HealthChoices Behavioral Health Program

The purpose of this RFP is to solicit proposals, under a proposed Centers for Medicare and Medicaid Services waiver of Section 1915(b) of the Social Security Act, from licensed, risk assuming private sector behavioral health managed care organizations (BHMCOs) to become a Primary Contractor to manage the purchase and provision of behavioral health services in the Commonwealth of Pennsylvania's (hereinafter referred to as the Commonwealth) mandatory managed care program called HealthChoices for eligible MA recipients residing in the North/Central zone of Bradford, Cameron, Centre, Clarion, Clearfield, Columbia, Elk, Forest, Huntington, Jefferson, McKean, Juniata, Mifflin, Montour, Potter, Schuylkill, Snyder, Sullivan, Tioga, Union, Warren, and Wayne Counties.

Within this 22 county geographic area Bradford/Sullivan, Cameron/Elk, Clearfield/Jefferson, Columbia/Montour/Snyder/Union, Forest/Warren, Franklin/Fulton, and Huntingdon/Mifflin/Juniata counties are organized as joinders for the delivery of county-administered mental health and drug and alcohol services.
The successful proposer must agree to provide services at a future date (at the Department's discretion) for any of the following counties/joinders: Bedford, Blair, Cambria, Carbon, Clinton, Crawford, Erie, Lycoming, Mercer, Monroe, Northumberland, Pike, Somerset, and Venango.

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