Online training opportunities for Community Health Choices.

Though the implementation of Community Health Choices (CHC) is just over two years away for Berks, Lancaster and Lebanon Counties, on January 1, 2018, CHC begins in Southwestern Pennsylvania.chc article

Community HealthChoices will deliver long-term services and supports and physical health benefits through capitated Medicaid managed care organizations (MCO). The CHC-MCOs will coordinate with Medicare and existing behavioral health HealthChoices MCOs to provide a holistic approach to services and supports. In order to transition to CHC, providers will enter into an agreement with a CHC-MCO and will be included in that CHC-MCO’s provider network. For a minimum of the first six months of the implementation of CHC, CHC-MCOs will be required to include all willing long-term services and supports providers in their network to ensure continuity of care for participants.

Prior to implementation and during the six-month period, CHC-MCOs will contract with willing and qualified providers of all types to make up their provider networks. CHC-MCOs are required to create a provider network that meets the needs of their participants and allows participants to have choice in providers.

Providers will also receive direct communications to inform them of actions that they need to take in order to continue providing services under this new model.

Training

CHC Overview Training

Provider Online Course

Service Coordinators

  • For the general public – Service Coordination Online Course 
  • For service coordinators only, visit the following website for instructions on how to complete the training which includes a test to verify competency.

Nursing Facilities

Additionally, there is helpful information at the Third Thursday Webinar series

One response

  1. Community Hethchoices is a big money insurance to make billion dollar companies like UPMC, who by the way will not contract 90 percent of the SC agencies. The 1st six months they will tell you they will contract so that you burn out your SCs to pretty much hand over consumers to them. UPMC wont answer your phone calls on contracts and when they decide to not contract with an agency they call your consumers and bully them into a meeting to do their care plan and if a consumer refuses and insists on having the sc entity they tell the consumer they will lose their services. Payment is delayed and batches not paid agencies are running red owed thousands of dollars, forcing agencies to lay off or delay payments. OLTL does not back any SC or PAS entity. Kevin Hancock will boast and brag about the program being a success when it is a mess. Transportation in Pittsburgh was not delivered for several months, OLTL did nothing. They already have pre-chosen agencies that are tied into the state-OLTL. Kevin Hancock and many members of OLTL received an award from Wolff and even a raise, not once recognizing the fact that it would have been much worse if it wasn’t for SC entities sending ISPs several times and contacting MCOs to get consumers budgets uploaded, meanwhile still trying to coordinate services for consumers. SC entities worked 14 to 16 hr days including weekends and they are still running like that 8 months in. Consumers right to choose has gone down drastically less options, no personalized services the now call 1 800 number to their MCO and often consumers dont get to speak to their internal SC. The program will end up shutting down SC entities and many PAS agencies because they will not pay for several thousands of dollars causing agencies to close or run negative while OLTL just tells them contact the MCO. STAND UP NOW AND CONTACT GOVERNOR WOLFF. Write letters and protest!

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