Facility Credentialing & Network Participation
Aetna, a CVS Health company, is one of the nation's leading diversified health care benefits companies, serving approximately 39 million members. The integration with CVS Health creates unique opportunities for integrated behavioral health delivery through retail health locations.
Strong presence in commercial insurance with growing Medicare Advantage and Medicaid managed care segments. Particularly strong in employer-sponsored coverage.
Everything you need to know about contracting with Aetna for behavioral health services
Coverage details & levels of care
Aetna offers comprehensive behavioral health benefits with a focus on integrated care, leveraging CVS Health resources. Coverage includes residential treatment, PHP, IOP, and detox services for facilities.
All treatment settings accepted by Aetna
What sets Aetna apart
Required credentials for network participation
Prior Authorization
Medical Necessity Criteria
ASAM criteria for substance use; ABA Medical Necessity Guide for behavioral health; LOCUS/CALOCUS/CASII for level of care determinations
Payment and billing information
Aetna provides coverage in 49 states across the United States
49 states nationwide
Corporate Headquarters
Hartford, Connecticut
Our team specializes in Aetna contracting for behavioral health facilities. We'll help you secure competitive rates and streamline your credentialing process.
Achieve significantly better reimbursement through expert negotiation
Reduce credentialing timeline from months to weeks
CAQH, state licensing, and accreditation guidance
Your personal contracting specialist throughout the process
500+
Facilities Contracted
45
Days Avg. Timeline
98%
Success Rate
50
States Covered