MedicaidAdministrativeMedium impact
Provider Notification - SNIP Types 5 and 6 Enhanced Editing Implementation
Aetna Better Health of Virginia·VA·Policy Update
Effective date
Feb 5, 2026
We identified it
Aug 13, 2026
Summary
Aetna Better Health of Virginia is implementing enhanced SNIP Types 5 and 6 edits through the Edifecs Smart Trading platform for all inbound Medicaid claims. These additional validation layers will catch external code set errors (ICD-10, CPT/HCPCS, NDC codes) and product/service-specific data format issues at initial submission, reducing downstream rejections and claim delays. No changes to provider claim submission processes are required.
Action Required
By February 5, 2026: Billing team should review current claim submission practices to ensure all external code sets (ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, NDC codes) are accurate and properly formatted before submission to Aetna Better Health of Virginia. Verify that claims for specialized services (ambulance, chiropractic, etc.) include all required segments and are properly structured. No immediate system changes are needed, but billing staff should monitor for increased SNIP Type 5 and 6 rejection messages starting on the effective date and escalate validation errors to providers for correction before resubmission. Contact Provider Relations at 1-800-279-1878 (TTY: 711) with questions about specific code requirements.