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. To eliminate the need to submit multiple credentialing applications, we participate in the CAQH. Read our take on the rising cost of healthcare and the issue of healthcare waste. Online client support. Once youre a part of the Carelon Behavioral Health family of providers, it's time to get connected with us. Behavioral health services such as psychotherapy and medication management are provided to L.A. Care members by Carelon Behavioral Health. 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. We strongly encourage you to use all available electronic options to help ensure the timeliness, accuracy, and security of claims-related information. Carelon Behavioral Health' eProvider is our Web-based provider information and claims tracking service. Read about Carelon Research findings that link the usage of the medication topiramate during pregnancy to cleft palate birth defects. Medical and pharmacy drug spend has been on the rise. Members can schedule telehealth only appointments for patients ages 10+, with MDLive using their Appointment Self-Scheduler for Counseling and Medication Evaluations & Management. With a digitally enabled healthcare system, the industrys black box can be opened, and the healthcare system simplified. To check your status, please use the secure link provided in the email you received during enrollment. To request prior authorization for behavioral health services, call Carelon at 866-444-5155 or visit their website. 5504. Carelon business CareMore Health prioritizes whole-person health with integrated care. This page will help you successfully get started with authorizing and providing behavioral health services to CT Medicaid members. Our credentialing process fully complies with national accreditation standards and applicable state and federal laws, rules, and regulations. Please review each section to learn more about these steps and what to expect after you apply. Be part of a best-in-class network of providers. Introduction to the ASAM Criteria for Patients and Families. User Registration. If youre a participating practice and would like to add a new provider, complete our online form. All rights reserved. 24/7 phone, text, and chat access to pharmacy and specialty pharmacy experts. New facility: Carelon Behavioral Health ProviderConnect Please return the completed form, including the Terms and Conditions, via fax to 888-643-4396. CBI Team. The Rapid Response Team is a collaboration of Carelon Behavioral Health, DSS, DMHAS and Gainwell Technologies working to resolve . Representatives dedicated to your success. Once you are in, you can perform a host of potentially time consuming tasks with the touch of a few keystrokes. Psychiatric consultation. Once you've completed and submitted your request for participation, and weve confirmed you meet eligibility requirements, one of our contract associates will contact you. Its the real, human interaction between an individual and their doctor during a home-health visit. The benefits of joining our provider network. Fayette County Behavioral Health Resource Guide. Imagining a better healthcare system requires a new perspective. 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. You must be credentialed and approved before being added to the network. Explore the many pragmatic trial benefits at Carelon. 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. Behavioral health providers utilizing the Carelon Behavioral Health site ("Providers") are solely responsible for determining the appropriateness and manner of utilizing Carelon Behavioral Health information and resources in providing services to their patients. Facility: If youre a provider joining a group with a participation agreement, you will not receive a contract directly. Watch how Carelon's CareMore Health company is bettering the future of healthcare with individualized treatment and access to resources. If you meet the eligibility requirements to join our network, you'll receive a welcome letter with your network effective date. Value-based reimbursement strategies that reward access and quality. Check back periodically for updates on this page. Get answers to claims-related questions. The information and resources provided through the Carelon Behavioral Health site are provided for informational purposes only. Incomplete, incorrect, or illegible forms may delay or prevent proper processing. Be among the first to get our insights and announcements. With capabilities spanning pharmacy, behavioral health, complex care delivery, medical benefits management, payment integrity, palliative care, advocacy, research, digital platforms, and operations and technology services, we are already a leader in the healthcare services space. We strive to provide our members access to the country's best and most accessible behavioral health providers. 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. Ingenuity is a founding principal of Carelon's people-first approach to pharmacy care with CarelonRx, resulting in better outcomes and affordability. SUD PROVIDERS: Carelon Behavioral Health needs to enter into a Confidentiality and Non-Disclosure Agreement (CNDA) with SUD providers. There are five steps to joining our network. 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. Or, visit our provider handbook if you would like to learn about our online services in detail. Join our network. Since 1999, Carelon has managed behavioral health services as part of the HealthChoices program. And finally, the Other Resources section will help you answer some of our most popular clinical, claims, and training questions. 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. Digital technology has the power to advance care management. Please log in by entering your User ID and password below. To find an in-network provider, please enter the first three letters of the name of your health plan or your employer. Please note that you must be approved through the credentialing process and obtain a countersigned contract before seeing patients as an approved network provider. 