7 June 2023

PA Community HealthChoices Agreement – What You Need to Know

Are you a Pennsylvania resident who receives Medicaid? Do you know about the PA Community HealthChoices program? If not, you could be missing out on important healthcare benefits. Here’s what you need to know about the PA Community HealthChoices Agreement.

What is PA Community HealthChoices?

PA Community HealthChoices is a program that provides comprehensive, fully-integrated physical health, behavioral health, and long-term services and supports (LTSS) to eligible seniors and individuals with disabilities who are enrolled in Medicaid. The goal of the program is to improve health outcomes, enhance quality of life, and increase independence for individuals receiving services.

What are the benefits of PA Community HealthChoices?

With PA Community HealthChoices, eligible individuals have access to a range of healthcare benefits, including:

– Primary care and specialty care services

– Hospitalization and emergency services

– Prescription drugs

– Behavioral health services, including mental health and substance abuse treatment

– Long-term services and supports, including home health care, personal care, and nursing home care

– Transportation to medical appointments

– Dental care

– Vision care

Who is eligible for PA Community HealthChoices?

To be eligible for PA Community HealthChoices, individuals must:

– Be 21 years of age or older

– Be eligible for both Medicare and Medicaid or just Medicaid

– Reside in one of the participating counties (listed below)

– Require a nursing facility level of care or qualify for waiver services

– Meet financial eligibility criteria for Medicaid

The participating counties are: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York.

How to enroll in PA Community HealthChoices?

If you are eligible for PA Community HealthChoices, you will receive a letter from the Department of Human Services (DHS) inviting you to enroll in the program. You can also call the PA HealthChoices Enrollment Helpline at 1-855-979-5636 to enroll or learn more about the program.

In conclusion, the PA Community HealthChoices program is a valuable resource for eligible Medicaid recipients in Pennsylvania. By enrolling in the program, you can have access to comprehensive healthcare benefits that can help improve your health outcomes and quality of life. Don’t miss out on this important opportunity to take control of your health.