Oversight and Monitoring

CBH maintains conscientious oversight and monitoring operations to ensure that individuals receive quality services across the provider network. These efforts minimize fraud, waste, abuse, and risk, guide policy and practices, and elevate industry standards.

CBH relies on a multidisciplinary, cross-departmental approach to oversight and monitoring, involving departments such as Quality Management, Program Integrity, and Provider Operations.

CBH’s oversight and monitoring departments take specific, transparent, and collaborative actions to address quality and compliance concerns. Depending on the nature of the concern and the degree of monitoring required, providers may be asked to submit improvement plans, including corrective action plans (CAPs), quality improvement plans (QIPs), and directed corrective action plans (DCAPs).

CBH Contract with State and Medicaid

• PA Behavioral HealthChoices Program Standards and Requirements (PSR)
  (Link contains most recent PSR and PSR Appendices updates)
• Pennsylvania Department of Human Services (DHS) Medical Assistance Bulletins
• PA Code: Title 55