MA MCO Directory

PENNSYLVANIA MEDICAID
MANAGED CARE ORGANIZATION (MCO)

DIRECTORY
September 2020
HealthChoices Physical Health

Southeast Zone: Bucks, Chester, Delaware, Montgomery, and
Philadelphia Counties
Southwest Zone: Allegheny, Armstrong, Beaver, Bedford, Blair,

Butler, Cambria, Fayette, Greene, Indiana, Lawrence, Somerset,
Washington, and Westmoreland Counties
Lehigh/Capital Zone: Adams, Berks, Cumberland, Dauphin,

Franklin, Fulton, Huntingdon, Lancaster, Lebanon, Lehigh,
Northampton, Perry, and York Counties
Northwest Zone: Cameron, Clarion, Clearfield, Crawford, Elk,

Erie, Forest, Jefferson, McKean, Mercer, Potter, Venango, and
Warren Counties
Northeast Zone: Bradford, Carbon, Centre, Clinton, Columbia,

Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Monroe,
Montour, Northumberland, Pike, Schuylkill, Snyder, Sullivan,
Susquehanna, Tioga, Union, Wayne, and Wyoming Counties
Updated: September 2020

Aetna Better Health
Zones: Southeast, Southwest, Lehigh/Capital, Northwest, and Northeast
Pharmacy Benefit Manager: CVS/Caremark
Dental Benefit Manager: SkyGen (Scion)
Contact Information
Dave Shafer, Interim CEO Member Services

2000 Market Street, Suite 850 Phone: 866-638-1232
Philadelphia, PA 19103 TTY: 711
Phone: 215-282-3503
Fax: 215-282-3535 Provider Services
ShaferG@aetna.com Phone: 866-638-1232
Benjamin Alouf, M.D. Special Needs

MCO Chief Medical Officer Phone: 855-346-9828
TTY: 711
2000 Market Street, Suite 850
Philadelphia, PA 19103
Phone: 215-775-3214
AloufB@aetna.com
MCO Contact: DHS Contract Manager

Darlene L. DeMore Bethany Garretson
Phone: 717-772-6300
Director, Regulatory Compliance
Fax: 717-772-6328
3721 Tecport Drive bgarretson@pa.gov
Harrisburg, PA 17111
Phone: 717-829-2296
dldemore@aetna.com
Natalie Nkurunziza
MCO Pharmacy Director
Phone: 860-900-6247
Kevin Woodbury
MCO Vendor Oversight
Phone: 610-368-8704

Health Partners Plans
Zones: Southeast
Dental Benefit Manager: Avesis
Contact Information
Denise Napier, President & CEO Member Services

901 Market Street, Suite 500 Phone: 800-553-0784
Philadelphia, PA 19107 TTY: 877-454-8477
Phone: 215-845-4747
dnapier@hpplans.com Phone: 888-991-9023
Phila. Local calls: 215-991-4350
Dr. Howard Lu Special Needs
MCO Chief Clinical Officer Phone: 866-500-4571
TTY: 877-454-8477
Phone: 215-991-4073
hlu@hpplans.com
Kearline D. Jones Jim Peters
Phone: 717-772-6300
VP Government Affairs
Fax: 717-772-6328
State Medicaid Program Manager jamepeters@pa.gov

Phone: 215-991-4063
Cell: 267-767-5443
Fax: 215-967-4494
kdjones@hpplans.com
MCO Contact: MCO Contact:
Tierra Pritchett Priscilla Giammarco
Director, Legislative & Regulatory Affairs Director, Audit, Risk and
901 Market Street, Suite 500 Commitments
Philadelphia, PA 19107 901 Market Street, Suite 500
Phone: 215-991-4361 Philadelphia, PA 19107
Fax: 215-967-9241 Phone: 215-991-4371
HPP Gov’t. Relations & Compliance email: Fax: 215-967-9269
RegulatoryCompliance@hpplans.com HPP Gov’t. Relations & Compliance email:
RegulatoryCompliance@hpplans.com

Keystone First – Southeast Zone
Zones: Southeast
Pharmacy Benefit Manager: Perform Rx
Dental Benefit Manager: Scion
Contact Information
Joanne McFall, Market President Member Services

200 Stevens Drive Phone: 800-521-6860
Philadelphia, PA 19113 TTY: 800-684-5505
Phone: 215-863-6467
JMcFall@amerihealthcaritas.com Phone: 800-521-6007
Dr. Y. Lily Higgins Special Needs

MCO Chief Clinical Officer Phone: 866-573-4100
TTY: 800-684-5505
200 Stevens Drive
Phone: 215-863-6604
Fax: 215-863-6604#
yhiggins@amerihealthcaritas.com

Ellan Baumgartner Courtney Troyer
Phone: 717-772-6300
Director, Regulatory Affairs
Fax: 717-772-6328
200 Stevens Drive ctroyer@pa.gov
Phone: 215-863-5215
Fax: 215-937-8568
ebaumgartner@amerihealthcaritas.com

United Healthcare Community Plan of PA
Zones: Southeast, Southwest, and Lehigh/Capital
Pharmacy Benefit Manager: Optum Rx
Dental Benefit Manager: DBP
Contact Information
Allison Davenport, CEO Member Services

The Wanamaker Building Phone: 800-414-9025
100 Penn Square East, Suite 410 TTY: 711
Provider Services
Phone: 215-231-3098 Phone: 800-600-9007
Fax: 215-832-4940
Assistant: Cherisse Wilson Special Needs
Phone: 215-832-4519 Phone: 877-844-8844
Allison_davenport@uhc.com TTY: 711
Michael R. Kornhauser
MCO Medical Director DHS Contract Manager
Liz DeLuca
The Wanamaker Building
Phone: 717-772-6300
100 Penn Square East, Suite 410 Fax: 717-772-6328
Philadelphia, PA 19107 edeluca@pa.gov
Phone: 215-832-4589
Michael_kornhauser@uhc.com
MCO Contacts:
Corey Coleman, External Affairs Director
100 Penn Square East, Suite 410
Phone: 215-557-5785
Fax: 215-832-4940
Corey_b_coleman@uhc.com
Kiziann Powell, Compliance Officer

100 Penn Square East, Suite 400
Phone: 215-832-4732
Fax: 215-832-4940
Kiziann_powell@uhc.com
UHCPACompliance@uhc.com

Gateway Health
Zones: Southwest, Lehigh/Capital, and Northwest
Dental Benefit Manager: UCCI
Contact Information
Cain Hayes, President and CEO Member Services

Four Gateway Center Phone: 800-392-1147
444 Liberty Ave., Suite 2100 TTY: 711
Pittsburgh, PA 15222-1222
Provider Services
Phone: 412-255-1347 Phone: 800-392-1145
chayes@gatewayhealthplan.com
Special Needs
Phone: 800-392-1147
TTY: 711
Anthony Solem
V.P., Executive Director, HealthChoices
DHS Contract Monitors
Four Gateway Center
Don Shupp and Denise Moore
444 Liberty Ave., Suite 2100 Phone: 717-772-6300
Pittsburgh, PA 15222-1222 Fax: 717-772-6328
Phone: 412-255-4349 dshupp@pa.gov
asolem@gatewayhealthplan.com denimoore@pa.gov
Dr. Steven Szebenyi

MCO Chief Medical Officer
Four Gateway Center
444 Liberty Ave., Suite 2100
Pittsburgh, PA 15222-1222
Phone: 412-255-7101
Sszebenyi@gatewayhealthplan.com
MCO Contact: Government Liaison:

Cassidy Wozniak Kristen Stein
Director MA Programs Four Gateway Center
Four Gateway Center 444 Liberty Ave., Suite 2100
444 Liberty Ave., Suite 2100 Pittsburgh, PA 15222-1222
Pittsburgh, PA 15222-1222 Phone: 412-918-8869
Phone: 412-918-8550 kstein@gatewayhealthplan.com
cwozniak@gatewayhealthplan.com
For all correspondence:
GHPContractMonitoringTeam@gatewayhealthplan.com

UPMC for You, Inc.
Zones: Southwest, Lehigh/Capital, and Northwest
Pharmacy Benefit Manager: ESI
Contact Information
John Lovelace, President of Gov’t Member Services

Programs & Individual Advantage Products Phone: 800-286-4242
US Steel Tower TTY: 800-361-2692
600 Grant Street, 55th Floor
Provider Services
Pittsburgh, PA 15219
Phone: 866-918-1595
Phone: 412-454-5269
Fax: 412-454-7527 Special Needs
lovelacejg@upmc.edu Phone: 866-463-1462
TTY: 800-361-2629
Dr. Nicholas Degregorio
MCO Chief Medical Officer DHS Contract Manager
Chris Bratton
US Steel Tower
Phone: 717-772-6300
600 Grant Street, 11th Floor Fax: 717-772-6328
Pittsburgh, PA 15219 cbratton@pa.gov
Phone: 412-454-7860
Fax: 412-454-7544
degregorion@upmc.edu
MCO Contact:
Natalie Sifuentes, Coord. Gov’t Product/Liaison
US Steel Tower
600 Grant Street, 9th Floor
Phone: 412-454-7528
Fax: 412-454-7544
Correspondence: upmc4uqa@upmc.edu
Meeting Invites Only: sifuentesmn@upmc.edu
Paul Kienzle
MCO Pharmacy Director
Phone: 412-454-7745
Bob Glass
MCO Dental Vendor Oversight
Phone: 412-454-7951
Website: www.upmchealthplan.com/foryou

AmeriHealth Caritas Pennsylvania
Zones: Lehigh/Capital and Northwest
Contact Information
Marge Angello Member Services

Market President Phone: 888-991-7200
8040 Carlson Road TTY: 888-987-5704
Phone: 717-651-3552 Provider Services
Fax: 717-651-3555 Phone: 800-521-6007
mangello@amerihealthcaritas.com
Special Needs
Phone: 800-684-5503
TTY: 888-987-5704
Dr. Gaspere Geraci
MCO Medical Director DHS Contract Manager
Courtney Troyer
8040 Carlson Road
Phone: 717-772-6300
Harrisburg, PA 17112 Fax: 717-772-6328
Phone: 717-943-1806 ctroyer@pa.gov
Fax: 717-651-3555
ggeraci@amerihealthcaritas.com
MCO Contact:
Ellan Baumgartner
200 Stevens Drive
Phone: 215-863-5215
Fax: 215-937-8568

AmeriHealth Caritas Northeast
Zones: Northeast
Marge Angello Member Services

Market President Phone: 855-809-9200
8040 Carlson Road TTY: 855-859-4109
Phone: 717-651-3552 Provider Services
Fax: 717-651-3555 Phone: 800-208-7370
mangello@amerihealthcaritas.com
Special Needs
Phone: 800-498-0766
TTY: 855-859-4109
Dr. Y. Lily Higgins
MCO Medical Director (Interim) DHS Contract Manager
Courtney Troyer
200 Stevens Drive
Phone: 717-772-6300
Philadelphia, PA 19113 Fax: 717-772-6328
Phone: 215-863-6604 ctroyer@pa.gov
Fax: 215-863-6604#
yhiggins@amerihealthcaritas.com
MCO Contact:
Ellan Baumgartner
200 Stevens Drive
Phone: 215-863-5215
Fax: 215-937-8568

Geisinger Health Plan (Geisinger Family)
Zones: Northeast
Pharmacy Benefit Manager: MedImpact
Contact Information
Kurt Wrobel Member Services

President and CEO Phone: 855-227-1302
100 North Academy Avenue TTY: 711
Danville, PA 17822-3220
Phone: 570-271-8777 Special Needs
Phone: 855-214-8100 or 570-214-7570
kjwrobel@thehealthplan.com
Mary Mastrandrea Provider Services

V.P., Government Programs Phone: 800-876-5357
100 North Academy Avenue
Danville, PA 17822-3220
Phone: 410-303-7972
mmastrandrea@thehealthplan.com
Terry Carpenter DHS Contract Manager
Director, State Gov’t. Programs Jerri Hall
Phone: 717-772-6300
2601 Market Place, Suite 100
Fax: 717-772-6328
Harrisburg, PA 17110 jehall@pa.gov
Phone: 717-909-3344
tcarpenter@thehealthplan.com
Leroy Jefferys
Manager, State Gov’t Programs
2601 Market Place, Suite 100
Phone: 717-909-3390
ljefferys@thehealthplan.com
Perry Meadows
MCO Medical Director
Phone: 570-271-5192
pmeadows@thehealthplan.com
Andrew Centrone
Government Liaison
2601 Market Place
Phone: 717-909-3373
Fax: 717-909-3350
amcentrone@thehealthplan.com

HealthChoices Behavioral Health
Southeast Zone
County Information
Bucks County BH System Philadelphia County

Cindy Grezeszak David Jones, Commissioner
Director of BH Dept. Dept. of BH & Intellectual Disability Svcs.
600 Louis Dr., Suite 102-A 1101 Market Street, 7th Floor
Warminster, PA 18974 Philadelphia, PA 19107
Phone: 215-444-2723 Phone: 215-685-4736
Fax: 215-348-6204 Fax: 215-685-4751
cgrezeszak@co.bucks.pa.us David.T.Jones@phila.gov
Subcontractor: Community Care BH
Subcontractor: Magellan BH
Chester County Dept. of Human Svcs. Montgomery County Managed Care Solutions
Donna Carlson LeeAnn Moyer
Administrator of MCS
Deputy Director for Managed Care
Montgomery County Human Svcs. Center
601 Westtown Rd., Suite 330 1430 DeKalb Street
P.O. Box 2747 P.O. Box 311
West Chester, PA 19380-0990 Norristown, PA 19404
Phone: 610-344-6640 Phone: 610-292-4575
Fax: 610-344-5736 Fax: 610-278-3683
lmoyer@montcopa.org
dcarlson@Chesco.org
Subcontractor: Community Care BH Org.
Delaware County Office of BH

Jonna L. DiStefano, Administrator
20 South 69th Street, 3rd Floor
Upper Darby, PA 19082
Phone: 610-713-2365
Fax: 610-713-2378
distefanoj@delcohsa.org

Southeast Zone
BHSubcontractor Information
Magellan Behavioral Health Magellan BH Member Services

