This page provides resources that are specific to Sentara Behavioral Health providers and updates for Substance Use Disorder Treatment Providers. For easy access to any additional information you may need, please refer to Frequently Asked Questions. If you find you still need to reach us directly, please contact Provider Services.
Provider Connection - Access Behavioral Health Provider Tools
Provider Connection is Sentara Health Plans’ suite of online, secure self-service resources for providers. As a registered user, you will have access to:
- Check member eligibility and benefits
- View claims status and details
- View and download remits and pend reports
Provider Credentialing
To become a participating Sentara Behavioral Health Provider, each licensed practitioner or organization must be credentialed by Sentara Health Plans as applicable. Please complete and return the appropriate Application Packet below to initiate the credentialing process with Sentara Behavioral Health. Please review the credentialing packet in full to ensure acceptance of your application.
For licensed practitioners (in a solo or group practice) Sentara Health Plans utilizes the Council for Affordable Quality Healthcare (CAQH) application. Please ensure your CAQH application has been completed (with all supporting documentation attached) before returning the Behavioral Health Provider Application Packet to Sentara Health Plans.
Attention: Addiction and Recovery Treatment Services (ARTS) Providers
Please review the DMAS credentialing requirements document Pathways to Becoming an ARTS Medicaid Provider prior to applying for participation with Sentara Health Plans. (For additional information on ARTS, please visit www.dmas.virginia.gov/#/behavioralhome)
Provider Changes and Updates
Please notify us of any changes (relocation, joining an additional practice, leaving a practice, etc.) 30 days in advance to avoid interruption or denial of authorizations or claim payments.