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How to Get Started With BHRS

Medical Assistance is the only insurance that Penn Psychiatric Center accepts. To obtain BHR services, your child must have an Axis I diagnosis such as:

  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Attention Deficit Disorder (ADD)
  • Pervasive Development Disorder (PDD)
  • Autism
  • Depression
  • Oppositional Defiant Disorder
  • Reactive Attachment Disorder
  • Bipolar
  • Intermittent Explosive Disorder

Please click on one of the tabs below to find out how to begin BHRS in either Montgomery or Chester Counties.

1) Obtain Medical Assistance for your child by contacting the Montgomery County Assistance Office:

Montgomery County Assistance Office
Norristown District
1931 New Hope Street
Norristown, PA 19401-3191
Toll-Free: 1-877-398-5571
Phone: 610-270-3500

Although your family’s income is not a determining eligibility factor, income must be reported within the Medical Assistance application. They may ask for your pay stubs for the past two weeks, documentation of diagnosis, and a picture ID of your child. Please have these ready in order to expedite the process.

Click Here for Medical Assistance Application

2) Make an Appointment with a Core Provider to schedule an evaluation.

Once Medical Assistance is obtained, contact Magellan Behavioral Health of Pennsylvania, at 877-769-9782. Magellan is the Managed Care Organization (MCO) for Montgomery County. Magellan will refer you to a Core Provider for a Life Domain Evaluation. You may use your own physician for prescription services; however, the physician must utilize the Life Domain Format and be involved throughout the Wraparound process for renewal of services. Below are a few Core Providers that you could use:

Central, Norristown: 610-279-9270, http://www.centralmhmr.org/

Creative Health, Spring City: 610-948-6490, http://www.creativehs.org/

Indian Creek, Sellersville: 267-203-1500, http://www.indcreek.org/

Child and Family Focus: Hatboro, 610-783-1788, http://www.childandfamilyfocus.org/

3) The Core Provider will evaluate your child and recommend a course of action in relation to your child’s mental and behavioral health needs.

A prescription for Wraparound services may be recommended. The psychologist/psychiatrist will make a recommendation based on medical necessity.

If the recommendations include BHR services and you would like to choose Penn Psychiatric Center as your provider, please inform the Core Provider Coordinator. Parents/Caregivers have the “Freedom of Choice” in choosing a provider during the time your child receives BHR services.

4) The Core Provider will schedule a meeting with the Managed Care Organization (MCO) and you to discuss the outcome of the evaluation and to discuss the recommendations.

You may invite anyone to the meeting you feel is important in your child’s life. For example, if services will take place at school, a school representative should be present. If you have chosen Penn Psychiatric Center as your provider, a Coordinator or clinician will attempt to attend the meetings as well. At this time, the Core Provider will review the evaluation and the treatment plan, which will identify any behavioral concerns, and also allow feedback from you. This information will be sent to the MCO for approval. The MCO will have 48 hours to approve, deny or request more information regarding the request for services.

5). Services will begin following approval from the MCO. Depending upon the diagnosis, the MCO can authorize services up to 12 months. Prior to the authorization ending, you will need to schedule another evaluation in order to determine whether or not services should be continued past the initial authorization period.

1. Obtain Medical Assistance for your child by contacting the Chester County Assistance office:

Chester County Assistance Office
100 James Buchanan Drive
Thorndale, PA 19372-1132
Toll Free: 1-888-814-4698
Phone: 610-466-1000

Although your family’s income is not a determining factor, income must be reported within the Medical Assistance application. They may ask for your pay stubs for the past two weeks, documentation of diagnosis, and a picture ID of your child. Please have these ready to expedite the process.

Click Here for Medical Assistance Application

2) Make an appointment with a Core Provider to schedule an evaluation.

Once Medical Assistance is obtained, contact Community Care Behavioral Health of Pennsylvania, at 866-622-4228 (this is the Managed Care Organization (MCO) for Chester County. Community Care will refer you to a Core Provider for a Life Domain Evaluation. You may use your own physician for prescription of services; however the physician must utilize the Life Domain Format and be involved throughout the Wraparound process for renewal of services. Below are the Core Providers in Chester County:

Child Guidance Resource Center, Coatesville: 610-385-5635, http://www.cgrc.org

Creative Health, Spring City: 610-948-6490, http://www.creativehs.org

Devereux, Phoenixville: 610-788-6565, http://www.devereux.org/

Holcomb, Kennett Square: 610-388-7400, http://www.chimes.org/holcomb/

Human Services, Downingtown: 610-873-1010

3) The Core Provider will evaluate your child and recommend a course of action in relation to your child’s mental and behavioral health needs.

A prescription for Wraparound services may be recommended. The psychologist/psychiatrist will make a recommendation based on medical necessity.

If the recommendations include BHR services and you would like to choose Penn Psychiatric Center as your provider, please inform the Core Provider Coordinator. Parents/Caregivers have the “Freedom of Choice” in choosing a provider during the time your child receives BHR services.

4) The Core Provider will schedule a meeting with the Managed Care Organization (MCO) and you to discuss the outcome of the evaluation and to discuss the recommendations.

You may invite anyone to the meeting you feel is important in your child’s life. For example, if services will take place at school, a school representative should be present. If you have chosen Penn Psychiatric Center as your provider, a Coordinator or clinician will attempt to attend the meeting as well. At this time, the Core Provider will review the evaluation and the treatment plan, which will identify any behavioral concerns, and also allow feedback from you. This information will be sent to the MCO for approval. The MCO will have 48 hours to approve, deny or request more information regarding the request for services.

5) Services will begin following approval from the MCO. Depending upon the diagnosis, the MCO can authorize services up to 12 months. Prior to the authorization ending, you will need to schedule another evaluation in order to determine whether or not services should be continued past the initial authorization period.

More Information

Program Description Treatment Team How to Get Started with BHRS