Rates and Out-of-Network Information

Please see the following documents for rate request information:

CBH Provider Notice, November 7, 2019: Updated Policy for Provider Rate Request

Provider Notice Addendums:

• Rate Change One-Pager
• Request for Rate Increase Policy and Procedure
• Provider Request for Rate Increase Cover Sheet
• Expected Outcomes and Monitoring Methods
• Financial Documents (Excel Spreadsheet)

Non-Par/Out of Network Provider Information

CBH works to maintain a robust provider network. If an in-network provider cannot meet the clinical needs of a member, an Out-of-Network (OON) provider may be considered. CBH will approve and reimburse OON medically necessary behavioral health services provided to members when there is a demonstrated need for the service. Please review and complete the OON Provider Application which includes an attestation that all information submitted is accurate and the organization agrees to comply with all stipulations outlined in the attestation.

• CBH Non-Par Provider Information Form

 Out of Network Application Tutorial Webinar

Any questions regarding the CBH OON/Non-Participating Provider Application process can be directed to the CBH OON Provider Hotline at 215-413-7660 (select option 2) or via e-mail at CBHOON@phila.gov. Please provide the facility name, contact person, phone number, and email address when contacting CBH.