Derzeit offene Netzwerkdienste

If you are interested in becoming a provider, please review the currently open networks and initiate your inquiry via email PAMedicaidProviderRelations@Carelon.com. Please include your name, provider name, the county/ies of interest and the best way of contacting you. Our team will prepare the needed material and respond promptly.

All providers must read and understand the Carelon Cultural Competency training

Biber | Fayette | Northwest Behavioral Health Partnership | Südwesten sechs Grafschaften

Biber

Beaver County

For all adult residential ASAM levels of care: Network inclusion is contingent upon achieving substantial alignment with the ASAM alignment infrastructure review.

  • Stationäre psychiatrische Dienste - Erwachsene (ab 22 Jahren) in einer psychiatrischen Abteilung eines Akutkrankenhauses (MA-Anbieter Typ 01, Fachcodes 010 und 022)
  • Stationäre psychiatrische Dienste-Adol / Kind
  • Psychiater
  • Certified Registered Nurse Practitioner (CRNP)
  • Community Residential Rehabilitation Services (CRR) - Adol / Kind
  • IBH Services - ABA
  • IBH Services - Individuell
  • IBH Services - Gruppe
  • Individual Practitioners – Sexual Offender Treatment
  • Individual Practitioners – Trauma Treatment
  • Neuropsychologen
  • Psychiatrischer Teilkrankenhausaufenthalt - Erwachsener
  • Wohnbehandlungsdienste für Kinder und Jugendliche - akkreditiert und nicht akkreditiert
  • Medically Managed Intensive Inpatient Withdrawal Management (ASAM 4WM) – Adults
  • Medically Managed Intensive Inpatient Withdrawal Management (ASAM 4WM)- Child/Adolescents
  • Medically Managed Intensive Inpatient Services (ASAM 4) – Adults
  • Medically Managed Intensive Inpatient Services (ASAM 4) – Child/Adolescents
  • Non-Hospital SUD Residential withdrawal Management – Adol/Child (ASAM:3.7 WM) Provider Type/Specialty Code: 11/132
  • Non-Hospital SUD Residential Rehab – Adol/Child (ASAM: 3.5) Provider Type/Specialty Code: 11/133
  • Group Practices that deliver care only in nursing homes (specifically some combination of a group of LPCs/LMFTs/LCSWs which are provider type 11 and specialty code 112 and Psychologists which are provider type 19 and specialty 190 along with the following prescribers – psychiatrists which are provider type 31 and specialty 339, certified registered nurse practitioners, and advance practice nurses which are provider type 09 and specialty code103)

Fayette

Fayette County

For all adult residential ASAM levels of care: Network inclusion is contingent upon achieving substantial alignment with the ASAM alignment infrastructure review.

  • CRR - Kinder und Jugendliche
  • Stationäre psychiatrische Dienste - Erwachsene (ab 22 Jahren) in einer psychiatrischen Abteilung eines Akutkrankenhauses (MA-Anbieter Typ 01, Fachcodes 010 und 022)
  • Stationäre psychiatrische Dienste - Adol / Kind
  • Residential Treatment Services for Children & Adolescents (RTF accredited)
  • Peer Services für Jugendliche und junge Erwachsene (14 - 26 Jahre)
  • Psychiatrischer Teilkrankenhausaufenthalt - Erwachsene & Kinder (nur für akuten Teilaufenthalt geöffnet)
  • Psychiater (einschließlich aller Extender, CRNP oder PA, die unter dem Psychiater praktizieren)
  • CRNPs
  • Einzelpraktiker - Behandlung von Sexualstraftätern
  • Einzelpraktiker - Traumabehandlung
  • Neuropsychologen
  • LCSWs, LPCs and LMFTs enrolled with Medicare
  • Clozapine Support Services
  • Medically Managed Intensive Inpatient Withdrawal Management (ASAM 4WM) – Adults
  • Medically Managed Intensive Inpatient Withdrawal Management (ASAM 4WM)- Child/Adolescents
  • Medically Managed Intensive Inpatient Services (ASAM 4) – Adults
  • Medically Managed Intensive Inpatient Services (ASAM 4) – Child/Adolescents
  • Non-Hospital D&A Residential Withdrawal Management – Adol/Child (ASAM: 3.7 WM) Provider Type/Specialty Code: 11/132
  • Non-Hospital D&A Residential Rehab – Adol/Child (ASAM: 3.5) Provider Type/Specialty Code: 11/133
  • Group Practices that deliver care only in nursing homes (specifically some combination of a group of LPCs/LMFTs/LCSWs which are provider type 11 and specialty code 112 and Psychologists which are provider type 19 and specialty 190 along with the following prescribers – psychiatrists which are provider type 31 and specialty 339, certified registered nurse practitioners, and advance practice nurses which are provider type 09 and specialty code103)

NWBHP

Northwest Behavioral Health Partnership

(Grafschaften Crawford, Mercer und Venango)

For all adult residential ASAM levels of care: Network inclusion is contingent upon achieving substantial alignment with the ASAM alignment infrastructure review. Outpatient and adolescent services are also ASAM levels of care but do not currently have a review process.

SW6

Südwesten sechs Grafschaften

(Grafschaften Armstrong, Butler, Indiana, Lawrence, Washington und Westmoreland)

For all adult residential ASAM levels of care: Network inclusion is contingent upon achieving substantial alignment with the ASAM alignment infrastructure review. Outpatient and adolescent services are also ASAM levels of care but do not currently have a review process.