Behavioral Health

How to Get Credentialed with Carelon Behavioral Health in Minnesota

Network: Open
30-60 Days CAQH Required

Quick Overview

Timeline

30 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Minnesota-Specific Requirements

Carelon Behavioral Health (Elevance Health (Anthem)). Apply via carelonbehavioralhealth.com provider portal. Carelon credentialing. CAQH ProView may be used. Processing 45-90 days. Accepted BH license types in MN: LPCC, LICSW, LMFT, LP (Licensed Psychologist), MD/DO (Board Certified), PMHNP. State licensing board: Minnesota Board of Behavioral Health and Therapy. Active state license and NPI required. MN uses LPCC (Licensed Professional Clinical Counselor) and LICSW (Licensed Independent Clinical Social Worker). Board of Behavioral Health and Therapy licenses counselors, MFTs, and alcohol/drug counselors. Formerly Beacon Health Options. Manages BH for Anthem/BCBS plans and state Medicaid programs.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Minnesota.

2

Complete Your CAQH ProView Profile

Carelon Behavioral Health requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Carelon Behavioral Health.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified in psychiatry or behavioral health specialty

CV/Resume

5-year work history minimum

DEA License

Conditional

Required if prescribing controlled substances (psychiatrists, APRNs)

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active state license (MD, DO, PhD, PsyD, LCSW, LPC, etc.)

NPI Certificate

Active NPI number required

Enrollment Forms

Carelon Behavioral Health Provider Application

Provider application for Carelon Behavioral Health (formerly Beacon Health Options) network.

Required
Online Open →

Contact Information

Carelon BH Credentialing

National

1-800-397-1630

Carelon BH General

National

1-800-397-1630

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