Thank you for your interest in joining the Carelon Behavioral Health’s Provider Network.
As the Administrative Service Organization for Northeast Health Partners RAE (Region 2) joining the Carelon Behavioral Health network will allow you to serve Health First Colorado Members throughout the region.
Carelon Behavioral Health does not discriminate against particular providers for the participation, reimbursement, or indemnification of any provider who is acting within the scope of their license or certification under applicable State law, solely on the basis of that license or certification. Carelon Behavioral Health does not discriminate against particular providers that serve high-risk populations or specialize in conditions that require costly treatment. Should a particular provider be declined to participate in the network, they will receive a written notice of the reason for the decision.
Thank you for your interest in becoming a behavioral health provider with Carelon Behavioral Health.
Carelon Behavioral Health credentials individual practitioners and facilities. Groups must have a valid OBH license to be credentialed as a facility; otherwise we will credential individual practitioners within your group. Please send us the following information for each practitioner and facility that would like to be credentialed with us.
如果您是一家工厂,请向我们发送以上列出的信息以及您的提供商名单。
我们将审核您的信息,并与您联系并进行下一步。
Thank you for your interest in becoming a PCP with Carelon Behavioral Health.
我们向满足所有要求的医疗服务提供者提供合同,以在ACC计划中为Medicaid会员提供初级护理提供者和医疗之家的服务,其中包括:
- 成为科罗拉多州医疗补助计划的提供者
- 可以是:
- 由国家认证为医疗补助和CHP +儿童医疗之家计划的提供者
- 个人医生,高级执业护士或助理医师,重点关注初级保健,全科医学,内科医学,家庭医学,儿科,老年医学或妇产科,或者是合格的CMHC或HIV /传染病医生或
- 具有联邦资格的卫生中心(FQHC)或农村卫生诊所(RHC)
- 被科罗拉多州护理医学委员会许可为MD,DO或NP提供者,可以在科罗拉多州执业;
- 充当会员专用的初级保健来源,并能够提供会员的大部分全面的初级,预防和疾病医疗服务;和
- 展示对国家修订的中间房屋模型以下原则的承诺。
为了进行考虑,请向我们发送以下与我们签订合同的PCP信息:
- PCP名称
- NPI#
- 税号
- 每个服务位置的医疗补助提供者位置ID(又称帐单ID)
- 联络点
- 姓名,电话号码和电子邮件地址
- 其他联络点(如果适用)
您可以通过电子邮件发送 coproviderrelations@carelon.com 要么
fax 719-538-1433.