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Behavioral Health

​​Join the AmeriHealth behavioral health network

AmeriHealth recognizes the need to integrate the delivery of medical and behavioral health care by developing a closer partnership with behavioral health clinicians who treat our members.

AmeriHealth directly contracts with behavioral health providers in order to ensure a high quality, robust, and available network for our members.

Note: If you have not signed an AmeriHealth Professional Provider Agreement, you will be considered out-of-network for our members.

Interested in joining our network?

If you are a behavioral health provider interested in joining our network, the first step is to apply for credentialing. Please complete the online application as thoroughly as required. Applications require timely responses and are closed if the provider does not respond to requests for additional information if needed.

If you do not respond within the designated timeframes, your application will be closed, and you will be required to resubmit all information.

Key steps to join our network

  1. To start the process, apply for credentialing.
  2. Sign a contract.
  3. Register for access to our provider portal, known as PEAR (Provider Engagement, Analytics & Reporting). Visit the PEAR portal webpage for instructions on how to register.

Four steps to complete credentialing

It typically takes 30-60 days to complete the credentialing process once we have received all requested documentation.

  1. In addition to your application, you must submit all required supporting documentation. Please ensure you have allowed access to your Council for Affordable Quality Healthcare (CAQH) application and that it is updated with the correct information and matches what is listed on your provider participation form for credentialing.
  2. Once we have received all required documents, we will review the information on your CAQH ProView® application to ensure that it is consistent with the information provided on your Practitioner Participation Form. Please be sure to grant Credentialing permission to view/pull-in your CAQH application. It is critic​al that the information you provide on the Practitioner Participation Form is accurate. This information is ultimately part of your record that assists in processing claims once you are contracted. Inconsistencies will result in incorrect claim payments.
  3. Once your credentialing application has been approved, you will receive an email from DocuSign with the standard contract, if required.
  4. You have 30 business days from the date of the DocuSign email to electronically sign and return the contract. Please note: If the contract is NOT returned within this time frame, your credentialing application will be rescinded, and you will need to reapply if you still wish to become part of the AmeriHealth network.

Register for the PEAR portal

Our PEAR portal provides fast, secure web access to applications and reports that make it easier for providers to manage clinical and financial activities, such as billing. PEAR also provides access to a variety of health plan information specific to your provider organization.

Visit the PEAR portal webpage for instructions on how to register.

Connecting your patients to the right care quickly

The AmeriHealth Behavioral Health team offers many services that help your patients (our members) connect to the right care quickly.

  • Behavioral Health Case Managers: Registered nurses, licensed social workers, and professional counselors proactively identify members who may benefit from behavioral health services. These case managers look at a member’s health history and care patterns to identify risk levels and offer support, including helping the member access care, schedule follow-ups, and stay aligned with their care plans.
  • Behavioral Health Customer Care Advocates and Licensed Behavioral Health Professionals: This specialized team helps with care navigation services. They work together to provide risk screening and guide members to the right care options based on their individual needs.
  • Clinical Triage Team: This team supports high-risk members by identifying priority needs, providing in-the-moment support, directly connecting the member to care (via warm transfer or direct scheduling), and following up to ensure safety and successful linkage. Care navigation services are available 24 hours a day, seven days a week to provide members with rapid connection to the right care.

Additional behavioral health support and tools

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Quartet
If you have questions, email Quartet at support@quartethealth.com
MHIP
Review the MHIP FAQ to learn about our Mental Health Incentive Program (MHIP) for mental health outpatient/professional practices and inpatient facilities.

Watch this message from Dr. Ryan Connolly, Senior Medical Director of Behavioral Health, for an overview of the MHIP program. ​