Welcome to the behavioral health provider homepage
On this page, you will find a wealth of information developed specifically for behavioral health providers serving the Medicaid population of Maryland.
ePREP
ePREP: The state of Maryland has implemented the Electronic Provider Revalidation and Enrollment Portal (ePREP). This resource enables online provider enrollment, re-enrollment, revalidation, information updates, and demographic changes. Visit Maryland Medicaid’s ePREP portal to create a user profile or login to an existing account. After enrollment at Maryland Medicaid, register with Carelon using ProviderConnect.
Availity
Availity Essentials: Availity Essentials is a secure, one-stop, self-service, multi-payer space and our preferred choice for direct data entry claim submissions, checking eligibility and benefits, and more.
ProviderConnect
ProviderConnect: ProviderConnect is Carelon’s secure, password-protected portal where participating providers conduct certain online activities directly with Carelon 24 hours a day, seven days a week (excluding scheduled maintenance and unforeseen systems issues). The portal allows you to check claims status, check member eligibility, request inpatient and outpatient authorizations and more.
Provider Manual
Provider Manual: The Provider Manual is where you will find important information about the services offered in the Maryland Public Behavioral Health System (PBHS).
Provider quick links
Provider Communications
Stay in the know with all Carelon and Maryland Department of Health updates, important provider policy changes, news and events, and more.
Provider Resources
Stay informed, equipped, and connected, ensuring you can deliver the highest quality care to your patients.
Training and Education
Ongoing training is available to help familiarize providers with the Carelon Behavioral Health and Maryland Medicaid systems and processes.
Frequently Asked Questions (FAQ)
Find answers to your most pressing questions related to claims, authorizations, billing, and more.
Medical Necessity Criteria
Review the guidelines that determine whether a health care service is appropriate for a patient.
Authorization Parameters
Ensure the proper parameters are met for participant behavioral health services
In addition to this website, you can also find important resources and information at the following websites: