Back to dashboard
All PlansAdministrativeHigh impact

Behavioral Health Benefit Information

CareFirst BlueCross BlueShield·MD · Psychiatry·Provider News
Effective date
Feb 24, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

CareFirst is directing providers to refer to Maryland Department of Health (MDH) policies for all Behavioral Health Primary and Specialty services. Any behavioral health claims incorrectly submitted to CareFirst will be retracted in compliance with MDH policy and procedures.

Action Required

Action needed
Immediately: Billing team must stop submitting behavioral health claims to CareFirst and redirect all Behavioral Health Primary and Specialty service claims to MDH according to their policies and procedures. Review MDH behavioral health billing guidelines and update billing system routing rules. Claims submitted to CareFirst will be retracted.