Senior LIFE is an Alternative Option to Community Health Choices.
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 by January 2018.
If you are affected by Community HealthChoices, you can still choose or change your healthcare provider up until December 30th, 2017. It's not too late to compare and select the LIFE Program as your alternative option. Even after December 30th, the LIFE program will always be a voluntary option for those who are eligible.
The purpose of Community HealthChoices is to provide opportunities for adults to receive the services they need to be able to remain living in their home and community.
Adults 55 years and older who affected by this change can enroll in a LIFE Program (if eligible), or can choose a managed care organization to coordinate their healthcare and long-term services and supports.
The Community HealthChoices Program will be mandatory for Medicaid recipients who are:
- Adults 21 and older who have Medicare and Medicaid
- Persons receiving long-term services and supports through Medicaid
Programs to be replaced by Community HealthChoices:
The following programs will be replaced by Community HealthChoices. If you are 55 and older and are currently in one of the programs listed below, you can opt to enroll in a LIFE Program (if eligible), or choose a managed care organization.
- Aging Waiver
- Attendant Care Waiver
- CommCare Waiver
- Independence Waiver
- Act 150 (only for those who are dually eligible for Medicare and Medicaid)
What is the LIFE Program?
The LIFE Program which stands for Living Independence for the Elderly is a Home and Community-Based model of care designed to provide all medical, social and personal support services to eligible Pennsylvanians so they can continue to live in their home and avoid nursing home placement.
To be eligible for the LIFE Program, participants must:
- Be 55 years of age or older
- Be determined medically eligible
- Be able to be safely served in their home
- Live in a county served by a LIFE Program
Senior LIFE is the local and State authorized LIFE Program in this area. Senior LIFE is an alternative option to Community HealthChoices.
There is no cost to enroll in Senior LIFE.
Senior LIFE coordinates members’ Medicare and Medicaid services all under one roof.
Participants can enroll in Senior LIFE at any time.
|Doctors, nurses and specialists|
|Physical, occupational and speech therapies|
|Personal care services|
|Medical equipment and supplies|
|Plus an on-call nurse 24 hours a day, 7 days a week|
Senior LIFE coordinates members' Medicare and Medicaid services all under
- Senior LIFE is an alternative option to Community HealthChoices.
- Senior LIFE’s healthcare network includes doctors, specialists, health services, and hospitals located in the local community.
- Senior LIFE is a long-established proven model of care. The LIFE Program began 40 years ago in the state of California and came to Pennsylvania 18 years ago. Senior LIFE has been serving seniors in Western Pennsylvania communities for over 10 years and is the largest LIFE provider in the state.
- Senior LIFE provides EXCEPTIONAL QUALITY AND CARE and a very personal, hands-on approach.
- Senior LIFE treats its members with respect and dignity, addressing all of their health and personal care needs as they continue to live independently in their home.
- Senior LIFE is run by local organizations, uses local facilities and employs local people. All care is provided in members’ homes and neighborhoods by local healthcare professionals.
- Senior LIFE provides medical services, medications, social services, recreational activities, personal care, home care, therapies, transportation, durable medical equipment and much more. All services with the exception of emergency care must be approved by the LIFE Provider.
- Senior LIFE is a Prescription Drug provider who provides and delivers medications directly to members’ homes at no cost.
- Senior LIFE members are 99% satisfied with the overall care they receive and would recommend Senior LIFE to a friend or family member. Source: ISAT Satisfaction Survey conducted by Vital Research 2014.
- Senior LIFE works with each member to develop a care plan designed to meet their specific needs. The care plans are developed, coordinated and reviewed consistently with members at their local LIFE Center.
- Senior LIFE provides transportation for all members from their home to the local LIFE Center, to all medical appointments and across all healthcare settings.
- Senior LIFE is available 24 hours a day, 7 days a week, and doctors and nurses make house calls.
- Senior LIFE has LIFE Centers located in the following areas: Greensburg, Uniontown, Washington, Waynesburg, Johnstown, Ebensburg, Indiana, Altoona, York, Reading, Bethlehem and Harrisburg.
Frequently Asked Questions
- When will I need to choose a provider?
Adults in the following counties will have up until December 30th, 2017 to choose a provider: Westmoreland, Washington, Fayette, Greene, Somerset, Cambria, Indiana, Blair, Bedford, Allegheny, Butler, Beaver, Lawrence and Armstrong.
- What happens if I don’t choose a provider?
The State will automatically assign a provider to those who have not voluntarily selected one. However, you can still change or choose your own provider up until December 30th, 2017.
- What providers do I have to choose from?
If you are 55 or older and eligible, you can choose to enroll in a LIFE Program, or you can select one of the State-approved managed care organizations.
- If I choose the LIFE Program as my provider, do I need to wait until 2018 to go into the program?
No, you can enroll in the LIFE Program at any time. Call a LIFE Representative in your area or call 877- 998- LIFE (5433) for more information. You can join today!
- What if I am currently receiving home care or other services through the Pennsylvania Aging Waiver program?
The State will replace the PA Aging Waiver Program with Community HealthChoices. Participants in this program must choose a provider to coordinate their care. Participants receiving Aging Waiver services meet all of the eligibility requirements for the LIFE Program and can transition seamlessly to LIFE.