Open Network
Providers to can apply to become a part of 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.
Applicants must be Medicaid providers licensed by the Pennsylvania Department of Human Services Office of Mental Health and Substance Abuse Services (OMHSAS) to be considered.
The open network is different than entering the network 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)
Apply as Acute Inpatient Psychiatry (AIP)
What is an Acute Inpatient Psychiatry (AIP)?
Acute psychiatric inpatient hospitalization is a highly structured level of care designed to meet the needs of individuals who have emotional and behavioral manifestations that put them at risk of harm to self 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/or intellectual disabilities. Acute inpatient psychiatric treatment 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 assessment of risk 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 looking for Acute Inpatient Psychiatry (AIP) for the Medicaid recipients of Philadelphia. CBH is seeking AIP providers that can provide 24/7 care to children and/or adult populations. The AIPs must be located in or near Philadelphia. Hospital-based and free-standing AIPs will be considered. Interested qualified applicants should complete the below application. CBH will review all submissions and will contact qualified applicants.
- Your facility must be enrolled in PROMISe under the program-specific provider type and specialty code to be considered. Providers that are not enrolled in PROMISe will have to reapply once their enrollment has been approved.
- CBH is only accepting providers with a service location in Philadelphia County.
Independent Practitioners or Group Practices
Apply as Independent Practitioners or Group Practices
What is an Independent Practitioner and a Group Practice?
- An Independent Practitioner is a clinician who provides behavioral healthcare services and bills under their own Taxpayer Identification Number.
- A Group Practice employs multiple physicians or other licensed professionals who are individually enrolled in PROMISe but bill under the Group’s tax ID number. Group Practices under Pennsylvania Medicaid are restricted to a single licensing body (all group participants are psychologists or all are LCSWs, etc.) and does not allow for 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, at a minimum, have completed a psychiatry residency.
- LSWs must have completed a clinical practicum or internship as part of their master’s program.
- CBH is only accepting Independent Practitioners/Group Practices who offer in-person therapy sessions and are located within 45 miles of Philadelphia County. CBH is not contracting for telehealth only at this time.
Intensive Behavioral Health Services – Applied Behavior Analysis (IBHS-ABA)
Apply as Intensive Behavioral Health Services – Applied Behavior Analysis (IBHS-ABA)
What is Applied Behavior Analysis (ABA)?
ABA is a form of highly effective service delivered by Behavior Consultants and Behavior Health Technicians with specialized training and experience. ABA is considered the gold standard for supporting children with Autism and other neurodevelopmental differences. ABA helps children learn new skills, such as how to communicate, interact socially, and do more things for themselves. ABA is also recommended to help decrease problem behaviors that result from children having these types of 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.
- Your agency must be enrolled in PROMISe under the program-specific provider type and specialty code to be considered. Providers that are not enrolled in PROMISe will have to reapply once their enrollment has been approved.
- CBH is only accepting providers who have a physical brick-and-mortar service location at this time. Providers are eligible to provide telehealth but must have the option for members to receive services at their service location.
- CBH is only accepting providers with a service location in Philadelphia County.
- Please review CBH’s IBHS ABA Performance Standards.
Mental Health Outpatient (MHOP)
Apply as 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 as outlined by the Department of Human Services.
The following licenses and conditions are needed to apply:
- Your agency must be a licensed Mental Health Outpatient Program. If you are interested in becoming a licensed Mental Health Outpatient clinic, please contact the Office of Mental Health and Substance Abuse Services (OMHSAS) directly.
- Your service location must be enrolled in PROMISe under the program-specific provider type and specialty code to be considered. Providers that are not enrolled in PROMISe will have to reapply once their enrollment has been approved.
- CBH is only accepting providers who have a physical brick-and-mortar service location at this time. Providers are eligible to provide telehealth but must have the option for members to receive services in the treatment setting.
- CBH is only accepting providers with a service location in Philadelphia County.
Psychiatric Residential Treatment Facility (PRTF)
Apply as Psychiatric Residential Treatment Facility (PRTF)
What is a Psychiatric Residential Treatment Facilities (PRTF)?
Psychiatric Residential Treatment Facilities (PRTF) is any non-hospital facility that provides inpatient services benefit 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 voice throughout care for youth ages 6-18.
- The 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 an PRTF license, please contact the Office of Mental Health and Substance Abuse Services (OMHSAS) directly.
- Your facility must be enrolled in PROMISe under the program-specific provider type and specialty code to be considered. Providers that are not enrolled in PROMISe will have to reapply once their enrollment has been approved.
- CBH is only accepting providers with a service location in or near Philadelphia County.
Providers will need to have a license in good standing from OMHSAS and must undergo a credentialing process to become CBH in-network providers. 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, and clinical records, along with a facility tour. A comprehensive list of documents needed for review can be found in the CBH Provider Manual.
