This communication applies to Commercial, Medicaid, and Medicare Advantage plans from Empire.

 

In March 2020, the parent company of Empire completed its acquisition of Carelon Behavioral Health, Inc (formerly Beacon Health Options, Inc.*). As part of Carelon’s integration, the current Empire behavioral health provider network is being merged into the Carelon provider network. After the provider networks merge, Empire will contract with Carelon to access behavioral health providers in Empire’s service areas. As a result of the integration, impacted behavioral health providers will receive a formal notification in the mail indicating that Empire is assigning their provider agreement in whole to Carelon.

 

There will not be any changes to rates, clinical, or claims processes with Empire. When serving as a participating provider, you will continue to be eligible to provide healthcare services to Empire members who have Commercial, Medicare Advantage, and Medicaid plans, as applicable to your provider agreement(s) with Empire.

 

To assist with inquiries pertaining to the integration and assignment of provider agreements to Carelon, we will be hosting two webinars on April 13, 2023, and April 20, 2023. Please register using the links below:

 

At a later date, impacted behavioral health providers will receive a subsequent communication from Carelon notifying you of the terms and conditions applicable to your participation in the Carelon network.

 

If you have questions in the interim, please contact your network representative or email us at Empire-Beacon-Inquiries@empireblue.com.


* Carelon Behavioral Health is an independent company providing behavioral health services on behalf of Empire BlueCross BlueShield.


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Featured In:
March 2023 Empire Provider News