Baptist Health Plan has made the decision to exit the fully insured and self-funded health insurance markets. We will continue to provide coverage to our members through the contract policy end date for all current employer groups, with the last contract terminating on November 30, 2018.

Our exit from the insurance market does not affect your current provider agreement with Baptist Health Plan. We also want to reassure you that we are financially sound, and claims will be processed and paid according to policy terms.

We value your partnership in providing access to excellent healthcare options for our members. If you have any questions or concerns, please contact your provider services representative.



Baptist Health Plan Providers

Our providers are part of a leading group of area physicians and facilities pioneering transformative change in the way care is delivered. Baptist Health Plan providers take a proactive, personalized approach to care, and emphasize building strong primary care provider-patient relationships. Baptist Health Plan is dedicated to providing our participating providers with all the resources they need to maximize their time with patients to provide excellent patient care.

We invite healthcare providers and organizations to join our physician-led network of professionals. By joining Baptist Health Plan, you will join a leading group of area physicians and facilities pioneering transformative change in the way care is delivered. We are working together to make a significant impact on the health of Kentuckians and all the communities we serve.

Unlike other plans, Baptist Health Plan is led by physicians. Our goal is to enable providers with high-value support and resources so you can focus on what you do best – providing excellent patient care. By bringing our health system together with our health plan, we can deliver true value and an unmatched, personalized experience for our health plan members.

Participation in our network offers you greater control over coverage decisions, resources focused on clinical activities impacting your patients, and a leading population health model with preventive medicine and care team support.

Providers wishing to participate in our Baptist Health Plan networks, can contact Provider Services at 800.787.2680 for more details.

You can find several resources below that may be of assistance!

Precertification/ Prior Authorization Resources & Forms


Prior Authorization Criteria and Request Forms

For your convenience, below is a list of medications that require a PA. Your physician will need to complete the appropriate form and fax to BHP’s Pharmacy Services Department at 859.335.3744.

Prior Authorization Drug List


For CAQH credentialing, please review and complete the form below.

Provider Application Request – The links below contain information on how to join the Baptist Health Plan provider network. Click on each link for more information.

Ancillary Providers
For information in regards to joining our network as an ancillary provider (e.g., physical therapy center, diagnostic testing center, durable medical equiptment, urgent treatment center), please contact our Provider Services Department at:

Baptist Health Plan Provider Services Department
651 Perimeter Drive, Suite 300
Lexington, KY 40517
859.268.3561 (fax)

Optum Health Behavioral Solutions
Optum Health Behavioral Solutions (OHBS) is responsible for the management of mental health and substance abuse benefits on behalf of Baptist Health Plan. Members may call OptumHealth directly at (877) 369-2201. Providers interested in participating in the Baptist Health Plan/OHBS network, regardless of your location, should contact OHBS.

Optum Health Behavioral Solutions
PO Box 30757
Salt Lake City, UT 84130-0757

Chiropractic Providers
Baptist Health Plan utilizes the provider network of ACN Group, Inc. (“OptumHealth”) as the network of participating chiropractic providers. The Physical Health programs offered through OptumHealth specialize in the delivery of chiropractic services nationwide.

ACN Group, Inc (“OptumHealth”)
6300 Olsen Memorial Highway
Golden Valley, MN 55427

Home Health/Home Infusion Providers
Baptist Health Plan has a network management arrangement with Care Continuum, a SpectraCare Company, for home health and home infusion services. For additional information, or to join the network, regardless of your location please contact Care Continuum.

Care Continuum
11403 Bluegrass Parkway, Suite 710
Louisville, KY 40299
866.343.1880 (fax)

For information regarding joining our network as a hospital please contact Provider Services Department, regardless of your location.

Baptist Health Plan Hospital Specialist
651 Perimeter Drive, Suite 300
Lexington, KY 40517
859.335.3736 (fax)

If you have any questions or need further assistance, please contact us at 800.787.2680.

Last Updated: 12/06/2017, 12:34 pm