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.

Patient-Centered Medical Home (PCMH)

CareFirst's PCMH program is designed to provide primary care providers with a more complete view of their patients' needs and of the services they receive from other providers so that they can better manage their individual risks, keep them in better health and produce better outcomes. The program requires greater provider-patient engagement and it meaningfully compensates providers for that engagement.

We urge you to read the full PCMH Program Description and Guidelines document for more information. (Viewing and printing this document requires Adobe Acrobat Reader, which can be downloaded free from the Adobe site. To navigate the contents of the Program Description and Guidelines, read our "tips".)