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Enhancements to the PCMH Care Management Process

CareFirst BlueCross BlueShield·Family Medicine, Internal Medicine, General Practice +1 more·Provider News
Effective date
Jan 2, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

CareFirst is streamlining their Care Management referral process for PCMH providers by introducing a single phone line (888-264-8648) and secure email (CareManagement@carefirst.com) for all referrals, replacing the previous complex referral system. This change affects care coordination workflows but does not directly impact billing codes or reimbursement.

Action Required

Action needed
By January 2, 2024: Clinical staff should update care management referral procedures to use the new single phone line (888-264-8648) or secure email (CareManagement@carefirst.com) for all CareFirst member referrals. Update office procedures and staff training materials to reflect the streamlined referral process.