Community HealthChoices (CHC) is Pennsylvania’s mandatory managed care program for individuals 21 years of age or older who are dually eligible for Medicare and Medicaid or who receive long-term services and supports through Medicaid because of disabilities. CHC is currently live in southwest and southeast Pennsylvania and will launch in the remainder of the state on Jan. 1, 2020. Here are some resources to be sure you are ready:
- Third party liability (TPL) & Coordination of Benefits Fact Sheet
- 30-minute online CHC training
- Comprehensive question and answer document
- Question portal
- CHC website
- CHC listserv for ongoing updates
The Department of Human Services has notified Pennsylvania residents who are eligible for CHC of the transition to this new program, what it means for them, and important deadlines throughout the summer and fall. Eligible participants have until Nov. 13 to select their managed care organization (MCO). After this date, participants will be automatically enrolled in one of the three MCOs providing services for CHC participants. If a participant would like to change their MCO, they are able to do that at any time. Participants have until Dec. 20 to make a plan selection change in order for it to be effective Jan. 1, 2020. After that point, MCO changes will take effect beginning later in 2020.