Community HealthChoices

There are two managed care programs in Pennsylvania that provide home health, hospice and homecare services to Medicaid recipients: HealthChoices, which was implemented in 1997, and Community HealthChoices (CHC), which will be implemented in phases beginning in January 2018.

Click here for a guide from the Department of Human Services to help understand the similarities and differences between the programs.

Background

CHC will replace the state’s Medicaid waiver programs for individuals age 21 and older and seniors who need long-term care. This care will be coordinated by CHC managed care organizations (CHC-MCOs) in five zones across the state. Implementation will begin in the Southwest Zone on Jan. 1, 2018, move to the Southeast Zone on Jan. 1, 2019 and complete statewide implementation on Jan. 1, 2020.

The Wolf Administration developed CHC in 2015 with the goal to (1) enhance access to and improve coordination of medical care and; (2) create a person-driven, long-term support system in which people have choice, control, and access to a full array of quality services that provide independence, health, and quality of life.

Recent News

  • Jan. 3, 2018: Member agencies have expressed concern about missing participant information and authorizations in the HHAeXchange billing portal. OLTL and the CHC-MCOs are aware of the issue, which was caused by a technology glitch, and are working together to resolve it as soon as possible.
  • Jan. 1, 2018: CHC officially kicked off in 14 Southwestern Pennsylvania counties. Participating members are encouraged to contact PHA with feedback about the program, as we are in regular contact with OLTL and the CHC-MCOs throughout the transition.
  • Dec. 6, 2017: Jennifer Burnett announced her resignation as Deputy Secretary for the Office of Long-Term Living (OLTL). Kevin Hancock will now serve in that position. Jill Vovakes will be taking Hancock’s position as the OLTL Chief of Staff. 
  • Nov. 6, 2017: DHS and the Department of Aging announced changes to the timeline for CHC Implementation. The Southwest region implementation date of Jan. 1, 2018 remains unchanged. The Southeast will begin on January 2019 rather than July 2018 and the remainder of the state will begin in January 2020 rather than January 2019. The purpose of the delay was to allow for more flexibility to make any necessary changes to the program after the Phase 1 rollout.

Provider Resources

CHC-MCO Information

Community Resources