ProviderConnect is easy to use, secure, and available 24/7. To request prior authorization for behavioral health services, call Carelon at 866-444-5155 or visit their website. Copyright 2023 Carelon. Adults Children and teens Medication management All rights reserved , Provider Dispute Resolution (PDR) Request, Transcranial Magnetic Stimulation Request Form, Applied Behavior Analysis Authorization Request Form, Applied Behavior Analysis Treatment Report Guidelines, Log in to the Carelon Behavioral Health Provider Portal, Find in-person & telehealth servicing providers, World Professional Association for Transgender Health (WPATH). Precision medicine enables more personalized care. New facility: If youre a participating practice and would like to add a new provider, complete our online form. Please review and sign your contract. Check back periodically for updates on this page. Under Provider Type, be sure to choose option #1 if you are a solo practitioner or #2 if youre applying for a group practice. To eliminate the need to submit multiple credentialing applications, we participate in the CAQH. Provider Portal - Carelon Behavioral Health Explore 3 key approaches to place people at the center of care. And individuals can evolve into smarter consumers empowered to make more-informed health decisions. Find in-person & telehealth servicing providers Members can schedule telehealth only appointments for patients ages 10+, with MDLive using their Appointment Self-Scheduler for Counseling and Medication Evaluations & Management. Clinical Operations - Quality Management - Provider Services - Member Services www.ctbhp.com. Email. Submit a new case for prior authorization, or check on an existing one. (Formerly AIM Specialty Health) Provider portal. Offered through Carelon Medical Benefits Management. Explore the many pragmatic trial benefits at Carelon. All rights reserved. No information or resource provided through the Carelon Behavioral Health site is intended to substitute for the professional judgment of a behavioral health professional. We're here to help. Perspectives on Healthcare Trends and Topics | Carelon Medications for Addiction Treatment (MAT) Resources, Substance Use Disorder Treatment Resources, Online Services Account Request Form Writable, Registered Services Re-Registration Template, Registered Services Retroactive Eligibility Template, Higher Levels of Care Registration Template, Higher Levels of Care Registration Template Instructions, Home Health Clinical Tool for Authorization Requests, Discharge Template Higher Levels of Care, Adult Group Home Registration & Re-Registration Template, ProviderConnect Multi-Factor Authentication (MFA) Setup Guide, Withdrawal Management & Residential Substance Use Disorder (SUD) Treatment Services Manual, Related Resources for Substance Use Disorder (SUD) Treatment under the 1115 Demonstration Waiver, CT Housing Engagement & Support Services (CHESS) Manual, Creating an Inquiry through ProviderConnect, Higher Level of Care Discharge User Manual, ProviderConnect Obtaining Id and Password, ProviderConnect Viewing and Printing Authorizations, Medications for Addiction Treatment (MAT). Then select from the list that will appear. As a reminder, ordering and servicing providers may submit prior authorization requests to Carelon Medical Benefits Management in one of several ways: Access Carelon Medical Benefits Management's ProviderPortal SM directly at providerportal.com. The pursuit of better outcomes depends on a new health ecosystem, one with a wealth of blended data, sophisticated technology, and targeted, evidence-building research. BHSD Data Collection | Carelon Behavioral Health of Washington SUD PROVIDERS: Carelon Behavioral Health needs to enter into a Confidentiality and Non-Disclosure Agreement (CNDA) with SUD providers. Washington Wisconsin Questions? Contact Us | Carelon Behavioral Health All rights reserved. We strive to provide our members access to the country's best and most accessible behavioral health providers. We are VeriSign http://www.verisign.com/ certified and all patient and claims information remains confidential. < Back to Carelon Behavioral Health main site, Carelon Behavioral Health Strategies Members, Carelon Behavioral Health (formerly ValueOptions) Members, Find in-person & telehealth servicing providers. This page will help you successfully get started with authorizing and providing behavioral health services to CT Medicaid members. Carelon Behavioral Health Strategies Members; Carelon Behavioral Health (formerly ValueOptions) Members; Find a Provider; Member Health Tools; Providers. Calls related to outpatient mental health services can be connected to Carelon Behavioral Health at (855) 765-9703. Our credentialing process fully complies with national accreditation standards and applicable state and federal laws, rules, and regulations. Welcome to the Carelon Behavioral Health of California, Inc. network of participating providers. There are five steps to joining our network. Together, the Carelon Behavioral Health of California provider agreement, addenda, and the handbook outline the requirements and procedures applicable to providers in the Carelon Behavioral Health of California networks. To remain in the network, you must follow a re-credentialing approval process every three years or the period required by state laws or regulations. pawebmaster@carelon.com