COVID-19 / Providers (Archived)

PRIOR AUTHORIZATION DURING THE COVID-19 DISASTER EMERGENCY DECLARATION PERIOD

ALTERNATIVE PAYMENT ARRANGEMENTS UNDER COVID-19

Carelon and our primary contractors continue to work with providers who qualified for COVID-19 alternative payment arrangements (APAs) to allow providers to restructure services in a way that maintains consistency of services for members during this emergency declaration. Along with OMHSAS and our partners, Carelon frequently assesses the situation and the emergency declaration guidelines. Carelon will continue to monitor providers’ financial needs and will notify qualified providers as appropriate and throughout the emergency declaration.

Coronavirus (COVID-19)

Carelon is actively monitoring the COVID-19 (coronavirus) pandemic along with all recommendations from the CDC and state and local public health officials. The safety of our members, providers and employees is our primary concern. As such we have taken measures to ensure business continuity during this time.

Carelon hosts regular meetings with all of our in-network providers to discuss issues as they emerge during the COVID 19 crisis. We will continue this and other gatherings as long as is necessary. We are looking to hear your experiences, needs, barriers, as well as sharing what our interventions and strategies are to support our providers and members during this time from Carelon and primary contractors. If you have not already received an invitation, please contact your Provider Field Coordinator and ask for the link to join the meeting. To ensure your email is a part of our distribution list for all electronic communications and invitations going forward, please join our mailing list to receive the latest updates, including our monthly provider newsletter, ValueAdded.

Carelon wants to provide you with information on local resources, give you tips and answer some common questions. These resources may be helpful to you.

Keep Kids Safe – Child Abuse Hotline 
1-800-932-0313   TTY 1-866-872-1677

PA Child Welfare Information Solution
1-800-932-0313   TTY 1-866-872-1677

National Domestic Violence Hotline 
1-800-799-7233    TTY 1-800-787-3224

PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES

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PENNSYLVANIA DEPARTMENT OF HEALTH

CARELON OF PENNSYLVANIA CORRESPONDENCE

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CARELON INFORMATION

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  • Psych Hub COVID-19 Mental Health Resources – Carelon has collaborated with Psych Hub, mental health advocates and others to develop a free digital resource site to help individuals and care providers address behavioral health needs resulting from the COVID-19 pandemic

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA)

NATIONAL COUNCIL FOR BEHAVIORAL HEALTH (BH) 

DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS

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DRUG ENFORCEMENT ADMINISTRATION

U.S. ATTORNEY’S OFFICE OF WESTERN DISTRICT OF PENNSYLVANIA

CARELON APPRECIATES YOU!

Carelon recognizes the hard work our providers have given for extraordinary work in these trying times. Below are photos and videos showing your experiences and how you’ve continued to persevere through this pandemic with all its challenges. If you or your organization would like to be included in a photo essay telling the story of COVID-19 from a provider perspective, please send your photo(s)/videos to lisa.ciccarelli@carelon.com. Include your name/organization as the submitter and briefly describe the photo. Please do not include photos of the persons you are serving so that we may be respectful of their confidentiality. We look forward to seeing your submissions and celebrating all that you do!