Fee Schedule Clarity for Indiana Behavioral Health Providers
August 28, 2025Recent communications to Indiana behavioral health providers about the Carelon Behavioral Health fee schedule created confusion and concern. We want to be very clear that there are no changes to Anthem reimbursement rates, claims processes, or clinical policies, as a result of these updates. The updates are intended to clarify contracts and extend provider participation to additional Carelon-managed networks beyond Anthem, giving our valued behavioral health providers the ability to serve more patients.
Here are the facts:
Myth 1: Anthem reimbursement rates are changing
Fact:
- False. There is no change to how providers are paid for caring for Anthem members.
- Claims and clinical processes remain exactly the same. Anthem will continue to manage and administer provider reimbursement rates under Anthem Health Plans.
Myth 2: Carelon fee schedules reduce payments for Anthem providers
Fact:
- False. The Carelon Behavioral Health fee schedule does not affect Anthem member reimbursement.
- Carelon serves multiple health plans, each with its own contracts and rates that are not related to Anthem.
Myth 3: Supervisory billing rules have changed
Fact:
- False. There have been no changes to supervisory billing policies for Anthem members.
- We are clarifying policies in agreement reviews to reduce confusion.
Myth 4: Providers are being forced to leave the Anthem network
Fact:
- False. All current Anthem in-network providers remain in the Anthem network, now managed by Carelon, under the same reimbursement rates.
- The contractual update simply allows participation in additional Carelon-managed networks for non-Anthem members.
- Providers are not required to participate in additional networks and may choose to only see Anthem members.
Myth 5: Network status is unclear or changing
Fact:
- False. Providers’ participation status with Anthem remains unchanged.
Myth 6: The new Carelon Behavioral Health agreement is taking effect on September 1, 2025.
Fact:
- This is no longer accurate. The originally communicated effective date of Sept. 1, 2025, for the Carelon Provider Agreement has been extended. A revised agreement will be sent, and providers will have 45 days to respond once it is received. No action is required until then.
Myth 7: Providers don’t have ways to ask questions or request changes
Fact:
- False. Providers may submit rate requests via the dedicated mailbox: provider.inquiry.in@carelon.com
- Carelon and Anthem teams are available for one-on-one conversations and support.
How We’re Communicating with Providers to Provide Clarity
- Hosting live information sessions to answer questions in real-time
- One-on-one conversations with provider leaders
- Established dedicated mailbox for direct inquiries: provider.inquiry.in@carelon.com
- Ongoing updates are shared broadly with all 1,800 Indiana providers
Still have questions? Reach out – we’re here for you!
We are deeply sorry for any confusion we’ve caused our behavioral health providers. Our commitment remains clear: open communication, transparency, and strong partnerships with providers so members continue to receive the care they need.
Please don’t hesitate to reach out if you still have questions. Email provider.inquiry.in@carelon.com.
