Anthem

Carelon Post-Acute Care | Wound Program

Carelon Medical Benefits Management is proud to announce its partnership with Anthem, Inc. for the Wound Care Connect program. Please find important announcements, documents, and forms listed below.

Clinical training materials

As a valued Wound Care Connect partner, you have exclusive access to our self-paced, evidence-based, wound education content. These modules are tailored to the unique roles of our Wound Care partners and provide free CEs for RNs and LPNs. To access our proprietary trainings, click HERE. For password information, reach out to your administrator or email woundcareconnect@carelon.com.

If you are interested in learning more about our Wound Care Connect program and the supporting clinical education available, please email woundcareconnect@carelon.com.

Program materials

Notice: The notice regarding the change to the Wound Care Connect WTA Training Program that was mailed to providers is available here.

Training materials: FAQs, program training slides, and a Quick Reference Guide for Wound Care Connect are available once logged into the provider portal. The provider portal can be found online here.

Portal registration training: Access our training video here to learn how to register for the provider portal.

Fax confirmation form: Online Form providers use to confirm their fax numbers for authorization requests.

Provider information updates

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.

Contact us

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.