General Publications
- ASAM Provider Rates
- Program Standards and Requirements (PSR)
- Program Standards and Requirements (PSR): Appendices
- HealthChoices Examination Guide: Behavioral/Physical Health & Community HealthChoices
- HealthChoices Examination Guide: Supplemental Guidance Behavioral Health
- Financial Reporting Requirements (FRR)
- Telephonic Psychiatric Consultation Service Program (TiPS)
NCQA or URAC Certifications
As per CFR 438.332, the department posts the certificate of accreditation by a Private Independent Entity. The posted certificates reflect the following agencies: the National Committee for Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC).
Carelon Behavioral Health, Inc.
(Formerly Beacon Health Options)
Community Behavioral Health (CBH)
Community Care Behavioral Health (CCBH)
Magellan Behavioral Health (MBH)
- Health Equity Accreditation
- Distinction of Multicultural Health Care
- Managed Behavioral Healthcare Organization
PerformCare
OMHSAS Publications
- A Call for Change: Towards a Recovery-Oriented Mental Health Service System
- A Plan for Promoting Housing and Recovery-Oriented Services
- Housing and the Sequential Intercept Model: A How-To Guide — For Planning for the Housing Needs of Individuals with Justice Involvement & Mental Illness
- Hope for Pennsylvanians: Healthy Planning to Stay Calm in an Emergency & How to Cope Following Disasters and Emergencies
- OMHSAS Strategic Plan for Cultural Competence
- Mental Health Parity and Addition Equity Act (MHPAEA/Parity) Final Report
OMHSAS Resources
External Quality Review Projects
The Balanced Budget Act (BBA) of 1997 requires that state agencies contract with an External Quality Review Organization to conduct an annual external quality review of the services provided by contracted Medicaid Managed Care Organizations.
Statewide
| 2023 |
Carelon Behavioral Health, Inc.
(Formerly Beacon Health Options)
| 2023 | 2018-NA | 2017-NA | 2016-NA | 2015-NA |
Community Behavioral Health
| 2023 |
Community Care Behavioral Health
| 2023 |
Magellan Behavioral Health
| 2023 |
PerformCare
| 2023 |
Value Behavioral Health
2022-NA | 2021-NA | 2020-NA | 2019-NA |