Raising the quality of life across Pennsylvania

Carelon Health of Pennsylvania (formerly Beacon Health Options of Pennsylvania) has been a behavioral health managed care organization (BH-MCO) in the Keystone State since 1997. We partner with all three HealthChoices programs to define best practices for whole-person care and deliver mental health, addiction medicine, and social determinant of health support to individuals in need.

Today, we serve 300k+ members across 11 counties in Pennsylvania and 26 million Medicaid members across the country. But we know every county has its own unique needs, so together with our insights and our expertise, we’ll collaborate to find the right solutions for the communities in your area.

What makes Carelon different? We offer:

• A county-focused and individualized approach: Our county customers are highly satisfied with Carelon’s customized solutions, appreciating our local grassroots approach to care delivery that is informed by national best practices.
• Superior outcomes: Connecting an individual to community-based services and providers upon discharge has been found to significantly reduce risk of readmission as well as reduce cost. Carelon has the highest 7-day and 30-day follow-up rates in Pennsylvania, a testament to our solid provider partnerships and close work within the communities we serve.
• Best-in-class processes to support providers: We contribute to provider success with value-based contracting models, earning 99% provider satisfaction with Carelon, while sustaining a continuous and comprehensive high-performing network.
• Innovative care management solutions: Carelon meets members where they are, with care plans that reduce the need for higher levels of care, improve quality of life, and reduce cost through partnerships with county-based community organizations, human services teams, and healthcare providers.