Authorizations for post-acute care services by Carelon Post Acute Solutions, LLC

Revised program implementation date

As noted in the online Provider News article (posted to the provider website on October 5, 2023), the implementation of the Carelon Post Acute Solutions, LLC pre-authorization program was delayed. The confirmed new program implementation date is December 1, 2023.

How to submit or check a prior authorization request

For skilled nursing facility (SNF), inpatient rehab facility (IRF), or long-term acute care hospital (LTACH) admissions, Carelon Post Acute Solutions will begin receiving requests on Tuesday, November 28, 2023, for members whose anticipated discharge date is December 1, 2023, or after. 

Care providers are encouraged to request authorization using NexLync. Go to the Carelon Post Acute Solutions website to get started. You can upload clinical information and check the status of your requests through this online tool 7 days a week, 24 hours a day. 

To learn more about Carelon Post Acute Solutions and upcoming training webinars, visit their website or email PACprovider_relations@carelon.com. 

What if I need assistance?

If you are unable to use the link or website or have additional questions, call the Carelon Provider Call Center at 833-431-0780 during normal operating hours from 7 a.m. to 7 p.m. CT, Monday through Friday.