CHC was developed to enhance access to and improve coordination of medical care, while at the same time creating a person-driven, long-term support system in which people have choice, control and access to a full array of quality services that provide independence, health, and quality of life. One of CHC’s goals is to improve coordination between Medicare and […] CHC will replace the state’s Medicaid waiver programs for individuals age 21 and older and seniors who need long-term care. CHC is Pennsylvania’s mandatory managed care program for individuals 21 years or older and have both Medicare and Medicaid or receive long-term services and supports through Medicaid. document.write(new Date().getFullYear()) UPMC Community HealthChoices covers the same physical health benefits that are available through the Medical Assistance fee-for-service program (ACCESS) and Medical Assistance Adult Benefit Package. Community HealthChoices (CHC) in Pennsylvania is Coming in January 2020 | Pennsylvania Office of Rural Health Community HealthChoices (CHC) in Pennsylvania is Coming in January 2020 The counties included in the third and final phase of the program’s implementation are: CHC was phased in across the commonwealth over a three-year period starting January 1, 2018. document.write(new Date().getFullYear()) The Pennsylvania DHS decides your Medicaid eligibility. Providing services — including medical assistance, SNAP, TANF, child care, child welfare, and more — that improve the quality of life for Pennsylvanians. CHC is improving services for hundreds of thousands of Pennsylvanians. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family. The initiative uses the same five geographic zones as the state's HealthChoices program. PA Health & Wellness is a health plan available through the Community HealthChoices program. Long-term services and supports (LTSS) help eligible individuals to perform daily activities in their home such as bathing, dressing, preparing meals, and administering medications. Customize your health coverage to best fit your needs and the needs of your dependents by choosing a Deductible Plan or a Copay Plan. Dr. Richard Edley is the lead executive for RCPA and is responsible for all aspects of operations and direction for the association. If you are dually eligible for Medicare and Medical Assistance (Medicaid) or receive. The Department of Human Services (DHS) is committed to increasing opportunities for older Pennsylvanians and individuals with physical disabilities to remain in their homes. Understanding Community HealthChoices vs. Healthchoices. Call us to get an interpreter. We’re here to help you understand your health care choices. We offer health care benefits and services for Participants 21 years of age and older who have: Medical Assistance (Medicaid) and Medicare, ; Senior LIFE is a long-established proven model of care. Community Health Choices (CHC) is now active across the entire state of Pennsylvania effective January 1, 2020. The LIFE Program began 40 years ago in the state of California and came to Pennsylvania 18 years ago. This care will be coordinated by CHC managed care organizations (CHC-MCOs) in five zones across the state. In this section, you can learn about the health benefits, pharmacy services and value added services PA Health & Wellness offers for Pennsylvania long term care. Our services help seniors and people with physical disabilities who are dually eligible for Medicare and Medicaid live as independently as possible in their own homes and experience an improved quality of life. Community HealthChoices (CHC) is Pennsylvania’s mandatory managed care program for individuals who are dually eligible for both Medical Assistance and Medicare, older adults, and individuals with physical disabilities — serving more people in communities while giving them the opportunity to work, spend more time with their families, and experience an overall better quality of life. X Provider Alerts. long-term services and supports, you are eligible for Community HealthChoices. If you can't find an answer here, call us at 1-844-824-3655 (TTY 1-833-254-0690). As of June 1 st, PA Health and Wellness will be switching our claims processor for Community HeathChoices and participants will get a new ID card by mail. CHC is a mandatory program for people who are age 21 or older and qualify for: 1. In case of emergency, call 9 … Both Medicare and Medicaid; or 2. Community HealthChoices (CHC) is Pennsylvania’s mandatory managed care program for individuals who are dually eligible for both Medical Assistance and Medicare, older adults, and individuals with physical disabilities — serving more people in communities while giving them the opportunity to work, spend more time with their families, and experience an overall better quality of life. Community HealthChoices (CHC) is a new waiver for individuals over 21 years old with a disability who previously received services through the Independence, CommCare, or Aging Waivers. The Pennsylvania Community HealthChoices (CHC) Program is a Medicaid managed care program for persons who are 21 years of age or older and are eligible for bothMedicaid (known as Medicaid Assistance in Pennsylvania) and Medicare (the federal health insurance program) or those who require a nursing home level of care. Community HealthChoices. Take a tour of one of our facilities, and see why so many people think … COMMUNITY HEALTHCHOICES (CHC) is Pennsylvania’s mandatory managed care program for dually eligible individuals and individuals with physical disabilities — serving more people in communities, giving them the opportunity to work, spend more time with their families, and … 2 ... PA Department of Health, per 28 PA Code Part IV, Subpart H, Chapter 611 (Home Care Agencies and … His professional career began in 1988 and most recently he was president and CEO of PerformCare/Community Behavioral HealthCare Network of Pennsylvania, Inc., a national, full-service, behavioral health managed care organization. PA Health & Wellness does not decide Medicaid eligibility. If you have questions or comments, please email us or call the provider hotline 1-800-932-0939. Date: 07/17/17 HealthChoices is Pennsylvania’s