CBHNP utilizes a provider profiling process that is an important provider-level quality improvement activity, as well as an opportunity to internally track and trend data over a set period of time to identify possible areas of improvement. It is also a tool to make meaningful comparisons based on a varied data set including claims data, authorization data, quality reports and demographic information. Provider profiling results have been compiled using data from October 1, 2008 to September 30, 2009 and include twelve levels of care. The profiled levels of care include Behavioral Health Rehabilitation Services (BHRS), Community Residential Rehabilitation Host Homes (CRR HH), Family Based Mental Health Services (FBMHS), Partial Hospitalization Services (PHP), Mental Health Inpatient Services (MH IP), Mental Health Outpatient Services (MH OP), Residential Treatment Facilities (RTF) and Evaluators and Substance Abuse Detoxification, Halfway House, Short Term Rehabilitation and Long Term Rehabilitation Services.

Profiling indicators vary among services. Some of these indicators include data from utilization ratios, case mix severity index, service delivery percentages (for BHRS), Member satisfaction, treatment record reviews, administrative compliance, and provider performance indicators. It is important to note that all of the profiled providers are fully credentialed network providers in good standing with CBHNP, and the results of provider profiling are presented for informational purposes only for Members.