Provider Toll Free Number: 877-615-8503 Eligibility Verification System (EVS): 800-766-5387 E-Support (EDI) Help Line: 888-247-9311 or eServices@carelon.com Automated Fax Back Service for Provider Summary Vouchers: We offer people-first care models, integrated digital tools, and services that address the physical, mental, social, and economic factors that influence an individual's health whether living with complex conditions, coping with behavioral health challenges, or proactively managing one's health. MemberConnect - Members - Login - Carelon Behavioral Health Through our flexible approach and industry-leading data, capabilities, and digital tools, we help health plans, employers, providers, government agencies, and pharmacies make their critically important work easier and more successful. Password Reset Successfully. All Rights Reserved. Copyright 2023 Carelon. For answers to your questions regarding the CAQH application or website, call the CAQH Support Desk at 888-599-1771, Monday to Friday, 8 a.m. to 8 p.m., Eastern time. Carelon Behavioral Health of California may, by notice, amend or change any or all provisions of the handbook by providing 45 business days prior written notice to providers unless the amendment is material and not made in order to comply with a change in state or federal law or accreditation standards. Learn how CarelonRx (formerly IngenioRx) was able to mitigate those effects and improve health outcomes. Provider Manual - Carelon Health of Pennsylvania If youre registered with CAQH, please add Carelon Behavioral Health as one of the organizations authorized to access your information and also ensure your attestation is current. Or, visit our provider handbook if you would like to learn about our online services in detail. Our credentialing process ensures youre part of a quality network where in-network referrals can be trusted. Medical and pharmacy drug spend has been on the rise. Once you are in, you can perform a host of potentially time consuming tasks with the touch of a few keystrokes. The benefits of joining our provider network. Members can schedule telehealth only appointments for patients ages 5+, with Array Behavioral Care using their Appointment Self-Scheduler for Counseling and Medication Evaluations & Management. Provider portal Check claims status, verify eligibility and benefits, request authorizations, update your demographic information, and more. The digital ecosystem that delivers a clinician to an individuals tablet late at night, or a prescription to their home. From this portal you can accomplish things like: Check member real-time eligibility; View Authorizations; Update Provider Demographics; Login below. All rights reserved. Beaver County Behavioral Health Resource Guide. Resources to support the successful collection of BHSD Data will be kept up to date on this site. Lawrence County Behavioral Health Resource Guide. Please return the completed form, including the Terms and Conditions, via fax to 888-643-4396. Medications for Addiction Treatment (MAT) ResourcesAutism Spectrum Disorder ResourcesSubstance Use Disorder Treatment ResourcesUpdate Your Practice Information! Pharmacy Benefit Management | Carelon eServices allows providers to: Welcome to the CT BHP! All rights reserved. Search for an in-person provider near you, Members can schedule an appointment on Carelon Behavioral Health's Telehealth practice through our partner, MDLive, Members can schedule an appointment on Carelon Behavioral Health's Telehealth practice through our partner, Array Behavioral Care, Members can schedule an appointment on Carelon Behavioral Health's Telehealth practice through our partner, Talkspace. Join Our Provider Network | Carelon Behavioral Health We are working on updating all documents,but some historic references to Beacon may remain. Today we are Carelon Behavioral Health. Introduction to the ASAM Criteria for Patients and Families. Handbook Stay up to date on policies and procedures, quality programs, appeals, and credentialing information. The information and resources provided through the Carelon Behavioral Health site are provided for informational purposes only. Online client support. Out-of-Network Emergency Services and Surprise Bills (NY only) Mental Health Parity Disclosures for Members in New York. Carelon Behavioral Health | Carelon Behavioral Health As part of our network, youll benefit from: Find answers to questions about accessing the provider portal, submitting claims, our credentialing process, and more. Access the evidence-based criteria used in our review process. The Get Started section will help you better understand the CT BHP and get your practice information set up so you can obtain authorizations and referrals. Whether you have a question or are interested in learning more about how we can best support you, please call our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time. Services. Register. Online: Log in to the Carelon ProviderPortal Available 24/7/365; Phone: 1-800-859-5299 Monday - Friday, 6 a.m. to 6 p.m. CT, Saturdays, Sundays and Holidays, 9 a.m. to noon CT; Fax: 1-800-610-0050 Carelon | 29,506 followers on LinkedIn. Search for an in-person provider near you and/or telehealth providers for patients of all ages. Explore the changing healthcare landscape and Carelon's perspective on the benefits of implementing digital health solutions for whole-person care. Join