Community HealthChoices (CHC) is the new managed care program starting in southeastern Pennsylvania on January 1, 2019. CHC will provide Medicaid (Medical Assistance) coverage for people enrolled in both Medicare and Medicaid, enrolled in Medicaid wavers for physical disabilities, or live in a nursing home paid for by Medicaid.
Under CHC, the state will pay Managed Care Organizations (MCOs), or health insurance companies, to coordinate and pay for participants’ Medicaid services. Participants will choose from one of three CHC-MCO plans being offered: AmeriHealth Caritas/Keystone First, PA Health & Wellness, or UPMC Community HealthChoices.
If you are enrolled in both Medicare and Medicaid, enrolled in Medicaid waivers for physical disabilities, or live in a nursing home paid for by Medicaid, you will need to choose one of these three MCOs to manage your physical health care and long-term services and supports.
The transition to CHC is a big change and will impact close to 128,000 individuals in southeastern Pennsylvania. A series of community meetings have been scheduled throughout the fall to educate community members about Community HealthChoices and the three MCOs. These sessions will include an overview of CHC, the enrollment process, and an opportunity for impacted community members to ask questions.
The complete list of dates and locations for these community meetings is available here.
There are two options for registering for one of these info sessions. You can register online at www.HealthChoices.pa.gov. The website has a table of all of the meeting locations, dates, and times. The columns on the right of the table include a registration link for each session (many locations offer both a morning and an afternoon session). You can also Register by telephone by dialing 1-888-735-4416. Telephone registrations will be accepted Monday through Friday from 8:00 a.m. – 7:00 p.m.
Registration is required as space at some meeting venues is limited. If you choose to bring an additional person, you can provide their name on the online registration form.
More information on Community HealthChoices is available here.