CBH Philadelphia: Open Network for Group Practices, Claims and Provider Relations
Community Behavioral Health is the HealthChoices behavioral health plan for Philadelphia, run as a division of the city's Department of Behavioral Health and Intellectual disAbility Services. For years it contracted mainly with agencies. On December 2, 2025 it opened its network to independent practitioners and group practices.
Short answer
Effective December 2, 2025, CBH accepts independent practitioners and group practices into its provider network. Eligible licenses are CRNP, LMFT, LPC, psychologist, psychiatrist, LSW, and LCSW; group members must be individually enrolled in PROMISe and share one license type; and practices need a physical location within 45 miles of Philadelphia County. CBH Provider Relations is at 215-413-7660.
Where CBH fits
CBH covers Philadelphia County under HealthChoices. Pennsylvania carves behavioral health out of HealthChoices. Each county, or group of counties, contracts a Behavioral Health Managed Care Organization, and the member's county of Medicaid eligibility decides which one you bill, regardless of their physical health plan. Confirm the member's county and BH-MCO in the state's Eligibility Verification System before every new episode.
The open network, from December 2, 2025
| Requirement | Detail |
|---|---|
| Who | Independent practitioners billing under their own TIN, and group practices billing under a group TIN |
| Licenses | CRNP (psychiatry/mental health), LMFT, LPC, psychologist, psychiatrist (psychiatry residency), LSW (with clinical practicum), LCSW |
| Groups | Every member individually enrolled in PROMISe and of the same license type |
| Location | A physical location within 45 miles of Philadelphia County |
| Telehealth | Allowed, with an in-person option offered at the treatment setting |
| How to apply | CBH's Open Network form, then credentialing and contracting |
| Claims and contacts | Detail |
|---|---|
| EDI receiver ID (5010 professional) | 232766661, per CBH's 5010 professional companion guide |
| Billing references | CBH 5010 companion guides and IBHS billing guide, in the provider manual |
| Provider Relations | 215-413-7660 |
As of October 2026.
Where claims go wrong
- Mixed-license groups. A group TIN with psychologists and LCSWs together, which PA Medicaid enrollment does not allow under one group.
- PROMISe enrollment gaps. A clinician billing under the group before their own PROMISe enrollment is active.
- Companion guide mismatches. EDI files that ignore CBH's 5010 companion guide requirements.
The other Pennsylvania BH-MCOs: Community Care, Magellan, PerformCare, Carelon, CBH Philadelphia. Overview: Pennsylvania Medicaid behavioral health billing.
Sources, read October 16, 2026: CBH open network; CBH provider manual; CBH 5010 professional companion guide; CBH providers. Confirm current details on the plan's provider site.
Frequently asked questions
Can a group practice join CBH in Philadelphia?
Yes. Since December 2, 2025, CBH accepts group practices whose members are individually enrolled in PROMISe and share one license type, with a physical location within 45 miles of Philadelphia County.
Which licenses can join CBH's open network?
CRNP, LMFT, LPC, psychologist, psychiatrist, LSW, and LCSW, with discipline-specific requirements.
What is CBH's provider relations number?
215-413-7660, as of October 2026.
What is CBH's EDI receiver ID?
232766661, per CBH's 5010 professional companion guide.
New to CBH? Bill it right from the first claim.
See Stable set up CBH claims to its companion guide and catch PROMISe enrollment gaps before submission.
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