Carelon Medical Benefits Management is excited to announce the partnership with Cambia Health Solutions, LLC for management of home health services for Medicare Advantage members in the states of Idaho, Oregon, Utah, and Washington effective January 1st, 2024.
Please find important announcements, documents, and forms listed below for each of these delegations:
Notice: The notice regarding the 30-day authorization initiative is available here.
Trainings: Trainings on this process will be available on or after April 18, 2025. Carelon will email blast all provider portal users once the training link is available.
Contact:
Email us with questions related to this delegation.
Please complete the “Agency Information Form” if your agency’s information needs to be added to the Carelon system after 1/1/24. The form is found online here.
In-scope plans:
In-Scope Plan List: The list of in-scope Cambia plans for the Carelon delegation.
Authorization requests:
Carelon provider portal: Carelon encourages providers to utilize the online provider portal to submit authorization requests. The provider portal can be found online here.
Initial authorization request form: Fax form to use for initial authorization requests if needed.
Re-authorization request form: Fax form to use for re-authorization requests if needed.
Fax confirmation form: Online Form providers use to confirm their fax numbers for authorization requests.
Contact Portal Support: For support on creating an account, account validation,
issues logging in, and password resets.
Please submit this form: click here.