Arkansas Blue Cross and Blue Shield knows Medical Oncology is a vital area of medicine for our members who are facing or have experienced a cancer diagnosis. That’s why we are collaborating with Carelon Medical Benefits Management.
Important note: The Carelon Medical Oncology program applies to all Arkansas Blue Cross and Health Advantage members and some (but not all) members of self-funded health plans served by BlueAdvantage Administrators of Arkansas. To identify an included member, just look on the member’s health insurance ID card.
Effective August 1, 2021, oncology providers will use the Carelon Medical Oncology Program for our members who are undergoing cancer treatment.
Carelon programs seek to support clinicians by highlighting evidence-based, high-value care and clinical best practices. Our shared goal is to ensure that our members receive care that is both effective and safe.
Medical oncology program
This new program is a pre-service review program that requires healthcare providers to request prior authorization for therapeutic and supportive medical oncology drugs. It also enables the review of cancer treatment regimens against evidence-based, optimal cancer treatment regimens, while simultaneously ensuring prescribed regimens are aligned with Arkansas Blue Cross and Blue Shield coverage criteria.
* Participating providers in Arkansas, California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia or Wisconsin may be eligible for enhanced reimbursement.
Visit the resources page to access Pathways details, a step-by-step tutorial, FAQs, and other resources to support your participation.
Carelon Cancer Treatment Pathways Worksheets
Our worksheets can help you gather the patient clinical information you’ll need to enter your order request in the Carelon provider portal.
Carelon Cancer Treatment Pathways Clinical Details