PerformCare PA Home Page PerformCare PA Home Page
  • Report Fraud
  • Home
    • العربية (PDF)
    • 中文粵語 (PDF)
    • Français (PDF)
    • Deutsch (PDF)
    • ગુજરાતી (PDF)
    • Kreyòl Ayisyen (PDF)
    • Italiano (PDF)
    • 한국어 (PDF)
    • 中文普通话 (PDF)
    • ភាសាខ្មែរ (PDF)
    • Pennsylvania Deitch (PDF)
    • Polski (PDF)
    • Português (PDF)
    • Русский (PDF)
    • Español (PDF)
    • Tiếng Việt (PDF)
  • Careers
    • About PerformCare
    • News
    • Members homepage
    • Self-service Tools
    • Find a provider
    • How to get care
    • Your benefits
    • Your health and wellness
    • Suicide prevention awareness
    • Resources and information
    • Member contact information
    • Complaints and grievances
    • Important news for you
    • Providers Homepage
    • Policies
    • Provider notices
    • Claims and billing
    • Self-service Tools
    • Forms
    • Latest updates
    • Training and education
    • Resources and information
    • Quality improvement
    • Member wellness resources
    • Complaints and grievances
  • Community
  • Contact
  • Report Fraud
  • Home
    • العربية (PDF)
    • 中文粵語 (PDF)
    • Français (PDF)
    • Deutsch (PDF)
    • ગુજરાતી (PDF)
    • Kreyòl Ayisyen (PDF)
    • Italiano (PDF)
    • 한국어 (PDF)
    • 中文普通话 (PDF)
    • ភាសាខ្មែរ (PDF)
    • Pennsylvania Deitch (PDF)
    • Polski (PDF)
    • Português (PDF)
    • Русский (PDF)
    • Español (PDF)
    • Tiếng Việt (PDF)
  • Careers
  1. Home
  2. Providers
  3. Resources and Information
  4. Forms
  • Providers
    • Policies
    • Provider Notices
    • Claims and billing
    • Self service tools
    • Forms
    • Latest updates
    • Training and education
    • Resources and information
    • Prior authorization lookup tool
    • Quality improvement
    • Member wellness resources
    • Complaints and grievances

Forms

  • Administrative forms
  • Community supports
  • Family-based mental health services (FBMHS) forms
  • Intensive behavioral health services (IBHS) forms
  • Interagency service planning team (ISPT) forms
  • Outpatient and partial hospitalization forms
  • Quality forms
  • Community residential rehabilitation host home (CRR-HH) and residential treatment facility (RTF) forms
  • Substance use forms
  • Universal children's forms
  • Careers
  • Site Map
  • Report fraud, waste, or abuse
  • Non-discrimination notice (PDF)

 

Connect with us on social media

Hours of Operation: 24 Hours a Day, 7 Days a Week
Our Address: 8040 Carlson Road, Harrisburg, PA 17112

Last Update: 

This site contains links to other Internet sites. PerformCare is not responsible for the content of these sites. Please see Terms of Use. View the Site Map.

Copyright © 2009-2026 PERFORMCARE. All rights reserved. Please see Privacy Notice and Notice of Privacy Practices (PDF). Visit AmeriHealth Caritas - The Industry Leader & Expert in Medicaid Managed Care

Get Adobe Acrobat Reader