Join our network

Thank you for your interest in joining the Carelon network.

Applicants interested in joining Carelon’s Network may submit a request to join. Submitting your information and the required documentation does not guarantee inclusion in Carelon’s Network(s).

California Providers: If you wish to be considered for enrollment in Medi-Cal, you will be required to submit a Medicaid ID or proof of application through DHCS Provider Application and Validation for Enrollment (PAVE).

If you are currently an out of network provider with a member needing care, please refer to our OON guide  for processing.

New provider:

To start the process for a request to join the network, complete our online form . Under Provider Type, be sure to choose option #1 if you are a solo practitioner or #2 if you’re applying for a group practice.

New large, multi-state or national provider groups:

Large, multi-state or national provider groups seeking to join our network are required to complete our network request form . This form is applicable to organizations with a minimum of 100 affiliated providers operating across at least two consecutive states. The completed form and associated documents should be submitted via email to NationalContracting@carelon.com. Please note that inquiries regarding credentialing or contracting status will not be addressed through this mailbox.

New facility: 

Request to join the network as a new facility by completing our Request to join the network . Please return the completed form, including the Terms and Conditions, via email to bh_incoming_agreements@carelon.com

Currently participating practices:

If you’re a participating practice and would like to add a new provider, complete our online form . Be sure to choose option #3 if you’d like to join an in-network group or #4 if you’re a participating practitioner who has relocated to a new state.

For all request to join the network:

Incomplete, incorrect, or illegible forms may delay or prevent proper processing. 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. 

New provider: 

Once you've completed and submitted your request for participation, and we’ve confirmed you meet eligibility requirements, we’ll send the contract through our secure application to the email you used to register.

Please review and sign your contract.

New facility: 

Once you've completed and submitted your request for participation, and we’ve confirmed you meet eligibility requirements, one of our contract associates will contact you. 

Currently participating practices: 

If you’re a provider joining a group with a participation agreement, you will not receive a contract directly. Instead, you'll be added to the existing agreement once you've been approved for credentialing.

Our credentialing process fully complies with national accreditation standards and applicable state and federal laws, rules, and regulations. Our credentialing process ensures you’re part of a quality network where in-network referrals can be trusted.

You must be credentialed and approved before being added to the network. 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.

Council for Affordable Quality Healthcare (CAQH) participating providers: 

To eliminate the need to submit multiple credentialing applications, we participate in the CAQH. 

If you’re 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. If you’re not registered with CAQH, visit CAQH.org  to set up an account and complete an application. 

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.

Non-CAQH participating providers: 

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. 

Facility:

Contact our National Provider Services Line at 800-397-1630 for further instruction or to check the status of your credentialing request.  

Please note that you must be approved through the credentialing process and obtain a countersigned contract before seeing patients as an approved network provider. 

To check your status, please use the secure link provided in the email you received during enrollment.

Throughout the credentialing process, practitioners have the following rights:

1. To Review information submitted to support their credentialing application. The organization is not required to make available, references, recommendations or peer to peer protected information.
2. The right to correct erroneous information. Please refer to the provider manual upon approval to join the network for further information. When information is received by a third party that conflicts with the information submitted by the provider. The discrepancy must be correct in writing within seven (7) calendar days of notification and submit any corrections directly to the credentialing staff’s attention. 
3. The right to receive the status of your application, upon request. Please contact Provider Relations for information on the process for viewing practitioner credentialing and re-credentialing files or for information on status of a credentialing or re-credentialing application.

If you meet the eligibility requirements to join our network, you'll receive a welcome letter with your network effective date.

Once you’re a part of the Carelon Behavioral Health family of providers, it's time to get connected with us. We strongly encourage you to use all available electronic options to help ensure the timeliness, accuracy, and security of claims-related information. You'll also find ways to stay connected by subscribing to our Provider Newsletter .