Provider resources

Supporting your success with informational resources, trainings, policies, and procedures

The strength and depth of our provider network is key to our mutual success. We support providers by offering a handbook, a primary care provider (PCP) toolkit, and web-based trainings, along other resources and materials.

Our provider resources are grouped into three categories: provider support, quality control and compliance, and forms. 

Provider Support

Provider portal

The provider portal offers access to information pertinent to your profile, including claims, eligibility, benefits, and much more. A unique login is required to access this tool.

Log in to the provider portal

Provider handbook

The provider handbook outlines our standard policies and procedures for individual providers, affiliates, group practices, programs, and facilities.

Access the provider handbook

Provider toolkit

Access the provider toolkit for guidelines, screening tools, medication information, and member materials needed for behavioral health treatments.

Access the toolkit

Provider newsletter

Our provider newsletter includes timely articles, training opportunities, regulatory updates, clinical highlights, and more.

Access the newsletter


Trainings cover a variety of topics ranging from claim submission guidelines and provider portal support to behavioral health in youth and motivational interviewing.

Access our trainings

Achieve Solutions

This trusted behavioral health and wellness website provides a multitude of educational materials you can share with your patients.

Access the Achieve Solutions website

Quality Control and Compliance

Quality improvement

These quality improvement resources will help you comply with our requirements as well as state and federal regulations.

Access quality improvement resources


The provider handbook outlines our standard policies and procedures for individual providers, affiliates, group practices, programs, and facilities.

Access telehealth resources

Compliance information

Refer to the many resources that will help you remain compliant with all local, state, and federal regulations.

Access compliance information

Medical necessity criteria

Reviewed and updated annually, our medical necessity criteria reflect the latest developments in serving individuals with behavioral health diagnoses.

Access medical necessity criteria

Clinical practice guidelines

Browse clinical practice guidelines and resources regarding patient-first practices and outcomes.


Access clinical practice guidelines


Forms, guides, and resources

Find all the forms, guides, tools, and other resources you need to support the day-to-day needs of your patients and office.

Browse forms, guides, and resources

Request a change


Keep your data up to date to ensure your profile and our directories are accurate, and that claims, payments, and other requests are processed on time.

Access the request change page



Payspan offers healthcare reimbursement and payment systems that are secure, efficient, and cost-effective choices for providers and payers.

Access Payspan

Questions? We're here to help.

Whether you have a question or are interested in learning more about how we can best support you, please call our National Provider Services Line at 800-397-1630, Monday to Friday, 8 a.m. to 8 p.m. Eastern time.

Join the Carelon Behavioral Health provider network

Please submit an application today to get started.