Five things you should know about Community HealthChoices

Community Health Choices

Following our announcement regarding Community HealthChoices, and the materials we’ve launched in response to the transition, you may be asking yourself—“What is Community HealthChoices?” and “What do I need to know about it?”

Here are five things you need to know about the new Managed Care Model, Community HealthChoices:

 

  1. Community HealthChoices is Pennsylvania’s new Managed Care Model.

Under this new model, services will be administered through Managed Care Organizations, or MCO’s.

  1. Community HealthChoices will affect people with disabilities who are on waivers, and individuals who are on Medicare and Medical Assistance.

Those who are eligible will be automatically enrolled in this program.

  1. Individuals will be asked to choose one of three Managed Care Organizations.

These organizations are:

  • AmeriHealth Caritas
  • UPMC for You
  • Pennsylvania Health and Wellness (run by Centene)
  1. You will be prompted to select the Managed Care Organization you would like to receive services from.

It is important that you exercise your choice when prompted, because if you do not select a Managed Care Organization in a timely manner, the state will choose one for you, and each of these Managed Care Organizations have their own network of providers.

  1. Community HealthChoices is anticipated to rollout in Central Pennsylvania in 2020.

The Managed Care Model took effect January 1, 2018 in Southwest Pennsylvania (including Pittsburgh), and is anticipated to launch in Eastern Pennsylvania (including Philadelphia) in 2019. It will not reach the Central Pennsylvania region until 2020, but it is important that you stay informed, so you’re ready to take action when it rolls out in your area of the state.

For more information on Community HealthChoices, visit the Living Well With A Disability website at: http://livingwellwithadisability.org/

If you would like to speak to a CILCP representative about the Community HealthChoices transition, please call 717-731-1900.

 

| Read more articles from the January 2018 newsletter. |

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