our network. Accessible 24x7, eProvider is available to providers as part of our overall effort to improve communication, provide useful, timely information and foster more rapid claims payment through e-commerce. Carelon Behavioral Health, Inc Please note that you must be approved through the credentialing process and obtain a countersigned contract before seeing patients as an approved network provider. And finally, the Other Resources section will help you answer some of our most popular clinical, claims, and training questions. What do I need to do Provider portals. Non-CAQH participating providers: Claims Submission. Availity portal and electronic data interchange (EDI) support. Intensive Behavioral Health Services (IBHS) . This is default text for notification bar. Please log in by entering your User ID and password below. Our provider portals, ProviderConnect and eServices, have the information, tools, and resources that support the day-to-day needs of your patients and office. For all applications: We strive to provide our members access to the country's best and most accessible behavioral health providers. New users should complete the Online Services Account Request Form using the link below to get their ID and Password. At Carelon, we believe in insights-driven health outcomes. Behavioral health benefits Fallon Health partners with Carelon Behavioral Health to provide behavioral health services. Online access is available 24/7 to process orders in real-time and is the fastest and most . All rights reserved. User Registration. The Authorization Resources section will give you everything you need to start getting online authorizations in ProviderConnect. CarelonRx offers: Comprehensive medication management, including digital tools for refilling, renewing, and pricing medications, and convenient home delivery. This is default text for notification bar. As of March 1, 2023 AIM Specialty Health (AIM) has changed its name to Carelon Medical Benefits Management (Carelon).Blue Cross and Blue Shield of Texas (BCBSTX) will be updating our website with the Carelon name change including the utilization management page content and other related resources. All rights reserved. To find an in-network provider, please enter the first three letters of the name of your health plan or your employer. Contact | Carelon Behavioral Health of Connecticut Copyright 2023 Carelon. Accessible 24x7, eProvider is available to providers as part of our overall effort to improve communication, provide useful, timely information and foster more rapid claims payment through e-commerce. To the extent that there is an inconsistency between the handbook and the provider agreement, Carelon Behavioral Health of California reserves the right to interpret such inconsistency. 1-877-55-CTBHP 1-877-552-8247 TTY: Dial 711. Forms and Guides | Carelon Behavioral Health Intensive Behavioral Health Services (IBHS) | Carelon Health of MENTAL HEALTH-ONLY PROVIDERS: The CNDA is not required as the exchange of data in this arrangement is allowable under HIPAA. As your partner in care, we'll ensure you have the tools and resources you need to support your patients on their journey to better health. Confidentiality and Non-Disclosure Agreement (CNDA), Tuesday BHSD Office Hours on Webex 9am to 10am, Implemented-and-Upcoming-Changes-from-DG5.0-forward-1, BHSD HCA Validation Results Crosswalk UPDATE 10/7, Provider Connect Super User Account Request, Guidance on Closing Service and Authorizations, Data Completeness Slides from HCA (7/25/22), Data Completeness Slides from HCA (8/29/22), HCA Data Completeness Pseudo Code Logic (9/21/22), HCA Data Completeness Pseudo Code Logic (12/19/22), HCA Assessment Data Completeness Example (12/19/22), March 16, 2021 BHSD Provider Support Webinar, February 23, 2021 BHSD Provider Support Webinar, November 13, 2020 BHSD Provider Support Webinar, September 9, 2020 Provider Support Webinar, July 30, 2020 BHSD Batch File Layout Q&A Slides, July 16, 2020 BHSD Provider Support Webinar, June 18, 2020 BHSD Provider Support Webinar, June 2, 2020 BHSD Submission Workflow Provider Training Slides, May 6, 2020 BHSD Provider Support Webinar Slides, BHSD Office Hour Redesign Discussion 7/12/2022 Minutes. Providers can be supported with new access to patient records and AI-driven clinical decision support. We will execute the agreement and send you back the final copy. Log Into ProviderConnectProvider Events & TrainingsEnrollment & Claims Questions. Welcome | Carelon Behavioral Health of Connecticut Carelon | Blue Cross and Blue Shield of Texas Get the latest on network information, training opportunities, regulatory updates, clinical highlights, reminders, and more. Whether you have a question or are interested in learning more about how we can best support you, please call our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time. Carelon Behavioral Health ProviderConnect You must be credentialed and approved before being added to the network. If youre not registered with CAQH, visit CAQH.org to set up an account and complete an application. Login or register with ProviderConnect, an online tool that allows you to check member eligibility, enter authorization requests for CT BHP services, view authorization letters, and more. CBI Team. WABHSD@carelon.com, Welcome to Carelon Behavioral Health,formerly Beacon Health Options, This is default text for notification