Currently Open Network Services

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

Beaver | Fayette | Northwest Behavioral Health Partnership | Southwest Six Counties

Beaver

Beaver County

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

  • Inpatient Psychiatric Services – Adult (ages 22 and over) in an Acute Care Hospital Psychiatric Unit (MA Provider Type 01, Specialty Codes 010 and 022)
  • Inpatient Psychiatric Services-Adol/Child
  • Psychiatrists
  • Certified Registered Nurse Practitioner (CRNP)
  • Community Residential Rehabilitation Services (CRR) — Adol/Child
  • IBH Services – ABA
  • IBH Services – Individual
  • IBH Services – Group
  • Individual Practitioners – Sexual Offender Treatment
  • Individual Practitioners – Trauma Treatment
  • Neuropsychologists
  • Psychiatric Partial Hospitalization – Adult
  • Residential Treatment Services for Children & Adolescents — Accredited & Non-Accredited
  • 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, Psychologists which are provider type 19 and specialty 190, along with psychiatrists which are provider type 31 and specialty 339)

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.

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, Psychologists which are provider type 19 and specialty 190, along with psychiatrists which are provider type 31 and specialty 339).

  • CRR – Children and Adolescents
  • Inpatient Psychiatric Services – Adult (ages 22 and over) in an Acute Care Hospital Psychiatric Unit (MA Provider Type 01, Specialty Codes 010 and 022)
  • Inpatient Psychiatric Services – Adol/Child
  • Residential Treatment Services for Children & Adolescents (RTF accredited)
  • Youth and Young Adult Peer Services (14 – 26 yrs of age)
  • Psychiatric Partial Hospitalization – Adults & Children (Open only for acute partial)
  • Psychiatrists (inclusive of any extender, CRNP or PA, practicing under the Psychiatrist)
  • CRNPs
  • Individual Practitioners – Sexual Offender Treatment
  • Individual Practitioners – Trauma Treatment
  • Neuropsychologists
  • 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

NWBHP

Northwest Behavioral Health Partnership

(Crawford, Mercer, and Venango Counties)

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

Southwest Six Counties

(Armstrong, Butler, Indiana, Lawrence, Washington, and Westmoreland Counties)

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.