MCO Contact: Bucks County: 877-769-9784
James Leonard, CEO Delaware County: 888-207-2911
105 Terry Drive, Suite 103 Montgomery County: 877-769-9782
Newtown, PA 18940
Phone: 215-504-3964
Fax: 866-667-7744 DHS Staff Liaison (for above counties):
jpleonard@magellanhealth.com Scott Anstey
Phone: 610-313-5804
Fax: 610-313-5845
sanstey@pa.gov
Community Behavioral Health Community BH

MCO Contact: Philadelphia County: 888-545-2600
Joan Erney, CEO
DHS Staff Liaison (Philadelphia):
801 Market Street, 7th Floor William Jerome Burton
Philadelphia, PA 19107 Phone: 610-313-5272
Phone: 215-413-3100 Fax: 610-313-5845
Fax: 215-413-7111 wburton@pa.gov
Joan.erney@phila.gov
Community Care BH Organization Community Care BH Organization

Matthew O. Hurford, M.D. Chester County: 866-622-4228
President and CEO
DHS Staff Liaison (Chester):
UPMC Insurance Services Division William Jerome Burton
339 6th Avenue, Suite 1300 Phone: 610-313-5272
Pittsburgh, PA 15222 Fax: 610-313-5845
Phone: 412-454-2149 wburton@pa.gov
Fax: 888-588-7567
hurfordmo@ccbh.com

Southwest Zone
County Information
Southwest BH Management, Inc. Allegheny County Office of BH

David McAdoo Denise Macerelli
2520 New Butler Road Deputy Director of BH
New Castle, PA 16101 One Smithfield Street, 3rd Floor
Phone: 724-657-3470 Pittsburgh, PA 15222
Fax: 724-657-3461 Phone: 412-350-4457
dmcadoo@swsix.com Fax: 412-350-3880
Service Area: Armstrong, Butler, Indiana, Lawrence, DeniseMacerelli@alleghenycounty.us
Washington and Westmoreland Counties Subcontractor: Community Care BH Org.
Subcontractor: BHO/Value BH
Fayette County BH
Lisa Ferris
Administrator
215 Jacob Murphy Lane
Uniontown, PA 15401
Phone: 724-430-1370
Fax: 724-430-1386
laf@fcbha.org
Beaver County MH/MR Program

Gerard Mike
Administrator
1060 Eighth Avenue
Beaver Falls, PA 15010
Phone: 724-744-6301
Fax: 724-744-6303
gmike@bcbh.org

Southwest Zone
BH Subcontractor Information

Matthew O. Hurford, M.D. Allegheny County: 800-553-7499
President and CEO
DHS Staff Liaison (Allegheny):
UPMC Insurance Services Division
Phyllis Knott
339 6th Avenue, Suite 1300
Phone: 412-880-0488
Fax: 412-565-5393
Phone: 412-454-2149
pknott@pa.gov
Fax: 888-588-7567
hurfordmo@ccbh.com
Beacon Health Options/Value BH Beacon Health Options/Value BH

MCO Contact: Armstrong County: 877-688-5969
Dr. Roxanne Kennedy, CEO Butler County: 877-688-5971
P.O. Box 1840 Indiana County: 877-688-5969
Cranberry Township, PA 16066 Lawrence County: 877-688-5975
Phone: 724-744-6301 Washington County: 877-688-5976
Fax: 724-744-6303
Westmoreland County: 877-688-5977
roxanne.kennedy@beaconhealthoptions.
com
DHS Staff Liaison (for above counties):
Lee Ann Kohler
Phone: 412-880-3480
Fax: 412-565-5393
lkohler@pa.gov
Beacon Health Options/Value BH

Beaver County: 877-688-5970
Fayette County: 877-688-5972
Greene County: 877-688-5973

Chris Duncan
Phone: 412-565-7989
Fax: 412-565-5393
chrduncan@pa.gov

Lehigh/Capital Zone
County Information
Capital Area BH Collaborative, Inc. York/Adams HealthChoices

Scott Suhring, CEO James Myers, Regional Director
2300 Vartan Way, Suite 206 200 Corporate Center Drive
Harrisburg, PA 17110 Camp Hill, PA 17011
Phone: 717-671-7190 Phone: 717-731-3603
Fax: 717-671-7289 myersjb2@ccbh.com
ssuhring@cabhc.org Subcontractor: Community Care BH Org
Service Area: Cumberland, Dauphin, Lancaster,
Lebanon, and Perry Counties
Subcontractor: CBHN of PA
Lehigh County Dept. of Human Services Berks County MH/DD Program

Matt Bauder Lydia Singley
HealthChoices Administrator HealthChoices Program Director
633 Court Street, 8th Floor
17 South 7th Street, 2nd Floor
Reading, PA 19601
Allentown, PA 18101-2400 Phone: 610-478-3271, ext. 6581
Phone: 610-782-3526 Fax: 610-478-4980
Fax: 610-820-3689 LSingley@countyofberks.com
mattbauder@lehighcounty.org Subcontractor: Community Care BH Org.
Northampton Co. Dept. Human Services

