Behavioral Health Providers

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: 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 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 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: The Provider Manual is where you will find important information about the services offered in the Maryland Public Behavioral Health System (PBHS).
Provider Alerts and Bulletins: Carelon emails Provider Alerts to announce important information, such as changes within the PBHS, Maryland Department of Health (MDH) announcements, and important regulatory guidance. Weekly Bulletins are also distributed as a summary round-up of the most recent updates.

Provider quick links

Provider Alerts

Stay in the know with all 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: