Community Care Behavioral Health Organization
Effective July 1, 2019, BHSSBC began a contract with Community Care as an Administrative Service Organization (ASO) performing defined administrative functions. This transition and implementation ended BHSSBC’s partnership with PerformCare (CBHNP). Providers and Members should contact Community Care for any billing, enrollment, access, and care issues that occur after July 1, 2019. BHSSBC provides oversight and monitoring of all Community Care’s activities to ensure full compliance with its contract with the Department of Human Services (DHS).
Community Care’s role will be to:
- Improve Access to Care
- Improve Quality of Care
- Manage Care
- Pay Claims
Community Care manages the provider network that delivers the approved services. All providers are credentialed for the level of care they deliver.
- Community Care monitors the member’s progress in the treatment being provided as well as the provider’s development of aftercare plans to ensure each member’s needs are being met.
- The provider provides the day-to-day treatment, interventions, and plans for the member’s discharge to the least intrusive service.
- Community Care determines if the requested service meets the state’s established medical necessity criteria.
Community Care’s Corporate Headquarters
339 Sixth Avenue, Suite 1300
Pittsburgh, PA 15222
Community Care’s Bedford-Somerset Office
109 West Main Street, Suite 203
Somerset, PA 15501
Community Care’s Member Services # 866-483-2908
Community Care’s Provider Services # 888-251-2224
Community Care’s Online Provider Directory
To locate an approved behavioral health or substance use treatment provider in network with Community Care, click here: https://members.ccbh.com/find-provider