Kristy Bernard
Northampton Co. HealthChoices Admin.
2801 Emrick Blvd.
Bethlehem, PA 18020
Phone: 610-829-4775
Fax: 610-997-5808
Emergency Services: 610-252-9060
KBernard@northamptoncounty.org

Lehigh/Capital Zone
Community BH Network of PA/PerformCare Community BH Network of PA/PerformCare

Lisa Hanzel Cumberland, Dauphin, Lancaster,
Executive Director Lebanon, and Perry Counties:
8040 Carlson Road 888-722-8646
P.O. Box 6600
Harrisburg, PA 17112 DHS Staff Liaison (for above counties):
Phone: 717-540-1139 Sierra Bilous
Fax: 717-909-2191 Phone: 717-772-7226
lhanzel@performcare.org Fax: 717-705-8386
sibilous@pa.gov
Magellan Behavioral Health Magellan Behavioral Health
MCO Contact: Lehigh County: 866-238-2311
James Leonard, CEO Northampton County: 866-238-2312
105 Terry Drive, Suite 103
Newtown, PA 18940 DHS Staff Liaison (Lehigh, Northampton):
Phone: 215-504-3964 Lynn Wright
Fax: 866-667-7744
Phone: 570-963-4941
jpleonard@magellanhealth.com
Fax: 570-963-3050
lynwright@pa.gov

MCO Contact: Adams County: 866-738-9849
Berks County: 866-292-7886
Matthew O. Hurford, M.D.
York County: 866-738-9849
President and CEO Spanish Language: 866-229-3187
UPMC Insurance Services Division Provider Line: 888-251-2224
Pittsburgh, PA 15222 DHS Staff Liaison (Adams & York):
Phone: 412-454-2149 Sierra Bilous
Phone: 717-772-7226
Fax: 888-588-7567
Fax: 717-705-8386
hurfordmo@ccbh.com
sibilous@pa.gov
DHS Staff Liaison (Berks):

Lynn Wright
Phone: 570-963-4941
Fax: 570-963-3050
lynwright@pa.gov

North/Central State Option

Matthew O. Hurford, M.D. Bradford, Cameron, Centre, Clarion,
President and CEO Clearfield, Columbia, Elk, Forest,
UPMC Insurance Services Division Huntingdon, Jefferson, Juniata, McKean,
Mifflin, Montour, Northumberland, Potter,
Schuylkill, Snyder, Sullivan, Tioga,
Pittsburgh, PA 15222 Union, Warren, and Wayne: 866-878-6046
Phone: 412-454-2149
Fax: 888-588-7567
hurfordmo@ccbh.com
Angela Roland
Phone: 717-705-8111
Fax: 717-705-8386
aroland@pa.gov

North/Central County Option
County Information
Behavioral Health Services of Bedford & Somerset Lycoming/Clinton Joinder Board
Tia S. Mann, HC Director Jacqueline Miller, HC Director
245 West Race Street 200 East Street
Somerset, PA 15501 Williamsport, PA 1701-6467
Phone: 814-443-8182, ext. 4121 Phone: 570-601-3768
Fax: 814-443-4021 Fax: 570-326-1348
tmann@bhssbc.us jmiller@joinder.org
Subcontractor: Comm. Care BH Organization Subcontractor: Comm. Care BH Organization
Blair HealthChoices Erie County MH/ID Program

Amy Marten-Shanafelt, Executive Director John DiMattio
120 Holiday Hills Drive DHS Director
Hollidaysburg, PA 16648 154 West Ninth Street
Phone: 814-696-5680 Erie, PA 16501
Fax: 814-695-5132 Phone: 814-451-6860
amshanafelt@blairhealthchoices.org Fax: 814-451-6868
Subcontractor: Comm. Care BH Organization jdimattio@eriecountydhs.org
Subcontractor: Comm. Care BH Organization
Behavioral Health of Cambria County
Tracy Selak, Administrator Tuscarora Managed Care Alliance
(serving Franklin & Fulton Counties)
110 Franklin Street, Suite 300 Melissa Reisinger, Executive Director
Johnstown, PA 15901-1831 425 Franklin Farm Lane
Phone: 814-534-4436 Chambersburg, PA 17202
Fax: 814-534-4457 Phone: 1-866-646-1060
tselak@co.cambria.pa.us mlreisinger@franklincountypa.gov
When emailing please cc: Tanya Kvarta, Exec. Dir. Subcontractor: Comm. BH Network of Pa/PerformCare
tkyarta@bhocc.org
Subcontractor: Magellan Behavioral Health
Carbon/Monroe/Pike HealthChoices Prgm. Northwest BH Partnership, Inc.

