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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.
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.
Training and resources
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.
- Wednesday September 27, 2023 - Provider Quality Session
- Medical record review
- Pay for Quality (P4Q)
- Aetna Wellness on Wheels (AWOW) RV
- Medical record review
- December 13, 2023 at 11:00 AM (Topic – To be determined)
Past webinar presentations
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)
FAQs about provider PROMISe ID enrollment, revalidation and ordering, referring, prescribing (ORP) enrollment processes (PDF)
Instructions for providers to check on the status of their PROMISe ID enrollment (PDF)
837 I/P taxonomy requirement (PDF)
PROMISe ID enrollment claims processing issue identified (PDF)
PROMISe ID enrollment to be required at all service locations (PDF)
Required enrollment of ordering, referring and prescribing providers (CHIP) (PDF)
Required enrollment of ordering, referring and prescribing providers (Medicaid) (PDF)
2021 provider pay for quality (P4Q) tip sheet (PDF)
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.
HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).