Community Behavioral HealthCare Network of Pennsylvania (CBHNP) is the Behavioral Health plan for residents of the Capital Area (Cumberland, Dauphin, Lancaster, Lebanon, and Perry Counties) and the NorthCentral Region (Bedford, Blair, Clinton, Franklin, Fulton, Lycoming, and Somerset Counties). We are responsible for managing mental health and substance abuse services. Under the Behavioral Health part of the HealthChoices program, CBHNP is required to make sure Members enjoy high quality care and timely access to appropriate mental health and substance abuse services. We also are responsible to help coordinate other services you or your family may need.

 

More information about CBHNP can be found starting at the home page of this web site:

 

You usually become a Member of CBHNP shortly after your physical health plan becomes active. This happens even if you never use behavioral health services. Until your HealthChoices membership becomes effective, you are covered by Medical Assistance (ACCESS). You can call CBHNP to find out if your membership has begun. They will tell you what you need to do if you need help in the meanwhile.

 

You will talk to a Member Services Representative. The representative will ask you questions to find out what kind of services you need. He or she can help you make appointments, give you a list of Providers for services you are looking for, and help you solve problems you may have with the services you are getting. Representatives can also help you file a grievance or complaint.

 

 

 

 

 

 

 

 

 

Your physical health plan pays for your prescriptions – even if your mental health or substance abuse doctor writes your prescription.

 

Each of the HealthChoices plans has a group of doctors and pharmacies that work with them. This is called their network. You must have medicines prescribed by a doctor in your plan’s network. You must fill your prescriptions at a pharmacy in your plan's network.

 

Behavioral health medicines for mental health and substance abuse treatments must be prescribed by your behavioral health plan doctor. You must take the prescription to a pharmacy in your physical health plan’s network.

 

 

A formulary is a limited list of prescription and over-the-counter drugs that you will get automatically when you go to a pharmacist with a prescription. Other drugs are available if your provider gets prior authorization. Each plan has a different formulary. You should call your physical health plan for the most up to date information!

 

If your prescription is for a drug that requires prior authorization or is not on the formulary, you must be given a 72-hour supply of the drug at no charge while your doctor asks for prior authorization. Your plan must give your doctor an answer within 24 hours after asking for authorization. If the answer is "No" you can appeal this decision. You should call your physical health plan for the most up to date information!