Join the Network

Getting Started In Maryland

Become a participating behavioral health provider for Maryland Medicaid.

Step 1:

  • Create a provider account in ePREP, Maryland Medicaid enrollment and validation system.

Step 2:

Find your Carelon ID number

  • Your Carelon ID number will be emailed, faxed or mailed to your address of record after registering with ePREP.
  • If you are not the primary user, please complete the Account Request Form (ARF).

Step 3:

  • Use your Carelon user ID number to register in ProviderConnect. If you do not have a copy of that information, you can obtain your log-in credentials by calling 1-800-888-1965. Press 1 for English, then 3 for Provider, then 7 for EDI.

Step 4:

Step 5:

  • Once registration in both ProviderConnect and Availity Essentials is complete, create your single sign-on access (SSO) within Availity Essentials. This will link the two systems, so you can login to Availity Essentials directly as your one-stop shop.

Step 6:

Electronic Provider Revalidation and Enrollment Portal (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.  

ePREP Provider Portal

Maryland Medicaid enrollment and validation system

Maryland ePREP forms

All Maryland Medicaid providers must sign the Provider Agreement in ePREP at enrollment and revalidation.

ProviderConnect

Carelon’s Provider Portal

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). ProviderConnect allows you to check claims status, check member eligibility, request inpatient and outpatient authorizations and more.

Register or login:

ProviderConnect

Training resources for ProviderConnect 

Access Carelon tools effectively with our Get Started Guide: a step-by-step resource for setting up your Carelon accounts, accessing authorizations, and claims. 

ProviderConnect User Guide

An overview of ProviderConnect

Authorizations in ProviderConnect

Notice of new access requirement for provider portals

Multi-factor authentication (MFA) setup is now required for provider portal access. All users of ProviderConnect and eServices must register for MFA.  

Please note: User account credentials cannot be shared. If your organization needs additional accounts, please see use the ProviderConnect online services account request form. 

MFA resources:

For questions or assistance with MFA setup, please email us at:
MFA-ProviderSupport@carelon.com. 

Availity Essentials

Availity Essentials (“Availity”) is a secure, self-service, multi-payer space and our preferred choice for: 

  • Direct data entry claim submissions 
  • EDI claims 
  • Checking eligibility and benefits   
  • And more 
Availity Essentials

New to Availity? 

Access Carelon tools effectively with our Get Started Guide: a step-by-step resource for setting up your Carelon accounts, accessing authorizations, and claims. 

Check out the resources below to find training and education resources to get you started. 

Once you are able to login, Availity offers step-by-step instructions and screenshots for anything and everything a provider can do on Availity Essentials. To access:  

  • Login to Availity Essentials.  
  • Select the Help & Training drop down in the top navigation bar.  
  • Select Find Help.  
  • Choose a topic or search using the search bar. 

Non-Medicaid Providers

Coming soon

Gambling Center of Excellence

The Maryland Department of Health (MDH), in collaboration with Carelon Behavioral Health of Maryland and the Center of Excellence on Problem Gambling, have worked to open access for individuals and their loved ones to receive gambling services. 

Effective 2018, Maryland residents now have access to reimbursement for problem gambling services. These services include assessments, individual therapy, and group therapy for individuals with gambling disorders and their loved ones. Residents can receive these services through outpatient community Mental Health and Substance Use Disorder programs or private practitioners. 

Providers

Visit the Gambling Center of Excellence website to join the network as a provider

Participants

Learn more about gambling resources for participants