bar. For assistance with any technical problems (such as connecting to or accessing the site) please call our e-Support Help Line at 888-247-9311 during business hours Monday through Friday 8AM - 6PM ET or you can email an Applications Support Specialist at e-supportservices@carelon.com, 2023 Clinical guidelines and pathways. Drug lists, clinical programs, and specialty pharmacy solutions supported by robust clinical expertise. Butler County Behavioral Health Resource Guide. The top four challenges and opportunities facing health plans today, Creating a connected care future: 3 key approaches, Whole-person care for high-needs patients. Carelon Behavioral Health of California's Medical Necessity Criteria (MNC), also known as clinical criteria, are reviewed and updated at least annually to ensure that they reflect the latest developments in serving individuals with behavioral health diagnoses. Discover findings from their preterm-birth research. < Back to Carelon Behavioral Health main site, Carelon Behavioral Health Strategies Members, Carelon Behavioral Health (formerly ValueOptions) Members, Out-of-Network Emergency Services and Surprise Bills (NY only), Mental Health Parity Disclosures for Members in New York, Introduction to the ASAM Criteria for Patients and Families, AB 1184 California Confidentiality Bill - California Only. Administrators can create better customer experiences with streamlined operations. No matter the example, we know exceptional experiences happen when the healthcare system is connected. Whether you have questions or are interested in learning more about how we can best support you, please reach us by calling our National Provider Services Line at 800-397-1630, Monday through Friday, 8 a.m. to 8 p.m. Eastern time. Mental Health Services - Partnership HealthPlan of California Instead, you'll be added to the existing agreement once you've been approved for credentialing. Read about Carelon Research findings that link the usage of the medication topiramate during pregnancy to cleft palate birth defects. Then select from the list that will appear. Carelon Behavioral Health' eProvider is our Web-based provider information and claims tracking service. At Carelon, we know that whole health can be achieved only when the entire system is connected. Forgot Password? Representatives dedicated to your success. Stay up to date on policies and procedures, quality programs, appeals, and credentialing information. v6.13.00, Return to No matter the example, we know exceptional experiences happen when the healthcare system is connected. Login. If youd like to log-in to eProvider, register for access, or simply take a quick tour of eProviders capabilities, just click the buttons to the right! Providers are solely responsible for determining whether use of a resource provided through Carelon Behavioral Health is consistent with their scope of licensure under applicable laws and ethical standards.It is recommended that you use Edge, Chrome or Firefox when using ProviderConnect. Carelon Research studied the cost and outcomes of a proteomic test for preterm birth prediction. Be part of a best-in-class network of providers. Patient Care | Providers - Massachusetts | WellSense Health Plan Incomplete, incorrect, or illegible forms may delay or prevent proper processing. When everyone is on the same page through integrated digital . Explore how we make connections, think bigger, and share our ideas to build a better healthcare system. Provider Dashboard; Provider Handbook; Provider Newsletter; Medical Necessity Criteria; Clinical Practice Guidelines; Forms; Important Tools . Carelon | LinkedIn It provides important information regarding the managed care features incorporated in the Carelon Behavioral Health of California provider agreements and reflects the policies and procedures that are applicable to our Knox-Keene product lines. Update your contact information. Watch how Carelon's CareMore Health company is bettering the future of healthcare with individualized treatment and access to resources. Behavioral health services include mental health and substance abuse care. Carelon Behavioral Health is contracted with all 5 Managed Care Organizations as the single entity to collect Medicaid Behavioral Health Supplemental Data (BHSD) in all Integrated Managed Care regions in Washington State, except for King County. Carelon Behavioral Health' eProvider is our Web-based provider information and claims tracking service. Log In or Register | Carelon Insights @2023 Carelon Behavioral Health. About Us. The platform that connects individuals to care resources for their physical, behavioral, and social needs. Practice Coaching. Today we are Carelon Behavioral Health. Providers; Individuals, families, and caregivers; Explore our behavioral health site to learn more about how Carelon's whole-person approach to care is helping to provide exceptional experiences on the way to better health. Practitioner First Name * : Practitioner Last Name * : Registration Email Address * : Confirm Email Address * : Register. Once youre a part of the Carelon Behavioral Health family of providers, it's time to get connected with us. If you have any questions, call our National Provider Services Line at 800-397-1630 Monday to Friday, 8 a.m. to 8 p.m. Eastern time. This is default text for notification bar. In fact, eProvider provides quicker . Carelon Health of Pennsylvania