Jeff Hartzell, HealthChoicesCoordinator (Serving Crawford, Mercer, and Venango Counties)
724 Phillips Street, Suite 103 Dave McAdoo, Executive Director
2520 New Butler Road
Stroudsburg, PA 18360-2228 New Castle, PA 16101
Phone: 570-420-1900, ext. 3111 Phone: 724-657-3470
Fax: 570-517-0181 Fax: 724-657-3461
jhartzell@cmphealthchoices.com dmcadoo@swsix.com
Subcontractor: Comm. Care BH Organization Subcontractor: Beacon Health Options/Value BH

Comm. Care BH Organization Comm. Care BH Organization

Matthew O. Hurford, M.D. Bedford & Somerset Counties: 866-483-2908
President and CEO
UPMC Insurance Services Division DHS Staff Liaison (Bedford, Somerset):
339 6th Avenue, Suite 1300 Angela Douglas
Pittsburgh, PA 15222 Phone: 717-346-5943
Phone: 412-454-2149 Fax: 717-705-8386
Fax: 888-588-7567 andouglas@pa.gov
hurfordmo@ccbh.com
Matthew O. Hurford, M.D. Blair County: 800-553-7499
President and CEO

UPMC Insurance Services Division DHS Staff Liaison (Blair):
339 6th Avenue, Suite 1300 Angela Roland
Phone: 412-454-2149 Fax: 717-705-8386
Fax: 888-588-7567 aroland@pa.gov

hurfordmo@ccbh.com
Magellan Behavioral Health Magellan Behavioral Health
MCO Contact: Cambria County: 800-424-0485
James Leonard, CEO

105 Terry Drive, Suite 103 DHS Staff Liaison (Cambria):
Newtown, PA 18940 Angela Douglas
Phone: 215-504-3964 Phone: 717-346-5943
Fax: 866-667-7744 Fax: 717-705-8386
jpleonard@magellanhealth.com andouglas@pa.gov
Tracy Shultz, Director of Operations

1003 Broad Street, Suite 301
Johnstown, PA 15906
Phone: 814-961-0684
tshultz@magellanhealth.com
Beth Pickering, Regional Director Carbon, Monroe and Pike Counties:
866-473-5962
Mountain Healthcare Center
100 Community Drive, Suite 207 DHS Staff Liaison (Carbon, Monroe, Pike):
Tobyhanna, PA 18466 David Gabello
Phone: 570-243-4712 Phone: 570-963-3016
Fax: 866-562-2358 Fax: 570-963-3050
pickeringba@ccbh.com dgabello@pa.gov

Matthew O. Hurford, M.D. Lycoming & Clinton Counties:
President and CEO 800-553-7499
UPMC Insurance Services Division
339 6th Avenue, Suite 1300 DHS Staff Liaison (Lycoming & Clinton Counties):
Pittsburgh, PA 15222 Angela Roland
Phone: 412-454-2149 Phone: 717-705-8111
Fax: 888-588-7567 Fax: 717-705-8386
hurfordmo@ccbh.com aroland@pa.gov
Community Care BH Organization
Erie County: 855-224-1777
Spanish Language: 866-229-3187
TTY: 877-877-3580
DHS Staff Liaison (Erie):
Phyllis Knott
Phone: 412-880-0488
Fax: 412-565-5393
pknott@pa.gov
Community BH Network of PA/PerformCare Community BH Network of PA/PerformCare

Lisa Hanzel, Exec. Dir. Franklin & Fulton Counties: 866-773-7917
8040 Carlson Road
P.O. Box 6600 DHS Staff Liaison (Franklin & Fulton Counties):
Harrisburg, PA 17112 Sierra BIlous
Phone: 717-540-1139 Phone: 717-772-7226
Fax: 717-909-2191 Fax: 717-705-8386
lhanzel@performcare.org sibilous@pa.gov
Beacon Health Options/Value BH Beacon Health Options/Value BH
Dr. Roxanne Kennedy, CEO Crawford, Mercer & Venango Counties:
866-404-4561
P.O. Box 1840
Cranberry Township, PA 16066 DHS Staff Liaison (Crawford, Mercer & Venango):
Phone: 724-744-6301 Lee Ann Kohler
Fax: 724-744-6303 Phone: 412-880-3480
roxanne.kennedy@beaconhealthoptions.com Fax: 412-565-5393
lkohler@pa.gov

Northeast Zone
County Information BH Subcontractor Info.

