Best Practices for Managing Provider Referrals

This guide outlines best practices for managing provider referrals using the Care Central referrals dashboard, specifically designed for Home and Community-Based Services (HCBS) waiver providers contracted with Anthem Blue Cross and Blue Shield. The document details the process for accessing Care Central, which requires providers to enter their payer-assigned provider ID number on the Manage My Organization page in Availity Essentials. It explains the steps to navigate to the Care Central landing page and utilize the dashboard effectively. Providers can view and respond to referrals, track their status, and access additional resources, including a reference guide and FAQs. The guide emphasizes the importance of following the guidelines and practices of the provider group, including authorization, covered benefits, and claims submission. For further assistance, providers are encouraged to contact their group administrator or Anthem network representative.