mandatory managed care program for 2.2 million Medical Assistance participants.. We speak English, Spanish, and other languages, too. COMMUNITY HEALTHCHOICES (CHC) is Pennsylvania’s mandatory managed care program for dually eligible individuals and individuals with physical disabilities — serving more people in communities, giving them the opportunity to work, spend more time with their families, and experience an overall better quality of life. At the Day Health Center you can receive the care you need, participate in social activities, eat a delicious meal, and much more. COMMUNITY HEALTH CHOICES WAIVER SERVICE DEFINITIONS . CHC will coordinate your health care coverage to improve the quality of your health care experience — serving more people in communities rather than in facilities, giving them the opportunity to work, spend more time with their families, and experience an overall better quality of life. It is a mandatory managed care program for dually eligible (Medicare and Medicaid eligible) individuals and individuals with physical disabilities. As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. If you’re 21 or older and have both Medicare and Medicaid, or receive long-term supports through Medicaid because you need help with everyday personal tasks, you will be covered by Community HealthChoices (CHC). For Providers Information for UPMC Community HealthChoices Providers. UPMC Community HealthChoices. Learn More. Medicaid LTSS because you need the level of care provided in a nursing facility or through one of the home and community-based waivers To learn about who can enroll in the program, go to Who qualifies for CHC? Contact Community Contact Community Community cares about you! From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family. The Office of Long- Term Living (OLTL) in the Department of Human Services oversees the physical health benefits and LTSS of Community HealthChoices. PA Health & Wellness provides the same benefits as Community HealthChoices, plus more. Governor Tom Wolf - All Rights Reserved. Community Health Choice’s Marketplace plans offer our Members a wide range of coverage options without sacrificing quality of care. Participants at LIFE Pittsburgh are valued members of our community. While this program is not strictly for the elderly, it is very relevant for seniors, as many are dually eligible for Medicaid and Medicare and / or require a level of care consistent to that … These individuals select or are automatically enrolled in one of three managed care organizations (MCOs) that have contracts with the state. We want you and your family to be happy and healthy. is a Managed Care Plan for Community HealthChoices. Community HealthChoices is the Department of Human Services (DHS) Medical Assistance (Medicaid) program that allows managed care organizations (MCOs) to coordinate medical care and long-term services and supports (LTSS) for individuals who qualify for Medical Assistance and also qualify for Medicare or require a nursing facility level of care. This is a good place to start if you want to learn about Community HealthChoices (CHC), health plans and PCPs. CILs and Pennsylvania Community Health Choices Community HealthChoices (CHC) is a new initiative in Pennsylvania that will use managed care organizations (MCOs) to coordinate physical health care and managed long-term services and supports (MLTSS) for older persons, persons with physical disabilities, and Pennsylvanians who are dually eligible for Medicare and Medicaid. Community HealthChoices (CHC) is Pennsylvania’s managed care long-term services and supports (LTSS) program. Community HealthChoices (CHC) is a Medicaid managed care program that includes physical health benefits and long-term services and supports (LTSS). Copyright © Senior LIFE is an alternative option to Community HealthChoices. 908 North Second Street Harrisburg, PA 17102 Phone: 717.441.6056 - Email: info@pa-pca.org Participants receive quality medical care and timely access to all appropriate physical and behavioral health services and/or drug and alcohol servi ; Senior LIFE’s healthcare network includes doctors, specialists, health services, and hospitals located in the local community. The Department of Human Services (DHS) is committed to increasing opportunities for older Pennsylvanians and individuals with physical disabilities to remain in … The following trainings have been created to help providers answer questions about CHC. Welcome to Community HealthChoices! That’s why we make it easy to get quality health coverage that combines affordability with an unmatched level of personal service. Implementation will begin in the Southwest Zone on Jan. 1, 2018, move to the Southeast Zone on Jan. 1, 2019 and complete statewide implementation on Jan. 1, 2020. Copyright © Community Health Choice is committed to opening doors to better health for our Members. If you are dually eligible for Medicare and Medical Assistance (Medicaid), your Medicare benefits are not changed or affected by UPMC Community HealthChoices. Please note the following changes: the BIN will be 020545; the PCN will be RXA373; and the GRP will be RXGMCPA01. Children's Health Insurance Program (CHIP). If you have questions, we’re here to help. Community HealthChoices (CHC) is Pennsylvania’s Medical Assistance managed care program that includes physical health benefits and long-term services and supports (LTSS). Keystone First Community HealthChoices (CHC) is a managed care organization providing health care under the Pennsylvania Community HealthChoices program. Governor Tom Wolf - All Rights Reserved, Children's Health Insurance Program (CHIP). The Wolf Administration developed CHC in 2015 with the goal to (1) enhance access to and improve coordinatio… We live this commitment all year long because you shouldn’t have to pay more to get the health care you deserve. Select your county below to see the plans you can choose where you live Compare the added benefits each plan offers Choose the best plan for you All plans offer the same basic services. As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. Your questions are important. 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