Community Care BH Organization
Northeast BH Care Consortium Dr. Matthew O. Hurford, M.D.
James Gallagher, CEO President and CEO
72 Glenmaura National Blvd. UPMC Insurance Services Division
Moosic, PA 18507 339 6th Avenue, Suite 1300
Fax: 570-344-4806 Phone: 412-454-2149
jgallagher@nbhcc.org Fax: 888-588-7567
Subcontractor: Comm. Care BH Organization hurfordmo@ccbh.com
Lackawanna, Luzerne, Susquehanna, and
Wyoming Counties: 866-668-4696
Provider Line: 888-251-2224

David Gabello
Phone: 570-963-3016
Fax: 570-963-3050
dgabello@pa.gov

Community HealthChoices
AmeriHealth Caritas CHC

Zones: Southwest, Lehigh/Capital, Northwest, and Northeast
Contact Information
Stephan Roker CHC Contact Center

SVP LTSS Services Phone: 855-235-5115
200 Stevens Drive TTY: 855-235-5112
Phone: 215-863-5171 CHC Provider Services
Fax: 855-558-0487 Phone: 800-521-6007
sroker@amerihealthcaritas.com
CHC Personal Care Connector/SC Line
Phone: 855-332-0116
TTY: 855-235-5112
Dr. Susan McAllister
Chief Medical Officer DHS Contract Manager
Chris Barnard
200 Stevens Drive
Phone: 717-346-3345
Phone: 215-937-8880 chbarnard@pa.gov
Fax: 855-558-0487
smcallister@amerihealthcaritas.com
MCO Contact:
Jessica Wilkerson
200 Stevens Drive
Phone: 267-453-3160
Fax: 855-558-0487
jwilkerson@amerihealthcaritas.com

Keystone First CHC
Zones: Southeast
Contact Information
Stephan Roker CHC Contact Center

SVP LTSS Services Phone: 855-332-0729
200 Stevens Drive TTY: 855-235-4976
Phone: 215-863-5171 CHC Provider Services
Fax: 855-558-0487 Phone: 800-521-6007
sroker@amerihealthcaritas.com
CHC Personal Care Connector/SC Line
Phone: 855-349-6280
TTY: 855-235-4976
Dr. Susan McAllister
Chief Medical Officer DHS Contract Manager
Chris Barnard
200 Stevens Drive
Phone: 717-346-3345
Phone: 215-937-8880 chbarnard@pa.gov
Fax: 855-558-0487
smcallister@amerihealthcaritas.com
MCO Contact:
Jessica Wilkerson
200 Stevens Drive
Phone: 267-453-3160
Fax: 855-558-0487
jwilkerson@amerihealthcaritas.com

PA Health and Wellness
Zones: Southwest, Southeast, Lehigh/Capital, Northwest, and Northeast
Pharmacy Benefit Manager: Envolve
Dental Benefit Manager: Envolve
Contact Information
Justin Davis Member Services
President & CEO Phone: 844-626-6813
300 Corporate Center Drive TTY: 1-844-349-8916
Camp Hill, PA 17011
Provider Services
Phone: 717-551-0577
Phone: 844-626-6813
justin.m.davis@pahealthwellness.com
TTY: 1-844-349-8916
Special Needs: PHW Liaison

Phone: 844-626-6813
TTY: 1-844-349-8916
Joshua Sloop Angela Lucente-Prokop, VP Operations &

Product President & COO Government Liaison
300 Corporate Center Drive 5 Penn Center West
Camp Hill, PA 17011 Pittsburgh, PA 15205
Phone: 717-551-8004 Phone: 717-551-8442
joshua.f.sloop@pahealthwellness.com angela.f.lucenteprokop@pahealthwellness.com
Dr. Auren Weinberg, MD MBA Mike Rapach, VP Products

PHW Chief Medical Officer 5 Penn Center West
300 Corporate Center Drive Pittsburgh, PA 15205
Camp Hill, PA 17011 Phone: 717-551-8052
Phone: 717-551-8122 michael.c.rapach@pahealthwellness.com
auren.s.weinberg@pahealthwellness.com
MCO Contact:
MCO Contact:
Norris E. Benns, Jr.
Iris Krug
VP Operations, Legislative &
JD, Chief Compliance Officer
Government Affairs 300 Corporate Center Drive
300 Corporate Center Drive Camp Hill, PA 17011
Camp Hill, PA 17011 Phone: 717-551-8021
norris.e.benns@pahealthwellness.com
Meghan McKelly, PharmD, MHA, FACHE

VP Pharmacy & Dental Vendor Oversight
Phone: 717-551-8021
PharmacyPHW@centene.com

DHS Contract Manager
Angela Weidman
Phone: 717-214-3441
Fax: 717-772-2527
anweidman@pa.gov

UPMC Community HealthChoices
Zones: Southwest, Southeast, Lehigh/Capital, Northwest, and Northeast
Pharmacy Benefit Manager: ESI
Contact Information
John Lovelace Member Services
President of Government Programs & Phone: 844-833-0523
Individual Advantage Products TTY: 711
US Steel Tower
600 Grant Street, 55th Floor Provider Services
Phone: 844-860-9303
Phone: 412-454-5269 Protective Services
Fax: 412-454-7527 Phone: 833-804-0479
lovelacejg@upmc.edu
Service Coordination Hotline
Southwest: 1-844-860-9302
Southeast: 1-833-672-8078
L/C, Northwest, Northeast: 1-833-280-8508
Brendan Harris Michael Smith

