Behavioral Health Contacts – Carelon Health of PA

ATTENTION PROVIDERS: The contact information below is for Pennsylvania Medicaid Behavioral health only. Please refer to the information on the back of the member’s insurance card for contact information if outside of Pennsylvania Medicaid Behavioral Health.

Carelon’s Quality Management and Medical Affairs staffs are based at the Pennsylvania Engagement Center and operate under the tenets of the Quality Management Program. The Management Information Systems (MIS) staff is housed here as well and is primarily responsible for all internal and external reporting deliverables. Finally, Carelon’s management, senior management, and financial staff are all located in the Pennsylvania Engagement Center.

Provider Relations Staff | Fax Numbers | Member Toll-Free Numbers

  • Address: P.O. Box 1840, Cranberry Township, PA 16066-1840
  • Provider Toll Free Number (Behavioral Health Only): 877-615-8503
  • Out of Network Providers, please call the Provider Service Line to initiate the process: 877-615-8503
  • Eligibility Verification System (EVS): 800-766-5387
  • Carelon Behavioral Health Web Site Address: www.carelonbehavioralhealth.com
  • E-Support (EDI) Help Line: 888-247-9311 or
    eServices@carelon.com
  • Automated Fax Back Service for Provider Summary Vouchers:
    866-409-5958
  • PaySpan Health Customer Service Support Phone Number:
    877-331-7154
  • Availity Client Services:
    1-800-282-4548 between the hours of 8:00 a.m. and 8:00 p.m. EST, Monday through Friday. 

Member Toll-Free Numbers

Member County Toll-Free Numbers — Members only, please

If you do not speak English, please call your County’s toll-free member line and staff will be able to assist you.

County Phone number
Armstrong 877-688-5969
Beaver 877-688-5970
Butler 877-688-5971
Crawford 866-404-4561
Fayette 877-688-5972
Indiana 877-688-5969
Lawrence 877-688-5975
Mercer 866-404-4561
Venango 866-404-4561
Washington 877-688-5976
Westmoreland 877-688-5977
PA Relay 711

Fax Numbers

Behavioral Health Fax Numbers by Department

Department Fax Number
Behavioral Health, Pennsylvania Medicaid – Beaver Office 855-589-1258
Behavioral Health, Pennsylvania Medicaid – Clinical – SCA 855-439-2446
Behavioral Health, Pennsylvania Medicaid – Crawford Office 855-589-1259
Behavioral Health, Pennsylvania Medicaid – Customer Service 855-439-2443
Behavioral Health, Pennsylvania Medicaid – Family Based 855-439-2442
Behavioral Health, Pennsylvania Medicaid – Mercer Office 855-439-2448
Behavioral Health, Pennsylvania Medicaid – Network Operations 855-541-5211
Behavioral Health, Pennsylvania Medicaid – Outpatient Authorizations 855-439-2444
Behavioral Health, Pennsylvania Medicaid – Peer Office/Grievances 855-439-2445
Behavioral Health, Pennsylvania Medicaid – Provider Relations 855-541-5211
Behavioral Health, Pennsylvania Medicaid – Quality Management 855-287-8491
Behavioral Health, Pennsylvania Medicaid – Venango Office 855-589-1260