How to participate
The Quality Care Cancer Program is administered by Carelon Medical Benefits Management on behalf of your patients’ health plans. Carelon collaborates with payors to help improve healthcare quality and manage costs for some of today’s complex tests and treatments.
The first step in participating is to register as a user of the Medical Oncology Program via the Carelon provider portal, an online application. The provider portal allows you to initiate a review of cancer treatment regimens for your patients who are covered by participating health plans. We call this the “order request” process.
The provider portal allows you to:
- Submit Prior Authorization for intravenous or Injectable drugs
- Update an existing one
- Retrieve your order summary
It also offers you access to identified Cancer Treatment Pathway regimens, according to your patient’s clinical information and your requested services. When your provider selects an identified Cancer Treatment Pathway regimens, your practice will be eligible for enhanced reimbursement from your patient’s health plan.
How the process works:
Learn more about the order entry process