Providers and their office staff are responsible for ensuring all services, both clinical and non-clinical, are provided in a culturally competent manner and are accessible to all

Beginning in August, Aetna Better Health of Ohio will be conducting a critical telephonic survey to assess appointment availability and patient wait times for our provider network. If you receive a phone call for the survey, please participate and complete the survey. Not only does this survey help us to understand our members' access to appointments, but it also helps us identify gaps in our provider network. Completing the survey goes a long way to helping Aetna Better Health of Ohio ensure member and provider satisfaction.

Healthchek is Ohio Medicaid's  Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program. This program is for babies, children, and young adults under the age of 21 who are eligible for our plan. The purpose of the program is to detect health problems early, and then provide further diagnosis and treatment as covered by Medicaid and Aetna Better Health of Ohio afterwards.

Healthchek services include:

Did you know that Adult BMI Assessment is a HEDIS measure? Calculating a patient's BMI at every visit can be a good opportunity for providers to become compliant with the measure and create a chance to discuss exercise, a healthy diet and portion control with the patient.

Medicaid recipients make up the largest group of smokers in the state of Ohio, equaled only by the uninsured. That is why, as a healthcare professional, you are our greatest ally in encouraging our members to give up tobacco products forever.

The best available resource for all Ohio Medicaid recipients to get no-cost coaching, counseling, and assistance is the Ohio Tobacco Quit Line. If one of your patients is ready to quit, or even curious about quitting, tell them to call 1-800-QUIT-NOW, or visit http://ohio.quitlogix.org today. Aetna Better Health of Ohio members are also able to receive no-cost smoking cessation medication, as well as nicotine patches and lozenges. For more information call our Provider Services department at 1-855-364-0974 (option 2), or visit www.aetnabetterhealth.com/ohio.

Providers must bill according to CMS and Medicaid guidelines. It is also the provider's responsibility to be familiar with the latest billing practices.   Aetna is not responsible for instructing providers how to correctly bill for services.  

 

Also, providers should frequently check the state's Fee Schedule & Rates website as updates are always occurring to the fee schedules for Medicaid.