Are you a...
MD Medicaid Provider? Access more trainings on the CHPMD website!
Medicare Advantage DualPrime Provider? Access more trainings on the DSNP website!
Have a question?
View our FAQs.
Government Programs
Specialty topics and courses dedicated to our Government Programs healthcare delivery partners.
Featured Course
Need information on how to enter a prior authorization? We recommend Entering Authorizations in the CareFirst Provider Portal - CareFirst CHPMD and Advantage DualPrime. Learn about entering inpatient and outpatient authorizations, withdrawing authorizations and much more!
Select a category to expand:
Self-paced module | 15 minutes | All Medical CareFirst CHPMD and CareFirst Advantage DualPrime Providers
An overview of information providers need to orient themselves to CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD) and CareFirst BlueCross BlueShield DualPrime (HMO-SNP) plans.
This course is comprised of three segments:
- Section 1: General Information
- Section 2: Administrative Processes
- Section 3: Programs and Services
Self-paced Module | 15 minutes | CareFirst CHPMD Doulas
This course will help you get started with the administrative process of working with CareFirst CHPMD members. We will cover basic information, systems access requirements, billing, and show you where you can access resources.
CareFirst Electronic Prior Authorization Portal Training
Webinar | 15 minutes | Commercial and CHPMD/Advantage DualPrime Providers
A step-by-step demonstration of the CareFirst Electronic Authorization Entry Tool. (For providers who participate in our Commercial along with either CareFirst CHPMD and/or Advantage DualPrime networks.)
Entering Authorizations in the CareFirst Provider Portal - CareFirst CHPMD and Advantage DualPrime
Self-paced module | 15 minutes | All Medical CareFirst CHPMD and CareFirst Advantage DualPrime Providers
A step-by-step guide to entering prior authorizations via the CareFirst Provider Portal.
CareFirst Advantage DualPrime Special Needs Plan (SNP) - Model of Care
Self-paced Module | 15 minutes | All Advantage DualPrime Providers
This course will describe how CareFirst BlueCross BlueShield Advantage DualPrime and its contracted providers work together to successfully deliver the Special Needs Plan (SNP) Model of Care program.
Maryland Healthy Kids/EPSDT Screenings and Special Services
Self-paced Module | 20 minutes | CareFirst CHPMD Providers
An overview of the Maryland Healthy Kids Early and Periodic Screening, Diagnostic and Treatment screenings and special services, including:
- Screening and documentation requirements
- Screening and special services guidelines
- Communication and resources available to providers
- Treatment and reporting guidelines
CareFirst BlueCross BlueShield Individual Medicare Advantage (MA) (PPO) for Providers
Self-paced Module | 15 minutes | All Medical Providers
An overview of the CareFirst BlueCross BlueShield Individual Medicare Advantage (MA) (PPO) product offerings and navigating healthcare options for your Medicare Advantage patients.
- Individual Medicare Advantage PPO Plan overview
- How to Identify Member ID Cards
- How to Determine Which Networks You Participate In
- How to Verify Eligibility and Benefits
- Authorizations
- Claims, Appeals and Disputes
Individual Medicare Advantage (MA PPO) Webinar for Providers
Webinar | 25 minutes | All Medical Providers
A review of the CareFirst BlueCross BlueShield Individual Medicare Advantage (MA PPO) products.