Provider Evaluation and Management (EM) coding Letter (Medicaid) (PDF)

Dispute Appeal Grievance Processes (Medicare-Medicaid plan) (PDF)

Dispute Appeal Grievance Processes (Medicaid) (PDF)

COVID-19 Update 04/14/2020: Prior Authorization/Pre-Certification/Admissions Protocol (Medicaid) (PDF)

Medicaid Eviti Provider Letter (Medicaid) (PDF)

Eviti Recommended Provider Notice Letter (Medicaid) (PDF)

Provider Notification for Sterilization Codes (Medicaid) (PDF)

COVID-19 Update Effective May 7, 2020: Prior Authorization/Pre-Certification/Admissions Protocol (Medicaid) (PDF)

COVID-19 Communications Update (effective May 7, 2020): Changes in Prior Authorization/Precertification and Admissions Protocols for Aetna Better Health of Michigan (Medicaid) (PDF)

COVID-19 Update Effective May 31st, 2020: Prior Authorization/Pre-Certification/Admissions Protocol (Medicaid) (PDF)

COVID-19 Communications Update: Changes in Prior Authorization/Precertification and Admissions Protocols for Aetna Better Health of Michigan (Medicaid) (PDF)

CMS NEWS: CMS Takes Action to Protect Integrity of COVID-19 Testing (both Medicaid and Medicare-Medicaid plan) (PDF)

COVID-19 Vaccine Information for Providers (both Medicaid and Medicare-Medicaid plan) (PDF)

Billing for COVID-19 vaccination and Monoclonal Antibody infusion treatment (Medicaid) (PDF)

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