As a provider, you are accountable for the information in this alert and when applicable, it will be incorporated into the Carelon Health of Pennsylvania Provider Manual.
2024 Provider Alerts
- PA 10.24.10 Annual Provider Education Webinars 2024
- PA 09.24.10 Reminder to Notify Carelon Health of Pennsylvania
- PA 08.24.08 OMHSAS Resource Guide for National Suicide Prevention Month
- PA 07.24.08 A Carelon of PA Message to Fiscal Officers About Member Eligibility
- PA 06.24.07 Carelon Health of Pennsylvania Update to Timely Filing Waiver Request Information
- PA 05.24.07 Carelon Health of PA Now Has a Separate Payer Space in the Availity Provider Portal
- PA 04.24.05 Carelon Health of PA’s Language Assistance Accommodation and Expectations
- PA 03.24.05 Carelon Reminder to Screen Employees
- PA 02.24.05 Memorial Day Check Run Schedule
- PA 01.24.01 Discontinuation of Performance Outcome Management System
2023 Provider Alerts
- PA 18.23.10 Continuing Use of American Society of Addiction Medicine Criteria, Third Edition
- PA 17.23.09 Reminder: Retro-Authorizations Process and Policy
- PA 16.23.07 ASAM Level of Care Assessments: Who is Qualified to Conduct a Level of Case Assessment
- PA 15.23.07 Is Your Information Accurate? Please Review Your Provider Portal for Our Members
- PA 14.23.06 Return to Authorization ASAM 3.7 3.5 and 3.1
- PA 13.23.05 OHMSAS Bulletin: Confidentiality of Records Changes and Aligning with HIPAA Act of 1996
- PA 12.23.05 Office of Mental health and Substance Abuse Services Announcement: Interim Telehealth Guidance
- PA 11.23.05 Department of Drug and Alcohol Programs Reminder: Regulatory Suspensions and End of the Public Health Emergency
- PA 10.23.05 Office of Mental Health and Substance Abuse Services Announcement: Notification of HIPAA Enforcement
- PA 9.23.05 Updated Timely Filing Waiver Request Process
- PA 8.23.04 Prohibition of Billing while Operating a Motor Vehicle
- PA 7.23.04 Return to Authorizations
- PA 6.23.03 Provider Billing Update
- PA 5.23.02 Beacon Health Options is becoming Carelon Behavioral Health
- PA 3.23.01 Office of Mental Health and Substance Abuse Services Announcement – Bulletin Suspension Information
- PA 2.23.01 COVID-19 Reporting Update
- PA 1.23.01 Invitation to Providers to Attend Webinar: Using Availity Essentials
- PA 4.23.02 Availity Essentials Resources
2022 Provider Alerts
- PA 9.22.12 Access, Availability and Health Equity Survey
- PA 8.22.12 Prior Authorization Requirements Update Effective September 1, 2022
- PA 7.22.11 Department of Drug and Alcohol Programs Confidentiality Guidance
- PA 6.22.11 Office of Mental Health and Substance Abuse Services Update
- PA 5.22.08 Monkeypox: Important Info for Providers
- PA 4.22.07 Authorization Parameters and KidNet for IBHS Providers
- PA 3.22.06 Language Assistance Program
- PA 2.22.03 Temporarily Waiving the Timely Filing Requirement
- PA 1.22.02 Prior Authorization Suspension Ending March 31, 2022
2021 Provider Alerts
- PA 11.21.11 Carelon COVID-19 Guidelines Update for November 2021
- PA 10.21.11 Medical Evaluation of Psychiatric and Substance Use Disorder Patients
- PA 9.21.11 Carelon Updated Fax Process
- PA 8.21.9 Use of Valproic Acid in Women and Girls of Childbearing Potential
- PA 7.21.9 Carelon Updated Timely Filing Waiver Request Process
- PA 6.21.9 Carelon COVID-19 Guidelines: Update at 18 Months
- PA 5.21.7 Carelon Expectations for Safe Discharge from Residential Care Settings
- PA 4.21.2 Carelon Expectations for ASAM Service Alignment
- PA 3.20.8 COVID-19 Guidelines in Ambulatory and Community-Based Care Settings
- PA 1.20.7 COVID-19 Guidelines in Congregate Care Settings
- PA 1.21.1 CPT Coding Change for Evaluation and Management
2020 Provider Alerts
- PA 6.20.12 Reimbursement for Licensed Practitioners
- PA 5.20.11 Opioid Treatment Programs and Dual Eligible Members
- PA 4.20.9 COVID-19 Reporting Tool for All Carelon In-Network Providers
- PA 2.20.8 15-Minute Codes Added for Mental Health Partial Hospitalization
2019 Provider Alerts
- PA 9.19.12 Interpreter Services
- PA 8.19.10 Methadone Guest Dosing
- PA 7.19.10 Updated Outpatient Authorization Requirements
- PA 5.19.6 ACT 62 Process Change
- PA 4.19.6 Attending Taxonomy Code Revised
- PA 3.19.5 Guidelines for the Treatment of Opioid Use Disorders
- PA 2.19.6 Role of the Medical Director at Residential Treatment Facilities
2018 Provider Alerts
- PA 3.18.9 ORP Updated Billing Instructions
- PA 2.18.8 Ordering, Referring and Prescribing
- PA 1.18.6 Retro-Authorization Policy Reinforced
2017 Provider Alerts
- PA 4.17.8 TSS Prescription Schedule Initiative Modification
- PA 3.17.3 Place of Service Codes Are Being Updated
- PA 2.17.2 Paper Claims Submission Standards
- PA 1.17.2 Guidelines for the Approval of Telepsych Services in HealthChoices
2016 Provider Alerts
- PA 4.16.11 ICD-10 Coding Reminder
- PA 3.16.10 ICD-10 Updates
- PA 2.16.9 PROMISe Re-Enrollment/Revalidation
- PA 1.16.3 Provider Payment Suspensions Based on Credible Allegations of Fraud
2015 Provider Alerts
- PA 6.15.12 ICD-10 and Authorizations
- PA 5.15.12 Re-Enroll/Revalidate All Medical Assistance Programs Before the End of 2015
- PA 4.15.9 Authorizations and ICD-10 Coding Reminder
- PA 3.15.6 Place of Service Codes Reminder
- PA 1.15.4 Requesting Retro Authorizations for Members Moving from Private Care Option to HealthChoices
2014 Provider Alerts
- PA 10.14.12 Submitting Authorizations Electronically
- PA 9.14.10 Credentialing and Recredentialing – CAQH
- PA 8.14.8 E-Commerce Requirements.
- PA 7.14.7 DSM-5 Screens in ProviderConnect
- PA 6.14.4 Requests for Authorizations and Retro-Authorizations
- PA 5.14.2 ICD-10 Claims Process Rules
- PA 4.14.2 Payment for Diagnostic Laboratory Services in Outpatient Drug & Alcohol Clinics
- PA 3.14.2 Service Authorization Requirements
- PA 2.14.1 Family Based Providers – Units for Travel
- PA 1.14.1 Updated CMS-1500 Form