Open Network
Providers can apply to join our network. In doing so, we will improve member access to behavioral and mental health treatment services and facilities and add to CBH’s current network of providers.
To be considered, applicants must be Medicaid providers licensed by the Pennsylvania Department of Human Services Office of Mental Health and Substance Abuse Services (OMHSAS).
CBH’s open network has a different process than entrance through CBH’s procurement process, which includes requests for proposals, qualifications, applications, and information.
Providers are invited to apply to the open network through our rolling application process to deliver these levels of care:
Acute Inpatient Psychiatry (AIP)
What is an Acute Inpatient Psychiatry (AIP)?
AIP is a highly structured level of care designed to meet the needs of individuals with emotional and behavioral manifestations that put them at risk of harm to themselves or others or otherwise render them unable to care for themselves. Individuals in an acute setting may lack adequate impulse control and the ability to accomplish activities of daily living without significant support. They may have co‐occurring substance use, medical conditions, and intellectual disabilities. AIP is provided in a locked, secure facility 24/7 by a multidisciplinary team of behavioral health professionals, including psychiatrists, psychiatric nurses, and mental health technicians. The goals of psychiatric hospitalization include symptom relief and coordination of care to promote recovery. With daily risk assessment and ongoing contact with friends, family, and relevant professionals, continuing support plans are developed in preparation for discharge.
The following licenses and conditions are needed to apply:
- CBH is seeking AIP providers for the Philadelphia Medicaid population who can provide 24/7 care to children and adults. Hospital-based and free-standing AIPs will be considered.
- To be considered, your facility must be enrolled in PROMISe under the program-specific provider type and specialty code. Providers not enrolled in PROMISe will have to reapply once their enrollment has been approved.
- CBH only accepts providers with a service location in Philadelphia County.
Apply as Acute Inpatient Psychiatry (AIP)
Independent Practitioners or Group Practices
What are Independent Practitioners and Group Practices?
- An Independent Practitioner is a clinician who provides behavioral health care services and bills under their own Taxpayer Identification Number (TIN).
- A Group Practice employs multiple physicians or other licensed professionals who are individually enrolled in PROMISe but bill under the Group’s TIN. Group Practices under Pennsylvania Medicaid are restricted to a single licensing body (all group participants are solely psychologists, LCSWs, etc.) and do not allow different licensed professionals to be enrolled in the same group practice.
The following licensed professionals are qualified to apply:
- Certified Registered Nurse Practitioner (CRNP)
- Marriage and Family Therapist (LMFT)
- Professional Counselor (LPC)
- Psychologist
- Psychiatrist
- Social Worker (LSW)
- Social Worker (LCSW)
What qualifications are necessary for each specialty?
- CRNPs must be certified in Psychiatry/Mental Health.
- Physicians must have completed, at a minimum, a psychiatry residency.
- LSWs must have completed a clinical practicum or internship as part of their master’s program.
- CBH only accepts providers with a physical brick-and-mortar service location. Providers are eligible to provide telehealth but must offer members the option to receive services in the treatment setting.
- CBH only accepts Independent Practitioners/Group Practices within 45 miles of Philadelphia County.
Intensive Behavioral Health Services – Applied Behavior Analysis (IBHS-ABA)
What is Applied Behavior Analysis (ABA)?
ABA is a highly effective service delivered by Behavior Consultants (BC) and Behavioral Health Technicians (BHT) with specialized training and experience. ABA is considered the gold standard for supporting children with autism spectrum disorder (ASD) and other neurodevelopmental differences. ABA helps children learn new skills, such as communicating, interacting socially, and doing more things for themselves. ABA is also recommended to help decrease problem behaviors resulting from children having these skills deficits. All staff who provide ABA services are overseen by a Board-Certified Behavior Analyst (BCBA) at the provider agency.
The following licenses and conditions are needed to apply:
- If you are interested in obtaining an IBHS license, please contact the Office of Mental Health and Substance Abuse Services (OMHSAS) directly.
- To be considered, your facility must be enrolled in PROMISe under the program-specific provider type and specialty code. Providers not enrolled in PROMISe will have to reapply once their enrollment has been approved.
- CBH only accepts providers with a physical brick-and-mortar service location. Providers are eligible to provide telehealth, but must offer members the option to receive services in the treatment setting.
- CBH only accepts providers with a service location in Philadelphia County.
- Please review CBH’s IBHS and ABA Clinical Performance Standards.
Apply as Intensive Behavioral Health Services – Applied Behavior Analysis (IBHS-ABA)
Mental Health Outpatient (MHOP)
What is a Mental Health Outpatient Program?
A Mental Health Outpatient Program (MHOP) is a nonresidential treatment setting licensed by the Office of Mental Health and Substance Abuse Services (OMHSAS). The outpatient program must offer psychiatric, psychological, social, educational, and other related services provided under medical supervision. It is designed for the evaluation and treatment of individuals with mental illness or emotional disturbance. The facility must comply with the 5200 regulations outlined by the Department of Human Services.
The following licenses and conditions are needed to apply:
- Your agency must be a licensed MHOP. If you are interested in becoming a licensed MHOP clinic, please contact OMHSAS directly.
- To be considered, your facility must be enrolled in PROMISe under the program-specific provider type and specialty code. Providers not enrolled in PROMISe will have to reapply once their enrollment has been approved.
- CBH only accepts providers with a physical brick-and-mortar service location. Providers are eligible to provide telehealth, but must offer members the option to receive services in the treatment setting.
- CBH only accepts providers with a service location in Philadelphia County.
Apply as Mental Health Outpatient (MHOP)
Psychiatric Residential Treatment Facility (PRTF)
What is a Psychiatric Residential Treatment Facilities (PRTF)?
PRTF is any non-hospital facility that provides inpatient service benefits to Medicaid-eligible individuals under the age of 21.
The following licenses and conditions are needed to apply:
- CBH recognizes the need for youth to have access to safe, in-community facilities to meet treatment needs while integrating family members and member voices throughout care for youth ages 6-18.
- PRTFs must demonstrate high competency in treating intense emotional and behavioral challenges, including aggression, histories of trauma, multiple placements, elopement, co-occurring developmental disabilities, and co-occurring addiction needs.
- If you are interested in obtaining a PRTF license, please contact the Office of Mental Health and Substance Abuse Services (OMHSAS) directly.
- To be considered, your facility must be enrolled in PROMISe under the program-specific provider type and specialty code. Providers not enrolled in PROMISe will have to reapply once their enrollment has been approved.
- CBH only accepts PRTF providers with a service location in or near Philadelphia County.
To become CBH in-network providers, providers must have a license in good standing from OMHSAS and undergo a credentialing process. Once contract negotiations are completed, providers and programs will receive an initial credentialing visit, which may include a review of staff files, written policies and procedures, clinical records, and a facility tour. The CBH Provider Manual provides a comprehensive list of documents needed for review.