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. Explore our perspectives below on how to make a better healthcare system. Contact us. New provider: You'll also find ways to stay connected by subscribing to our Provider Newsletter. Drug lists, clinical programs, and specialty pharmacy solutions supported by robust clinical expertise. Washington Wisconsin Questions? Register if you don't have an account. At Carelon, we believe in insights-driven health outcomes. Click image below to open PDF file: Provider Relations Representative. Practice Coaching. Instead, you'll be added to the existing agreement once you've been approved for credentialing. Clinical Operations - Quality Management - Provider Services - Member Services www.ctbhp.com. If you're not a CAQH-participating provider, we encourage you to contact our National Provider Services Line at 800-397-1630 for further instruction. 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). Learn about the four facets of economic stability and how this social driver of health affects access to healthcare and other important resources. 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. Search for Telehealth Providers and Text/Chat Therapy for Counseling and Medication Evaluation & Management with Talkspace for patients ages 13+. We are now Carelon Behavioral Health! Partnership has partnered with Carelon Behavioral Health to help manage mental health benefits for Partnership Medi-Cal members with mild to moderate mental health conditions in need of outpatient mental health services. Lawrence County Behavioral Health Resource Guide. Learn how one technology in particular can make it easier to address members whole-health needs. Behavioral Health We partner with Carelon Behavioral Health to administer our behavioral health program for our members. Calls related to outpatient mental health services can be connected to Carelon Behavioral Health at (855) 765-9703. No information or resource provided through the Carelon Behavioral Health site is intended to substitute for the professional judgment of a behavioral health professional. 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. The handbook is an extension of the provider agreement and includes requirements for doing business with Carelon Behavioral Health of California, including policies and procedures for individual providers, affiliates, group practices, programs and facilities and requirements for maintaining accurate demographic information in the provider directory. Please use your existing eServices or ProviderConnect credentials . Offered through Carelon Medical Benefits Management. Our behavioral health solutions are designed to address the needs of the people we serve and the demands for the kind of social and behavioral care that leads people to healthier and happier. And they improve health outcomes through personalized, proactive, and precise interactions. Providers can be supported with new access to patient records and AI-driven clinical decision support. Carelon Behavioral Health' eProvider is our Web-based provider information and claims tracking service. Copyright 2023 Carelon. 03/10/2023. Explore 3 key approaches to place people at the center of care. Intensive Behavioral Health Services (IBHS) . Update your individual practice information, Get your ProviderConnect ID to submit online authorizations, Dual Eligibility Frequently Asked Questions, Provider Events, Trainings, and Publications, Medications for Addiction Treatment (MAT), For authorization questions, contact Carelon Behavioral Health at 1(877)552-8247 or email us at, For enrollment and claims questions, contact Gainwell Technologies at 1(800)842-8440 or visit their website at. Specialty Mental Health Services (SMHS) Better care and lower costs are not mutually exclusive. We are working on updating all documents,but some historic references to Beacon may remain. Choose from the options below to get connected. Out-of-Network Emergency Services and Surprise Bills (NY only) Mental Health Parity Disclosures for Members in New York. Our provider portals, ProviderConnect and eServices, have the information, tools, and resources that support the day-to-day needs of your patients and office. Login. Provider Online Services ProviderConnect. In fact, eProvider provides quicker . New facility: 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. 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. If you use a TTY, call 1.800.735.2929. 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. Connected care promotes systemwide efficiency, improves outcomes, and lowers costs. Start the application process as a new facility by completing our Request for Application Facility Form. This page is dedicated to helping individual and group practice providers who have recently enrolled in the CT Medicaid (HUSKY) network. We're here to help. Carelon Behavioral Health provides the same services we did under our former name, Beacon Health Options. For all applications: Behavioral health is whole-person health Learn how Carelon takes a whole health approach to addressing physical, social, and behavioral health, providing effective care for high-needs patients. We are working on updating all documents,but some historic references to Beacon may remain. 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. Provider portals. 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. Report fraud and abuse. Beaver County Behavioral Health Resource Guide. As part of our network, youll benefit from: Find answers to questions about accessing the provider portal, submitting claims, our credentialing process, and more. 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. The Authorization Resources section will give you everything you need to start getting online authorizations in ProviderConnect. Non-CAQH participating providers: All rights reserved. Carelon | 29,506 followers on LinkedIn. Our credentialing process ensures youre part of a quality network where in-network referrals can be trusted. 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 Submit a new case for prior authorization, or check on an existing one. Please enter your name and email address and we will email you a secured link to access the application to join our network. They make care more affordable. Read how we successfully embedded artificial intelligence into our healthcare business and find tips on using AI solutions for your business from Carelon. Armstrong-Indiana Counties Behavioral Health Resource Guide. Learn how CarelonRx (formerly IngenioRx) was able to mitigate those effects and improve health outcomes. Claims Submission. Be sure to choose option #3 if youd like to join an in-network group or #4 if youre a participating practitioner who has relocated to a new state. We'd love to include you. 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. Currently participating practices:
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