We are now Carelon Behavioral Health! At Carelon, we know that whole health can be achieved only when the entire system is connected. Administrators can create better customer experiences with streamlined operations. Carelon business CareMore Health prioritizes whole-person health with integrated care. To start the application process, complete ouronline form. 03/10/2023. You must be credentialed and approved before being added to the network. 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. We'd love to include you. User Registration. pc@ccah-alliance.org. 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). To request prior authorization for behavioral health services, call Carelon at 866-444-5155 or visit their website. Click image below to open PDF file: Provider Relations Representative. Carelon Behavioral Health Strategies Members; Carelon Behavioral Health (formerly ValueOptions) Members; Find a Provider; Member Health Tools; Providers. Services. Learn how CarelonRx (formerly IngenioRx) was able to mitigate those effects and improve health outcomes. 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. We strive to provide our members access to the country's best and most accessible behavioral health providers. And individuals can evolve into smarter consumers empowered to make more-informed health decisions. Once youre a part of the Carelon Behavioral Health family of providers, it's time to get connected with us. We are working on updating all documents,but some historic references to Beacon may remain. Read our take on the rising cost of healthcare and the issue of healthcare waste. Connected Care Solutions for Healthcare Challenges Claims Submission. For all applications: Provider inquiries. From this portal you can accomplish things like: Check member real-time eligibility; View Authorizations; Update Provider Demographics; Login below. Adults Children and teens Medication management All rights reserved. Stay up to date on policies and procedures, quality programs, appeals, and credentialing information. Carelon Behavioral Health Referral Card. They make care more affordable. 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. The limitless possibilities of Carelon Digital Platforms. Search for an in-person provider near you and/or telehealth providers for patients of all ages. And finally, the Other Resources section will help you answer some of our most popular clinical, claims, and training questions. If youre a provider joining a group with a participation agreement, you will not receive a contract directly. Choose from the options below to get connected. All rights reserved. The platform that connects individuals to care resources for their physical, behavioral, and social needs. Find Carelon's perspective on problems and solutions here. Please use your existing eServices or ProviderConnect credentials . Drug lists, clinical programs, and specialty pharmacy solutions supported by robust clinical expertise. Carelons chief growth officer, John Hastings, explores innovative approaches to solving health plans most pressing issues. 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. There are five steps to joining our network. Be among the first to get our insights and announcements. 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. ProviderConnect Information and Resources Login Demo In the Spotlight Order Free At-Home COVID-19 Test Kits Achieve Solutions Medical Assistance Transportation Program Information (including methadone mileage reimbursement protocols and exception process) Check back periodically for updates on this page. 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 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. Our credentialing process fully complies with national accreditation standards and applicable state and federal laws, rules, and regulations. Behavioral health is whole-person health If you have questions about security or another issue, please call eSupport Services at 888-247-9311 or email us at e-supportservices@valueoptions.com. Explore how we make connections, think bigger, and share our ideas to build a better healthcare system. We are VeriSign http://www.verisign.com/ certified and all patient and claims information remains confidential. 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 If you meet the eligibility requirements to join our network, you'll receive a welcome letter with your network effective date. Welcome to the Carelon Behavioral Health of California, Inc. network of participating providers. At Carelon, we believe in the power of collaboration. 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. v6.13.00, Return to Join our network. Contact us. Search for an in-person provider near you and/or telehealth providers for patients of all ages. Report fraud and abuse. Medical and pharmacy drug spend has been on the rise. Login. Search for Telehealth Providers and Text/Chat Therapy for Counseling and Medication Evaluation & Management with Talkspace for patients ages 13+. 800-700-3874. ext. To learn more about outpatient mental health services covered by GCHP, call Carelon Behavioral Health at 1.855.765.9702. Carelon Behavioral Health Home | Return to Provider Home | Contact Us | Privacy Statement | Terms and Conditions, Return to 1-877-55-CTBHP 1-877-552-8247 TTY: Dial 711. 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. Welcome to the Carelon Behavioral Health of California, Inc. network of participating providers. Please send all questions related to BHSD Data Collection to: Today we are Carelon Behavioral Health. Log Into ProviderConnectProvider Events & TrainingsEnrollment & Claims Questions. Required fields are denoted by an asterisk ( ) adjacent to the label. Where there is conflict between Carelon Behavioral Health requirements and Knox-Keene regulations, the Carelon Behavioral Health of California policies and procedures and handbook will reflect the Knox-Keene regulations for Carelon Behavioral Health of California business, if more stringent. Carelon Behavioral Health' eProvider is our Web-based provider information and claims tracking service. In King County, only WISe contracted providers will be required to submit data for WISe members to Carelon Behavioral Health. Learn how Carelon takes a whole health approach to addressing physical, social, and behavioral health, providing effective care for high-needs patients. At Carelon, we believe in insights-driven health outcomes. @2023 Carelon Behavioral Health. 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. Once we've received your signed contract, youll need to get credentialed. Clinical guidelines and pathways. To eliminate the need to submit multiple credentialing applications, we participate in the CAQH. Discover the benefits of strategically integrated home health services and the future of home healthcare costs from myNEXUS, now part of Carelon Insights. Understand how Carelon Research uses machine learning, predictive modeling, and real-world evidence to inform healthcare and precision medicine. Connected care comes in many forms. If you use a TTY, call 1.800.735.2929. Armstrong-Indiana Counties Behavioral Health Resource Guide. What do I need to do 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. 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. Read case studies that show how innovative tools and digital healthcare solutions from CarelonRx improve member and provider experiences. And one that sees the opportunities to empower the entire healthcare ecosystem so that value-based care is easier to deliver than ever before. New provider: Register for upcoming webinars and use the archive to access past trainings. 5504. Resources to support the successful collection of BHSD Data will be kept up to date on this site. Intensive Behavioral Health Services (IBHS) . Topics range from administrative processes to todays most pressing behavioral health issues. Beaver County Behavioral Health Resource Guide. Get the latest on network information, training opportunities, regulatory updates, clinical highlights, reminders, and more. ProviderConnect is easy to use, secure, and available 24/7. Then select from the list that will appear. Pragmatic trials play a significant role in outcomes research and life science product development. Copyright 2023 Carelon. Copyright 2023 Carelon. Practice Coaching. Please return the completed form, including the Terms and Conditions, via fax to 888-643-4396. Calls related to outpatient mental health services can be connected to Carelon Behavioral Health at (855) 765-9703. To find an in-network provider, please enter the first three letters of the name of your health plan or your employer. Please review the form, sign and return the signed copy to WABHSD@carelon.com. Explore the changing healthcare landscape and Carelon's perspective on the benefits of implementing digital health solutions for whole-person care. Read about Carelon Research findings that link the usage of the medication topiramate during pregnancy to cleft palate birth defects. 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. Watch how Carelon's CareMore Health company is bettering the future of healthcare with individualized treatment and access to resources. Clinical Operations - Quality Management - Provider Services - Member Services www.ctbhp.com. No matter the example, we know exceptional experiences happen when the healthcare system is connected. 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.