PROVIDER RECRUITMENT
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All providers interested in participation in the VBH-PA provider network are required to complete and sign a VBH-PA participating provider application.  Applications will only be accepted for those counties and levels of care in which the network is active.  The credentialing process should be completed within 180 days of the date the provider signs the attestation form of the application.  Before the contract is executed, providers and their services must be approved by ValueOptions National Credentialing Committee (NCC).  ValueOptions’ credentialing criteria are tailored not only to meet the Commonwealth’s licensing criteria, but also to ensure that providers who are expert in serving Medicaid recipients are included in the network. 

VBH-PA identifies a full continuum of Behavioral Health providers and services as well as developing a range of Supplemental Services to meet the needs of members.  VBH-PA continues to monitor provider capacity and appropriate resources to meet access standards for services required by the Commonwealth of PA.    As appropriate, providers receiving three out-of-network authorizations will be recruited into the VBH-PA provider network.

VBH-PA may not employ or contract with providers excluded from participation in federal health care programs under either Section 1128 or Section 1128A of the Social Security Act.

VBH-PA will not discriminate against providers that serve high risk populations or specialize in conditions that require costly treatment.

Providers that are declined for inclusion in the network are given written notice of the reason for the decision.