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State Delays Phases 2 and 3 of Community HealthChoices Program, Allowing More Time to Learn from Initial Rollout in West

November 06, 2017

State Delays Phases 2 and 3 of Community HealthChoices Program, Allowing More Time to Learn from Initial Rollout in West

Today, the Pennsylvania Department of Human Services (DHS) announced that it is delaying the start dates for Phases 2 and 3 of Community HealthChoices (CHC), Pennsylvania’s new Managed Long-Term Services and Supports (MLTSS) program.  

DHS says it wants to learn from the Phase 1 rollout and allow time to make any necessary adjustments before implementing further phases.    

Phase 1 is scheduled to begin in 14 counties in the Southwest Zone on January 1, 2018. Notices have been sent to about 80,000 people and an independent enrollment broker is helping them to choose one of three statewide managed care organizations (AmeriHealth Caritas, PA Health & Wellness (Centene) or UPMC Community Health Choices) for their MLTSS needs. If no selection is made by November 13, 2017, people will be automatically enrolled in one of the three plans for this coverage. They may then elect to change plans.

The new start dates for the other phases are:

  • Phase 2––January 1, 2019, instead of July 1, 2018
  • Phase 3––January 1, 2020, instead of January 1, 2019

CHC is designed to help older Pennsylvanians and individuals with physical disabilities remain in their homes instead of going to facilities for care. CHC will provide coverage for people who are 21 or older and have both Medicare and Medicaid, or receive long-term supports through Medicaid––help with bathing, dressing, preparing meals, and administering medications. When CHC is fully implemented in 2020, about 420,000 Pennsylvanians will be enrolled. 

For additional information, contact Jolene Calla, HAP’s vice president, health care finance and insurance.

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