Learn About the Managed-Care Organizations (MCOs)

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MANAGED-CARE ORGANIZATIONS (MCOs)

The Department of Human Services has selected three Managed-Care Organizations (MCOs) to deliver Managed Long-Term Services and Supports (MLTSS) through the Community HealthChoices (CHC) Waiver. The CHC waiver began in Pennsylvania on January 01, 2018 and will be offered across the entire state of Pennsylvania by January 01, 2020. All individuals approved for the CHC waiver will be offered a choice of the following Managed-Care Organizations (MCOs) and individuals are able to change their MCO at any time.




If you are an eligible participant looking for more information on each MCO, select the link below to view a comparison of the MCO health plans:

Health Plan Comparison Chart

To change your MCO at any time, select the link below:

Change Your MCO Online

PA HEALTH & WELLNESS

The Department of Human Services has selected three Managed-Care Organizations (MCOs) to deliver Managed Long-Term Services and Supports (MLTSS) through the Community HealthChoices (CHC) Waiver. The CHC waiver began in Pennsylvania on January 01, 2018 and is now offered across the entire state of Pennsylvania. All individuals approved for the CHC waiver will be offered a choice of the following Managed-Care Organizations (MCOs) and individuals are able to change their MCO at any time. Please note that AmeriHealth Caritas and Keystone First are the same MCO, depending on which county the participant resides.

Introduction to PA Health & Wellness

Why PA Health & Wellness?

Find a Provider

How to Enroll

Benefits Overview

Participant Resources

Caregiver Resources

THE CHC WAIVER

The Community HealthChoices (CHC) waiver is an option for eligible individuals to receive services in their home and community instead of moving to a nursing home. A description of the CHC waiver is included below along with a breakdown of the services an individual may be eligible for through this waiver.

The Community HealthChoices (CHC) Wavier:

Community HealthChoices (CHC) Waiver

Community HealthChoices (CHC) Adult Benefit Package

Community HealthChoices (CHC) Long-Term Services and Supports Benefit Guide

PA Health Management provides Service Coordination in all 67 counties in Pennsylvania and our Service Coordinators live locally in the regions they serve. The Community HealthChoices (CHC) Waiver is available in the following counties:

Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York

General information about the Community HealthChoices waiver and resources are included for reference.


Community HealthChoices Overview

Community HealthChoices Waiver Information

Communication to Participants

Community HealthChoices Publications

Complaints and Grievances

Checking Eligibility and Participant Identification Cards

BEHAVIORAL HEALTH SERVICES

"Through behavioral health Managed Care Organizations, recipients receive quality medical care and timely access to appropriate mental health and/or drug and alcohol services. This component is overseen by the Department of Human Services’ Office of Mental Health and Substance Abuse Services." (Source: "About. DHS. "Mental health and drug and alcohol services provided via the HealthChoices program differ from the physical health component of the HealthChoices program. For mental health and drug and alcohol services, each county contracts with a Managed Care Organization (MCO). Once an individual is enrolled with the MCO, the individual continues to have choices as to who provides their services." Source: "Behavioral HealthChoices." DHS. http://www.healthchoices.pa.gov/info/about/behavioral/index.htm (accessed 24 JANUARY 2018).

Steps to Apply for Waiver Services

Information on Behavioral Health Services

Where to Apply for Behavioral HealthChoices Services

PHYSICAL HEALTH SERVICES

"Through physical health Managed Care Organizations, recipients receive quality medical care and timely access to appropriate physical health services, whether the services are delivered on an inpatient or outpatient basis. The Office of Medical Assistance Programs, through the Department of Human Services, oversees the Physical Health component of the HealthChoices Program." Source: "About." DHS http://www.healthchoices.pa.gov/info/about/index.htm.

Learn About and Apply for Physical HealthChoice

Where to Apply for Physical HealthChoices

contact us

phone

1-844-952-7296

E-mail

info@pahealthmanagement.org

Headquarters

2141 Oregon Pike
Lancaster, PA 17601

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