Frequently Asked Questions (FAQ)

How Do I Know if I am in a CBH Membership Area?

The state of Georgia is divided up into six service regions. CBH, the behavioral health vendor for Peach State Health Plan (www.pshpgeorgia.com), manages membership and networks in three of the six regions; Atlanta, Central, and Southwest

Which Region am I in?

Atlanta Region
Barrow, Bartow, Butts, Carroll, Cherokee, Clayton, Cobb, Coweta, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Haralson, Henry, Jasper, Newton, Paulding, Pickens, Rockdale, Spalding, Walton

Central Region
Baldwin, Bibb, Bleckley, Chattahoochee, Crawford, Crisp, Dodge, Dooly, Harris, Heard, Houston, Johnson, Lamar, Laurens, Macon, Marion, Meriwether, Monroe, Muscogee, Peach, Pike, Pulaski, Talbot, Taylor, Telfair, Treutlen, Troup, Twiggs, Upson, Wheeler, Wilcox, Wilkinson

Southwest Region
Decatur, Grady, Thomas Seminole, Atkinson, Baker, Ben Hill, Berrien, Brooks, Clay, Calhoun, Clinch, Coffee, Colquitt, Cook, Dougherty, Early, Echols, Irwin, Lanier, Lee, Lowndes, Mitchell, Miller, Quitman, Randolph, Schley, Stewart, Sumter, Terrell, Tift, Turner, Webster, Worth

How Do I Know if I am a Participating Provider in the CBH Network?

If you are unsure of your participating status in the CBH Network, please call CBH Provider Relations at (800) 947-0633. Provider Relations can verify your status and let you know if we need anything in order to expedite your participating status in our referral database and Provider Directories.

What Type of License do I Need in Order to Join Your Network?

CBH contracts and credentials behavioral health clinicians and specialists in our national networks. In the state of Georgia, CBH has credentialing criteria for the following licensure levels:

MD, DO: Psychiatrist
MD, DO: Addictionologist
PhD, PsyD, EdD: Clinical Psychologist
ANP, ARNP: Psychiatric Nurse Practioner
LPC: Licensed Professional Counselor
LCSW: Licensed Clinical Social Worker
LMFT: Licensed Marriage and Family Therapist

Do I need a Medicaid Number to Join the CBH Network?

Yes, CBH requires that you obtain a Medicaid number for reimbursement purposes.

How Do I Get a Medicaid Number?

You must first attempt to apply on the State website. At the main page, choose the "Provider Information" tab. Once you complete the application, you will receive a confirmation number. The State will notify you when your application has been approved and your Medicaid number is active with the State. Please notify CBH once you obtain your notification of approval.

If you experience problems applying on the website, you may call the Provider Information Line using the following numbers:
1-800-766-4456 (Toll Free)
1-404-298-1228 (ATL Area)

If you need additional assistance, please call the CBH Provider Relations Department at 1-800-947-0633.

How do I Join the CBH Provider Network?

It's easy! Simply call CBH Network Development at (800) 947-0633. Your local Network Development Manager will provide you with an Agreement and all applicable credentialing materials. Or simply complete the Join Our Network Form and a Network Manager will forward the appropriate materials to you.

Who is My Regional Network Development Contact?

Atlanta Region
Carla Menchion, CBH Network Development Manager, Atlanta Region
(678) 556-2491
cmenchion@centene.com

Central Region
Clinton Shedd, CBH Network Development Manager, Central Region
(478) 951-7199
cshedd@centene.com

Southwest Region (Interim Representative)
Clinton Shedd, CBH Network Development Manager
(478) 951-7199
cshedd@centene.com

How will prior authorization work?

Participating providers are able to conduct an evaluation and 5 follow up visits for outpatient treatment services without prior authorization required. Providers may simply submit claims for these treatment visits. For authorizations for treatment sessions beyond the initial 6, an Outpatient Treatment Request (OTR) form must be submitted by providers. Authorization requests may be submitted via mail, fax, or web.
For psychological testing, prior authorization is required. Participating physicians and nurse practitioners do not need prior authorization for medication management visits. For more information regarding CBH's authorization processes, please visit the Provider Manual.

I Want to Familiarize Myself with CBH's Medical Necessity Criteria,
and Claims Submission/Payment. Where Do I Find This Information?

The CBH Georgia Provider Manual has been placed online for your convenience. Feel free to download the Provider Manual, and if you have any questions or need clarification regarding its contents, do not hesitate to contact your local Network Development Manager or Provider Relations Specialist at (800) 947-0633. We are here to assist you in any way we can.

What if I Need Additional Training or Orientation?

In an effort to provide the best customer service and meet your needs, CBH offers regional Network Development representation. Your dedicated regional Network Development Manager is available to meet with you to conduct face-to-face meetings and seminars at your convenience.

CBH will also host a variety of provider education sessions, Q&A forums, and a number of conferences. Please contact your regional Network Development Manager for further details.