Carefirst Bluecross Blueshield Community Health Plan Maryland (2024)

1. CareFirst Community Health Plan Maryland

  • CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst Community Health Plan Maryland or CareFirst CHPMD) is a Medicaid Managed Care ...

  • Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

2. CareFirst Community Health Plan Maryland |

  • For Members · Contact Us · Provider Search · For Providers

  • CareFirst CHPMD Members: Keep your info current. Keep yourself insured. Medicaid renewals won’t be automatic this year. Check in to make sure your contact information is up to date to receive important notices on any changes to your health insurance. To update your address, phone number or email, log in to your MHC online account.  If you need assistance, call MHC at 1-855-642-8572.

3. For Members | CareFirst Community Health Plan Maryland

  • MyHealth Portal · Benefits · Case Management · Appeals and Grievances

  • Welcome to CareFirst BlueCross BlueShield Community Health Plan Maryland!

4. Medicaid Plans - Carefirst BlueCross BlueShield

  • CareFirst BlueCross BlueShield Community Health Plan provides health coverage for Medicaid recipients in Maryland. Medicaid is a joint federal and state ...

  • Medicaid is a joint federal and state program. It helps certain people afford healthcare. Find our Medicaid offerings.

5. [PDF] Medicaid Provider Manual_CF - Maryland.gov

6. CareFirst BlueCross BlueShield Community Health Plan Maryland

  • Your own personal care team for better medication management.

  • Your own personal care team for better medication management

7. CareFirst BlueCross BlueShield Community Health Plan ... - LinkedIn

  • 9 jan 2023 · Announcing a new pilot partnership between CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD) and Live Chair Health

  • Announcing a new pilot partnership between CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD) and Live Chair Health! Through…

CareFirst BlueCross BlueShield Community Health Plan ... - LinkedIn

8. CareFirst - Careers

  • CareFirst BlueCross BlueShield is a regional leader in providing health care insurance coverage and related services throughout Maryland, Washington, D.C. and ...

  • Search 73 Careers available. CareFirst Careers

9. CareFirst BlueCross BlueShield Community Health Plan Maryland ...

CareFirst BlueCross BlueShield Community Health Plan Maryland ...

10. CareFirst Administrators: Benefits Administrator Services

  • Members · Providers · CareFirst, CFA and BCBSA · Search Providers

  • The only third-party employee benefits administrator in Maryland, D.C., and Northern Virginia

11. Isabel R. on LinkedIn: CareFirst BlueCross BlueShield Community ...

  • 19 apr 2024 · CareFirst BlueCross BlueShield Community Health Plan Maryland is pleased to have participated at the taste of Brock Bridge and Resource Fair ...

  • CareFirst BlueCross BlueShield Community Health Plan Maryland is pleased to have participated at the taste of Brock Bridge and Resource Fair in Laurel…

Isabel R. on LinkedIn: CareFirst BlueCross BlueShield Community ...

12. Drug Search - Formulary Navigator

  • Welcome to the CareFirst BlueCross BlueShield Community Health Plan of Maryland formulary guide on Formulary Navigator™. (formerly University of Maryland Health ...

  •   Welcome to the CareFirst BlueCross BlueShield Community Health Plan of Maryland formulary guide on Formulary Navigator™ (formerly University of Maryland Health Partners) For information regarding the CareFirst Community Health Plan Managed Care Program please visit: https://www.carefirstchpmd.com/ Copays and Coverage of Services:  https://www.carefirstchpmd.com/for-members Member Services: 1-410-779-9369 or 1-800-730-8530 (available Monday-Friday 8:00 AM-5:00 PM) Formulary Link: https://www.carefirstchpmd.com/find-a-drug-or-pharmacy Prior Authorizations: https://www.carefirstchpmd.com/find-a-drug-or-pharmacy/pharmacy-authorizations or 1-877-418-4133 (available Monday-Friday 9:00 AM-7:00 PM, Saturday and Sunday 8:00 AM-5:30 PM, closed holidays) Pharmacy Help Desk: 1-800-345-5413 (available 24/7) Provider Services: 1-410-779-9369 or 1-800-730-8530 (available Monday-Friday 8:00 AM-5:00 PM)

13. Thank You for Applying - CareFirst Careers

  • CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and ...

  • Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

14. Insurance & Billing | GW Medical Faculty Associates

  • AmeriHealth Caritas of DC; Anthem (PPO, HMO, and Point of Service, Medicare, and Health Keepers VA Medicaid); CareFirst/BCBS of DC and Maryland (PAR, HMO, PPO ...

  • The GW Medical Faculty Associates happily accepts the following insurance and contracted managed care and government insurance plans. While we strive to keep this list current at all times, the listed insurance and contracted managed care companies are subject to change. Please note: the list of accepted insurances below vary by practice. Please call your provider's office prior to your appointment to confirm your insurance is accepted. The GW Medical Faculty Associates does not accept any vision care plans.

15. Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More

  • Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. Shop plans for Medicare, Medical, Dental, Vision & Employers.

Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More

16. Texas Health Insurance | Blue Cross and Blue Shield of Texas

  • Connect Online Community. Search articles and watch videos; ask questions and get answers. Topics include everything from improving your well-being to ...