VP of CHC and Government Programs AVP LTSS Clinical Operations
200 Corporate Center Drive, Suite 100 US Steel Tower
Camp Hill, PA 17011 600 Grant Street, 10th Floor
Fax: 717-731-7700 Phone: 412-454-7488
harrisb6@upmc.edu smithmr6@upmc.edu
Cynthia Rosenberg John McFarland, Director

AVP, Medical Services MCO Integration, Relations & Policy
US Steel Tower 200 Corporate Center Drive, Suite 200
600 Grant Street Camp Hill, PA 17011
Phone: 412-454-3374 mcfarlandjf@upmc.edu
rosenbergcn2@upmc.edu
Andrea Farrell, Sr. Director David Gingerich

Ancillary & LTSS Network Management Sr. Director, LTSS Clinical Opertions
US Steel Tower 200 Corporate Center Drive
600 Grant Street, 14th Floor Camp Hill, PA 17011
Phone: 412-454-5685 gingerichd@upmc.edu
Fax: 412-454-8225
farrellam2@upmc.edu

Chronis Manolis Robert Glass
Sr. Vice President, Pharmacy Services Manager, Vendor Contract & Relations
US Steel Tower US Steel Tower
600 Grant Street 600 Grant Street
Pittsburgh, PA 15219 Pittsburgh, PA 15219
Phone: 412-454-7642 Phone: 412-454-7951
manolisch@upmc.edu glassrp@upmc.edu
Caren Caldwell
AVP & General Manager, Government DHS Contract Manager
Programs SW Naomi Shaffer
Phone: 717-346-9173
US Steel Tower
Fax: 717-772-2527
600 Grant Street, 10th Floor nshaffer@pa.gov
Phone: 412-667-5904
caldwellcl@upmc.edu

MA MCO Directory

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PENNSYLVANIA MEDICAID

MANAGED CARE ORGANIZATION (MCO)

HealthChoices Physical Health

Southwest Zone: Allegheny, Armstrong, Beaver, Bedford, Blair,

Lehigh/Capital Zone: Adams, Berks, Cumberland, Dauphin,

Northwest Zone: Cameron, Clarion, Clearfield, Crawford, Elk,

Northeast Zone: Bradford, Carbon, Centre, Clinton, Columbia,

Updated: September 2020

Dave Shafer, Interim CEO Member Services

Benjamin Alouf, M.D. Special Needs

MCO Contact: DHS Contract Manager

Updated: September 2020

Denise Napier, President & CEO Member Services

Kearline D. Jones Jim Peters

State Medicaid Program Manager jamepeters@pa.gov

Updated: September 2020

Joanne McFall, Market President Member Services

Dr. Y. Lily Higgins Special Needs

MCO Contact: DHS Contract Manager

Updated: September 2020

Allison Davenport, CEO Member Services

Kiziann Powell, Compliance Officer

Updated: September 2020

Cain Hayes, President and CEO Member Services

Dr. Steven Szebenyi

MCO Contact: Government Liaison:

Updated: September 2020

John Lovelace, President of Gov’t Member Services

Updated: September 2020

Marge Angello Member Services

Updated: September 2020

Marge Angello Member Services

Updated: September 2020

Kurt Wrobel Member Services

Mary Mastrandrea Provider Services

Updated: September 2020

Bucks County BH System Philadelphia County

Delaware County Office of BH

Updated: September 2020

Magellan Behavioral Health Magellan BH Member Services

Community Behavioral Health Community BH

Community Care BH Organization Community Care BH Organization

Updated: September 2020

Southwest BH Management, Inc. Allegheny County Office of BH

Beaver County MH/MR Program

Updated: September 2020

Community Care BH Organization Community Care BH Organization

Beacon Health Options/Value BH Beacon Health Options/Value BH

Beacon Health Options/Value BH

DHS Staff Liaison (for above counties):

Updated: September 2020

Capital Area BH Collaborative, Inc. York/Adams HealthChoices

Lehigh County Dept. of Human Services Berks County MH/DD Program

Northampton Co. Dept. Human Services

Updated: September 2020

Community BH Network of PA/PerformCare Community BH Network of PA/PerformCare

Community Care BH Organization Community Care BH Organization

DHS Staff Liaison (Berks):

Updated: September 2020

Community Care BH Organization Community Care BH Organization

Updated: September 2020

Blair HealthChoices Erie County MH/ID Program

Carbon/Monroe/Pike HealthChoices Prgm. Northwest BH Partnership, Inc.

Updated: September 2020