Oncology Program

Welcome providers

We recognize the key role that medical oncology practices play in the delivery of high-value, high-quality cancer care. To support your efforts, this website includes resources to help you participate in the program successfully.

Benefits to your practice and patients

  • Actionable information. When your practice prescribes a cancer treatment regimen for a patient and submits it to Carelon for review, the prescribed regimen is compared against a comprehensive library of current, evidence-based Carelon Cancer Treatment Pathways. If the planned regimen is not aligned with a Carelon Pathway, information on evidence-based alternative regimens may be presented for your review.
  • Synchronization with plan medical policy. All prescribed regimens are reviewed in real time for benefit coverage under plan medical policy.
  • Enhanced reimbursement. By choosing Carelon Cancer Treatment Pathways regimens when clinically appropriate, your practice may be eligible for enhanced reimbursement*.

* Participating providers in Virginia may be eligible for enhanced reimbursement.

Program Resources

Visit the resources page to access Pathways details, FAQs, and other resources to support your participation.

Carelon Cancer Treatment Pathways Worksheets

Our worksheets can help you gather the patient clinical information you’ll need to enter your order request in the Carelon provider portal.

Carelon Cancer Treatment Pathways Clinical Details