Streamline your workflow with Care Central on Availity Essentials

Summary

• Care Central on Availity Essentials helps long‑term services and supports (LTSS) care providers streamline tasks like claim submission, status checks, and accessing member data.
• LTSS care providers can access Care Central through the Availity Essentials platform.
• Additional support includes monthly training webinars and a comprehensive FAQ for registration, claim submission, member management, and authorizations.

Care Central overview

We offer LTSS care providers access to Care Central, a specialized site within Availity Essentials. Care Central, designed specifically for LTSS care providers, reduces administrative burden, simplifies the claims experience, gives care providers easy access to pertinent information, and allows LTSS care providers to access everything needed to conduct business.

Within Care Central, home‑ and community‑based services (HCBS) care providers can:

• Submit claims that are billed using the CMS 1500 form.
• View the status of claims submitted.
• View LTSS authorizations and details.
• Access authorized member lists and view members' demographic information.
• Access health plan contacts and resources.

Accessing the Care Central application

We encourage LTSS care providers to use Care Central:

• Log in to Availity Essentials.
• Select Payer Spaces
• Select the Anthem HealthKeepers Plus tile.
• Select Care Central.

Care Central resources and training

We offer monthly webinars for the Care Central application.

Email valtsspr@anthem.com for additional information and a copy of the webinar training schedule.

Care Central FAQ

Do I need to be registered with Availity Essentials to access Care Central?

Yes, the Care Central application is available for Anthem HealthKeepers Plus care providers within the Availity Essentials platform. You can register your organization at https://Availity.com.

Do I have to use the Care Central application to submit claims?

No, care providers can still submit claims directly through the Availity platform using the claims and encounters tool or their own electronic data interchange (EDI) software.

Note: For services that require the use of electronic visit verification (EVV), care providers must continue to use the required EVV workflow.

I do not see any members listed on my member dashboard in Care Central. How do I add members?

Care providers can manually add members to their member dashboard by selecting the Create Member button from the bottom of the member dashboard page.

Who do I contact if I have additional questions about an authorization seen on Care Central?

For authorization questions, call contact Provider Services at 800‑901-0020, option 4.

Where can I view additional information on the status of my claims?

Select the Claims Status button in the Care Central application. You will be redirected to the Claims Status tool on the Availity Essentials platform and will be able to view additional details for claims you have submitted.

Contact us

Availity Chat with Payer is available during normal business hours. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. To access Availity Essentials, go to https://Availity.com and select the appropriate payer space tile from the drop‑down. Then, select Chat with Payer and complete the pre‑chat form to start your chat.

For additional support, visit the Contact Us section of our provider website for the appropriate contact.