Carelon Medical Benefits Management is proud to announce its partnership with Anthem, Inc. for the CHAPP program. The CHAPP program is a comprehensive preventive care program designed to improve member experience and health outcomes through the provision of targeted health screenings and personalized preventive care coordination.
Carelon partners with Home Health Agencies to provide CHAPP program services in a member’s home during authorized home health visits.
Please find important announcements, documents, and forms listed below.
Training materials: Access to our self-paced provider training course and job aids for CHAPP program are available once logged into the provider portal. The provider portal can be found online here or visit the Portal login page of this site.
Training link: https://rise.articulate.com/share/SVGa06rmfIQv2bcDhobSrTO_WGLc6JYi
Please note: A password is needed to access the provider training course. If you do not have the access code, please contact: HHprovider_relations@carelon.com .
Fax confirmation form: Online Form providers use to confirm their fax numbers for authorization requests.
If you are an existing Carelon Participating Provider and need to update any of your Provider Information (i.e. NPI, address, or phone), please submit the Provider change form found below.
Provider change form: Online form providers use to update information.
Carelon utilizes CMS National and Local Coverage Determinations (NCD and LCD’s) when applicable, or Anthem medical policies and clinical Utilization Management guidelines to facilitate the appropriate evaluation of medical necessity by including assessment of the member throughout the continuum of care. A synopsis of the criteria is available to Providers and Members on request and free of charge by calling Carelon at 844-411-9622 or by email.
Please contact the Carelon provider network team with any questions by email or:
Phone: 844-411-9622
Fax: 844-834-2908
An individual shall not be excluded from participation in, be denied the benefits of, or be subjected to discrimination on the grounds prohibited under Title VI of the Civil Rights Act of 1964, 42 USC § 2000d et seq. – PDF (race, color, national origin, sex, age, sexual orientation, gender identity, and disability), Title IX of the Education Amendments of 1972, 20 USC § 1681 et seq. – PDF (sex), the Age Discrimination Act of 1975, 42 USC § 6101 et seq. (age), or Section 504 of the Rehabilitation Act of 1973, 29 USC § 794 – PDF (disability), under any health program or activity, any part of which is receiving Federal financial assistance, or under any program or activity that is administered by an Executive Agency or any entity established under Title I of the Affordable Care Act or its amendments. OCR has enforcement authority with respect to health programs and activities that receive Federal financial assistance from the Department of Health and Human Services (HHS) or are administered by HHS or any entity established under Title I of the Affordable Care Act or its amendments. Carelon Post Acute Solutions employs industry standard information security systems including, but not limited to: Unified Threat Management (UTM), Vulnerability Threat Management (VTM), Data Loss Prevention (DLP), and Security Information and Event Management (SIEM), Email Encryption, and Secure Sockets Layer (SSL) certificates. Inquiries regarding Carelon’ information security and privacy policies, procedures or activities may be directed to the Privacy Team through email.
Contact Portal Support: For support on creating an account, account validation,
issues logging in, and password resets.
Please submit this form: click here.