Starting a practice
Your guide to Aetna behavioral health credentialing
Understand the requirements to get credentialed with Aetna as a mental health care provider — and learn more about how you can get credentialed in 30 days with Headway.
February 12, 2026
7 min read
Before you can start seeing clients with Aetna insurance, you’ll need to be credentialed. Insurance credentialing is an application and vetting process that ensures you meet a specific payer’s requirements to care for its members. While credentialing is important because it ensures quality care, it can be a time-consuming and sometimes confusing process.
Every insurance company has different requirements for credentialing. If you’re hoping to get credentialed with multiple payers, it can be hard to juggle multiple applications while seeing clients and managing other areas of your practice. Below, learn more about how to get credentialed with Aetna, and how Headway can help you navigate the process and start seeing clients faster.
Key insights
1
To credential providers, Aetna requires an up-to-date license, a completed CAQH profile, and a service location that receives mail.
2
Credentialing with Aetna involves an online application and active CAQH profile. You’ll wait up to a few months to find out if you’re eligible to be an in-network provider, and then you can begin the contracting process.
3
Headway’s rapid credentialing streamlines the credentialing process, so you can start seeing in-network clients (and get paid) faster — and without the stress of managing it all yourself.
Aetna’s behavioral health credentialing requirements
Every insurance payer has different requirements for credentialing mental health providers. For mental health providers to be credentialed, Aetna specifically requires:
- You are a licensed mental health provider
- You have a completed CAQH profile
- You have a service location that can receive mail
You can learn more about Aetna’s credentialing process and find Aetna’s credentialing application on their website, along with answers to frequently asked questions.
Note: Content about Aetna has been sourced from publicly available information on Aetna.com. These requirements may have changed since this article was published.
Does Aetna use CAQH for credentialing?
Like many insurance payers, Aetna uses CAQH for credentialing. CAQH stands for “Council for Affordable Quality Healthcare,” a non-profit organization with the goal of streamlining the business of health care. Insurance plans use the information providers submit to CAQH to credential clinicians so they can be sure providers have the education, training, and experience to provide quality care to clients.
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The Aetna provider credentialing process
Aetna follows the below step-by-step process for credentialing and contracting mental health providers.
- Complete the online request for participation form.
- Aetna will evaluate whether there’s a need for providers like you for members in your area, notifying you within 45 days whether you’re eligible for participation.
- You’ll complete the credentialing application on Aetna’s website, and Aetna will get your information from CAQH to begin the process.
- If you get credentialed, your contract will be finalized, and you can start seeing in-network clients.
Credentialing is an important step in getting set up for practice, and timelines can vary based on several factors. Headway streamlines the credentialing process for providers, expediting the application process, supporting compliance with payers like Aetna, and helping you see in-network clients in as little as 30 days.
After you’re credentialed with Aetna
After you’re credentialed with Aetna, you can begin the contracting process. You’ll receive a written notice from Aetna once credentialing is complete. Then, you’ll receive information about how to officially become contracted with the payer.
Once both processes are complete, you can start seeing in-network clients and bill the payer for sessions. It’s important to verify your client’s benefits and specific plan before you begin seeing them.
Coverage details such as deductibles, copays, session limits, authorization requirements vary by plan and can affect reimbursement and client expectations. Verification helps you avoid hiccups like payment delays or lack of coverage that could delay care or impair your therapeutic relationship. Headway makes it easy to verify your clients’ benefits before therapy sessions so you can focus on clinical care rather than time-consuming administrative tasks.
Aetna credentialing FAQs
How long does it take to get credentialed with Aetna?
If you’re navigating the credentialing process alone, it can take months to get credentialed with Aetna as a mental health provider (sometimes even longer if the payer has questions or concerns about your application). Headway providers can often get credentialed in 30 days, making it easier to start seeing clients and get paid faster, without the stress of juggling multiple credentialing applications.
How can I check my credentialing status with Aetna?
After you apply to be credentialed with Aetna, you can check your application status. Providers in Missouri are advised to check their application status online, while providers in all other states can call Aetna’s customer service line for a credentialing application update. With Headway, you can easily check your application status in the provider portal (and, ultimately, start seeing clients and getting paid faster than if you navigate the process alone).
What types of clients can I see if I accept Aetna?
Aetna is a nationwide insurance plan. If you’re contracted as an in-network provider with Aetna, you can see members whose plans include your provider type and specialty, as outlined in your credentialing profile. Coverage and eligibility may vary by plan, so it’s important to verify each client’s benefits before beginning care.
What are the compliance considerations for taking insurance?
When accepting insurance, providers must ensure accurate credentialing, verify client eligibility and benefits, document care thoroughly, use correct CPT codes, and submit compliant claims. Staying current with payer policies, state regulations and HIPAA requirements can help prevent claim denials, audits, and reimbursement delays.
How Headway streamlines the credentialing process
Headway works directly with insurance companies to speed along the entire credentialing process with major nationwide plans in any state you practice in. After you fill out the form, Headway handles the rest, ensuring you can start seeing in-network clients and get paid as quickly as possible, without the administrative headache of juggling multiple credentialing applications or dealing with frustrating hurdles in the process.
This includes managing paperwork, tracking application status, and addressing payer follow-ups, so nothing falls through the cracks. By reducing delays and uncertainty, Headway helps providers focus on building their practice and delivering care, not chasing approvals.
This content is for general informational and educational purposes only and does not constitute clinical, legal, financial, or professional advice. All decisions should be made at the discretion of the individual or organization, in consultation with qualified clinical, legal, or other appropriate professionals.
© 2025 Therapymatch, Inc. dba Headway. All rights reserved. No part of this publication may be reproduced without permission.
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