PriorAuth /Guiding Care/ Population Health applications will be unavailable Fri, Aug 07 from 7PM to Sat, Aug 08 at 4AM
PriorAuth/Provider Portal/CFD applications will be unavailable Sun, Aug 09 from 6AM to 10AM
EFT Payments Issued as Checks:CareFirst identified on or around May 10 an issue in which some providers who were set up to receive ACH/EFT payments instead received paper checks. This issue remains under active investigation. Providers do not need to take any action at this time. We are working toward resolution and will continue to share updates as more information becomes available, including expected timing.
ERAs Reflecting Check Information Instead of ACH:CareFirst is aware of an issue in which some Electronic Remittance Advices (ERAs) reflected check payment information instead of ACH/EFT details. This issue was resolved on May 29, 2026. CareFirst is currently working to reissue impacted ERAs to include the correct ACH/EFT information. Providers do not need to take any action at this time.

PCMH Program Description and Guidelines

CareFirst’s Patient-Centered Medical Home (PCMH) program is designed to incentivize and provide resources, data and programs to assist health care providers in delivering quality, cost efficient care. The PCMH program places an emphasis on helping providers provide comprehensive, coordinated care for their CareFirst patients with the greatest health needs – typically those suffering from multiple chronic health conditions. The program requires significant provider and patient engagement and meaningfully compensates primary care providers for that engagement.

You can learn more about the PCMH Program in the Program Description and Guidelines below.