March 2016
Keeping Medicare Advantage Directory Information Up to Date
The Centers for Medicare & Medicaid Services (CMS) requires all Medicare Advantage organizations to contact you at least quarterly to confirm that the information in our directory is accurate. This includes:
 
  • Ability to accept new patients
  • Street address
  • Phone number
  • Any other changes that affect availability to patients
 
If you notify us of any changes, we have 30 days to update our online directory. 
 
For more information, refer to this fact sheet .  
 
The Council for Affordable Quality Healthcare® (CAQH) helps meet this need  CAQH has a unique solution to ensure that directory information is accurate. They developed it with our help and that of other health plans. CAQH's directory confirmation process uses data from your CAQH ProView ™profile. You simply review, update and confirm your information in ProView. Then, CAQH does the rest. They'll share it with all participating health plans that you authorize to receive it. This eliminates the need for every plan in which you participate to contact you for the same directory information.
 
CAQH will send you this notice which has instructions on how to update your profile. CAQH will call you if you don't reply, so respond promptly.
 
If you have questions or concerns call Aetna Better Health of Ohio at 1-855-364-0974 (TTY 711), option 2, or visit our website at www.aetnabetterhealth.com/ohio.

Sincerely,
 
Aetna Better Health of Ohio