  • Blue Cross and Blue Shield of Texas is a statewide, customer-owned health insurer. We believe Texas consumers and employers deserve the best of both worlds: access to affordable, quality health care and top-notch service from a company that focuses solely on customers, not shareholders. Customer value is our cornerstone. For more than 90 years, we have forged alliances with local nonprofit organizations to show our commitment to help build healthy communities. We want to continue to foster health improvements through these alliances so that together we can offer sustainable, measurable programs that strengthen and enrich our communities. Learn about the many ways we are contributing to the well-being of our local Texas communities in the latest Corporate Social Responsibility Report.

17. Blue Cross Blue Shield

  • Nearly one in three Americans rely on Blue Cross Blue Shield companies for access to safe, quality, and affordable healthcare.

Blue Cross Blue Shield

18. 2024 Member.carefirst. - soraonline.eu

  • 8 uur geleden · ... Health Plans offer the ... CareFirst BlueCross BlueShield Community Health Plan provides health coverage for Medicaid recipients in Maryland.

  • 404

19. Capital Blue Cross

  • We are more than just a health insurance company. Our plans offer a large network of doctors, hospitals and wellness resources to help you stay healthy.

Carefirst Bluecross Blueshield Community Health Plan Maryland (2024)

FAQs

Is CareFirst Community Health Plan Maryland Medicaid? ›

CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst Community Health Plan Maryland or CareFirst CHPMD) is a Medicaid Managed Care Organization that participates in the Maryland HealthChoice Program.

Does CareFirst Community Health Plan require a referral? ›

While many CareFirst plans do not require referrals, some do. If your plan requires a referral to see a specialist, you must obtain the referral from your primary care provider (PCP) first—prior to your specialist visit.

Is CareFirst insurance the same as Blue Cross Blue Shield? ›

Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc.

What is the timely filing limit for CareFirst Community Health Plan Maryland? ›

Claims must be filed within 180 calendar days of the date of service or 180 calendar days from the date the primary insurance paid.

What is community Medicaid in Maryland? ›

Maryland Medicaid's home and community-based services are offered through the regular Medicaid program and special Medicaid programs called “waivers.” Each waiver has different eligibility criteria and target a different population, such as older adults or people with a certain disability.

What is Maryland Medicaid called? ›

Medicaid, also called Medical Assistance (MA) pays the medical bills of needy and low-income individuals. It is administered by the State and pays medical bills with Federal and State funds.

Which type of insurance does not require a referral for a patient care and specialist? ›

Exclusive Provider Organization (EPOs)

Most of the time, you do not need to get referrals to see specialists who are in-network. EPOs can have many limits on the doctors or hospitals you can use. With an EPO, you can use the doctors and hospitals within the EPO's network.

What is a community referral program? ›

The Community Referral program provides support to families in the community by providing basic needs items. Referrals must be made by a staff member at a community agency or organization on behalf of the client in need of items and are processed based on availability.

How to get prior authorization carefirst? ›

Members who need prior authorization should work with their provider to submit the required clinical data. Submit the request in one of the following ways: via fax to 443-552-7407 / 443-552-7408. via telephone at 800-730-8543 / 410-779-9359.

Is CareFirst a PPO or HMO? ›

CareFirst's PPO plans offer a wide network of providers. In exchange for a lower monthly payment, an HMO offers a narrower network of available doctors, hospitals and specialists.

Can you use CareFirst out of state? ›

We've got you covered when you're away from home for 90 consecutive days or more. Whether you're out-of-town on extended business, traveling, or going to school out-of-state, you have access to routine and urgent care with our Away From Home Care program.

What states does CareFirst BCBS cover? ›

Our service area includes:
  • Maryland.
  • District of Columbia.
  • The cities of Alexandria and Fairfax.
  • The town of Vienna.
  • Arlington County.
  • The areas of Fairfax and Prince William Counties in Virginia lying east of Route 123.

How do I appeal a CareFirst community health plan in Maryland? ›

You may file your appeal in writing. We have a simple form you can use to file your appeal. Please call Member Services at 1-410-779-9369 or 1-800-730-8530 to get one. We will mail or fax the appeal form to you and provide assistance if you need help completing it.

What is the payer ID for CareFirst community? ›

CareFirst's payer ID code for dental electronic claims is 00580.

Does CareFirst allow incidents to billing? ›

If services are determined by CareFirst to be incidental, mutually exclusive, integral to or included in other services rendered or part of a global allowance, they are not eligible for separate reimbursem*nt. Participating providers may not balance bill members for these services.

Is Maryland Health Connection the same as Medicaid? ›

You or members of your family may qualify for Medicaid through Maryland Health Connection to receive free health care. Enrollment in Medicaid and the Maryland Children's Health Program (MCHP) is available any time of year.

Is CareFirst bluechoice medicare? ›

CareFirst BlueCross BlueShield offers you a range of Medicare Advantage and Medicare Supplement (Medigap) plans to fit your specific needs and budget, and makes finding the right Medicare plan easy.

Is Maryland Physician Care Medicaid? ›

Meritus Medical Center is co-owner of Maryland Physicians Care (MPC) a Medicaid managed care organization (MCO). MPC has provided its members with free, quality health care for more than 20 years.

How do I verify my Medicaid in Maryland? ›

Access EVS by Phone

Providers may also call the Maryland Medicaid EVS at 1-866-710-1447. You will need a NPI or provider number to access the system.

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