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​​​​​​Join our new behavioral health network

At AmeriHealth, we take a comprehensive approach to your patients' health and emotional well-being. That approach starts with a view of their whole health and their equitable access to care. It also includes working with providers to drive an integrated experience across physical and behavioral health services.

Integrating physical and behavioral health gets people the care they need, when they need it, and has a positive impact on health outcomes. That is why we are reevaluating how we approach behavioral health and collaborating with partners, like Quartet Health, who share our commitment to solving behavioral and physical health challenges in an integrated way.

Effective January 1, 2023: Building a new behavioral health network

AmeriHealth is currently contracting with behavioral health providers to establish a high-quality and comprehensive behavioral health network. This new network is effective January 1, 2023.

Behavioral health providers interested in joining our network who do not currently participate with Magellan should apply for credentialing.

To ensure continuity of care for our members, we encourage behavioral health providers to join our new network. Check these resources for more information:

• Behavioral Health FAQ
• An innovative approach to behavioral health

To request an agreement or obtain more information, please email us at amerihealthbh@amerihealth.com.

AmeriHealth New Jersey currently works with Magellan Healthcare, Inc. (Magellan) to provide a behavioral health network to its members. Effective January 1, 2023, we are insourcing the network and are directly contracting with behavioral health providers.

If you have not yet signed an AmeriHealth New Jersey Professional Provider Agreement butare currently participating with Magellan, you will be considered in-network for our members and will continue to be reimbursed according to Magellan's reimbursement terms. If you would like to receive an enhanced reimbursement under the terms of the AmeriHealth New Jersey agreement, please follow the process outlined below.

If you are a behavioral health provider interested in joining our network:

• If you do NOT currently participate in the Magellan network: The first step is to complete the Practitioner Participation Form.
• ​If you currently participate in the Magellan network but have NOT signed an AmeriHealth New Jersey Professional Provider Agreement: To obtain a contract, you must submit an application through credentialing. This enables us to verify your credentials with Magellan and then issue you a contract.
• ​​If you currently participate in the Magellan network and have signed an AmeriHealth New Jersey Professional Provider Agreement: You do NOT need to do anything. Your current credentials will remain in effect on January 1, 2023. If you are scheduled to be re-credentialed in 2023, Magellan (on behalf of AmeriHealth New Jersey) will perform recredentialing and pass the results to AmeriHealth New Jersey. Please be sure to respond to all recredentialing requests to ensure continuous participation. If you are a participating practice, please make sure that your practitioner roster is up to date.

Behavioral health practitioners joining existing contracted groups

• If you have a new practitioner joining a Contracted Group contracted with Magellan, or contracted with both Magellan and AmeriHealth New Jersey, please submit all credentialing material to Magellan.
• If you have a new practitioner joining an AmeriHealth New Jersey contracted group that does not contract with Magellan, initiate the credentialing process at AmeriHealth New Jersey by completing the Practitioner Participation Form.

Note: While AmeriHealth New Jersey transitions to a directly contracted behavioral health network, behavioral health providers contracted with Magellan will continue to be considered in network through 2023. For information or questions regarding Magellan contracts or credentialling, please visit the Magellan website. If you have any questions related to your Magellan agreement, you can contact Magellan Provider Services Line at 1-800-788-4005 for assistance.

Note: After January 1, 2023, you will need to be credentialed by AmeriHealth and Magellan separately to participate in both networks.

Magellan Healthcare, Inc., an independent company, manages mental health and substance abuse benefits for most AmeriHealth New Jersey members.

Reimbursement terms effective January 1, 2023:

• ​If you currently participate in the Magellan network but have not signed an AmeriHealth New Jersey Professional Provider Agreement, you will be considered as participating in the AmeriHealth New Jersey network and will be reimbursed in accordance with the terms and conditions specified in the Magellan Professional Provider Agreement.
  
  While you will maintain your in-network participation status to provide services to AmeriHealth New Jersey members, you will not be eligible for the AmeriHealth New Jersey terms and conditions (including provider appeal rights and the enhanced AmeriHealth New Jersey reimbursement) until you sign an AmeriHealth New Jersey Professional Agreement.

Please refer to the steps above to complete the contracting/credentialing process.

Questions regarding your participation status in the AmeriHealth network effective January 1, 2023 can be emailed to amerihealthbh@amerihealth.com.

Key steps to join our network

1. To start the process, apply for credentialing.
2. Sign a contract. For more information, please email us at amerihealthbh@amerihealth.com.  
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. We will provide an email outlining what documents are needed.
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.
3. Once your credentialing application has been approved, you will receive an email from DocuSign with the standard contract, if required.
4. You have 15 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. 

Quartet: Supporting behavioral health

Quartet Health – an independent health care technology and services company – enables primary care and behavioral health providers to collaborate on a member's behavioral health needs. The Quartet program is included at no additional cost to the member or employer.

·        An innovative approach to behavioral health

·        Quartet is expanding behavioral services for patients

·        New collaboration with Quartet Health helps connect patients to behavioral health care

·        Addressing depression with AmeriHealth members

·        Bridging medical and behavioral health care

·         

If you have questions, or want to enroll with Quartet, please email Quartet at support@quartethealth.com. ​