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Care Management Services
 
CBHNP wants to provide the best care for our Members. We have Care Managers who work with adults and Care Managers who work with children. Our Care Managers also work with others (therapists, doctors, social workers, etc) who are involved in a Member’s care. Care Managers are in charge of “managing” care for our Members.

What do Care Managers Do?

Care Managers make sure services fit the Member’s needs. They also make sure Members get:
  • The right kind of care when it is needed
  • The right amount of care
When appropriate, Care Managers may also contact the Member (or others who help the Member) to talk about how things are going. They work with others to get the Member the care that is needed.

The services Members get are supposed to help them get better. Care Managers work to make sure this happens. They will help you if you feel you are not getting better.

Changes for Children’s Care Managers

This spring, CBHNP changed the way our Children’s Care Managers are assigned. We felt this would improve care. This would also help us work better with other agencies.

Here are some of the ways that CBHNP assigns Care Managers:
  • Children’s Care Managers are assigned by County
  • Larger Counties have more Care Managers to cover Children’s Services
  • There are Care Managers who focus on children who live in programs outside of their homes
  • We have Care Managers who work with children diagnosed with Autism Spectrum Disorder
  • We have Care Managers who work with drug and alcohol issues
  • Some Care Managers speak Spanish
  • All Care Managers can work with families who speak Spanish through a special language line
Families can contact a CBHNP Member Service representative for your county or area at the toll-free number listed below. Our Member Services staff can help you find out the name of the Care Manager who works with your child. You can contact or leave a message for your child’s Care Manager by calling Member Services. They can also tell you more about these changes.

Capital Area (Cumberland, Dauphin, Lancaster, Lebanon, and Perry Counties)
  • Toll-free 1-888-722-8646
  • TTY 1-800-654-5984 or PA Relay at 711
NorthCentral Region (Bedford, Blair, Clinton, Franklin, Fulton, Lycoming, and Somerset Counties) Contact a Member Services Representative for your area or county toll-free and ask to speak to the Consumer/Family Affairs Specialist for your county at:
  • 1-866-773-7891 – Bedford or Somerset Counties
  • 1-866-773-7892 – Blair
  • 1-866-773-7917 – Franklin and Fulton Counties
  • 1-866-773-7991 – Lycoming and Clinton Counties
  • TTY 1-800-654-5984 or PA Relay at 711

More things you should know about Care Managers

  • Care Managers are part of a team
  • They have advanced degrees in Social Work, Counseling, Psychology, or Nursing
  • They are licensed in Pennsylvania
  • They get requests for services and review them closely, following their special training in rules and guidelines to help make proper decisions-this helps them determine who gets care, the type of care, and how much care someone can get
  • Care Managers work closely with CBHNP Psychiatrists and Psychologists to decide to approve or deny a service (only Psychiatrists or Psychologists can deny a service)
  • Care Managers are trained to be consistent with their decisions
  • You can call or leave a message for your Care Manager or your child’s Care Manager