Community HealthChoices, or CHC, rolled out starting in Southwestern Pennsylvania 11 months ago. Now, it’s getting ready to come to the southeastern part of the state.
CHC launches in Bucks, Chester, Delaware, Montgomery, and Philadelphia counties on January 1, 2019.
CHC is for Pennsylvanians who are both eligible for Medicaid and Medicare, and for eligible individuals 21 and older who have physical disabilities that require long-term services and supports in a nursing facility or in their home.
Southeastern Pennsylvanians who are eligible for CHC were notified by mail and asked to select their managed care organization (MCO). Participants who did not make a plan selection have automatically been enrolled in one of three MCOs (Keystone First Community HealthChoices, PA Health & Wellness, or UPMC Community HealthChoices). All participants are able to change their managed care organization at any time, and have until December 21 to make a change if they want it to be in place by Jan. 1, 2019.
“Pennsylvanians who are eligible for Community HealthChoices are able to choose the plan that allows them to live and age comfortably in their community, best meets their health needs, and allows them to see their current health care providers,” Department of Human Services Secretary Teresa Miller said. “I strongly encourage participants to consider all plans available, ask questions, and make sure they are enrolled in a plan they are confident will meet their individual needs.”
The Wolf Administration successfully launched CHC in the southwest region in January 2018. Approximately 80,000 participants now have an active voice when choosing how and where they receive their services and supports.
The rollout in the southeast will include about 131,000 individuals. When fully implemented across the state, CHC will include 420,000 Pennsylvanians.