Harrisburg, PA - Department of Human Services Secretary Teresa Miller and Department of Aging Secretary Teresa Osborne today reminded Southeast Pennsylvania residents of the approaching deadline to change their managed care organization (MCO) for the rollout of the Community HealthChoices (CHC) program. CHC, a managed long-term services and supports program, launches in Bucks, Chester, Delaware, Montgomery, and Philadelphia counties on January 1, 2019 and participants may change their MCO through Friday, December 21, for it to take effect when CHC begins.
If a participant would like to change their MCO, they are able to do so at any time. Participants have until December 21 to make a plan selection change in order for it to be effective January 1, 2019. After that point, MCO changes will take effect beginning later in 2019. The Wolf Administration encourages all future CHC participants to review their MCO selection so they may make necessary changes before December 21 to be effective when the new year begins.
“Our goal is always to enhance the quality, efficiency, and effectiveness of the supports and services available to Pennsylvanians. We want to allow more people to live in their community among their family and friends, giving them the opportunity to live in their own home, work, and experience an overall better quality of life,” said Secretary Miller. “CHC demonstrates our commitment to supporting elderly Pennsylvanians and individuals needing long-term services and supports by helping make this possible, and we want to be sure that eligible enrollees are reviewing their options and choose an MCO that they feel comfortable with.”
CHC is Pennsylvania’s managed care program for individuals who are dually eligible for Medicaid and Medicare, and for eligible individuals who are 21 or older who have physical disabilities requiring long-term services and supports either in a nursing facility or in their home. CHC was developed to improve access to and coordination of medical services and person-centered long-term services and supports. CHC gives people choice, control, and access to a full array of quality services that help them live independent and healthy lives in the setting they choose.
Southeast Pennsylvania residents who are eligible for CHC were notified and reminded of this transition, what it means for them, and important deadlines throughout the summer. Eligible participants were given until November 14 to select their managed care organization (MCO). After this, participants were automatically enrolled in one of the three MCOs providing services in Southeast Pennsylvania. The participating MCOs include Keystone First Community HealthChoices, PA Health and Wellness, and UPMC Community HealthChoices.
“The Wolf Administration encourages residents of Southeast Pennsylvania who are enrolling in Community HealthChoices to review their MCO selection and make any changes before December 21, said Secretary of Aging Teresa Osborne. “It’s important to us that each participant is engaged in the process and enrolls in the plan that best meets their needs.”
In the Southwest, CHC is eleven months into implementation and the lessons learned from the are being employed in the Southeast. This includes giving CHC participants more time to make an informed decision about their MCO. While individuals enrolled in CHC who are not happy with their current placement can change their MCO at any time, it will improve the experience for participants to start in the plan that is most suited to their needs.
“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,” said Miller. “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. Now, approximately 80,000 participants have an active voice when choosing how and where they receive their services and supports. The rollout in the Southeast will include approximately 131,000 individuals. When fully implemented across the state, CHC will include 420,000 Pennsylvanians, 94 percent of whom are dually eligible for both Medicare and Medicaid.
For more information on plan selection, call 1-844-824-3655 (TTY 1-833-254-0690) or visit www.enrollchc.com.
For more information on the CHC program, visit www.healthchoices.pa.gov/info/about/community/
MEDIA CONTACT: Colin Day - 717-425-7606
Drew Wilburne, Aging - 717 - 705 - 3702
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