If you are a Medicaid recipient or may be in the future, you should know about the changes coming in Pennsylvania’s Medicaid Healthcare Plan. The State is implementing a new plan called Community HealthChoices. Enrollment in the plan for Southwest Pennsylvania will be finalized in 2018.
The purpose of the new plan is to provide opportunities for adults to receive the services they need to be able to remain living in their home.
Under Community HealthChoices, adults on Medicaid must select either, the local LIFE Program (if eligible) OR a managed care organization (MCO) to coordinate their physical health care and long-term services and supports (LTSS).
The program will be mandatory for Medicaid recipients who are:
- Adults 21 and older;
- Persons with physical disabilities;
- Persons who are dually eligible for Medicare and Medicaid
Current Programs Being Replaced
The following programs will be replaced by Community HealthChoices. If you are currently in one of these programs, you must choose a LIFE Program or a managed care organization. Those that do not choose a new plan will be automatically assigned to one in 2018.
Programs to be replaced by Community HealthChoices:
- Aging Waiver
- Attendant Care Waiver
- CommCare Waiver
- Independence Waiver