Healthchoices health suppplemental services 2025

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The document provides detailed instructions for the enrollment application process for providers seeking to offer HealthChoices Behavioral Health Supplemental Services in Pennsylvania. It outlines the necessary forms, required documentation, and specific guidelines for completing the application, including stipulations regarding retroactive enrollment, legibility, and authority of the signing representative. The document emphasizes compliance with state and federal regulations and includes sections on various service types, populations served, tax identification information, and additional requirements for different provider types.

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What is a CHC plan?

Children and young people may receive a "continuing care package" if they have needs arising from disability, accident or illness that cannot be met by existing universal or specialist services alone. Find out more about the children and young people's continuing care national framework on GOV.UK.

What is community Medicaid in PA?

HCBS provides for supports and services beyond those covered by the Medical Assistance (also referred to as Medicaid) program that enables a person to remain in a community setting rather than being admitted to a Long Term Care Facility.

Is UPMC CHC a Medicaid?

Community HealthChoices (CHC) is a Medicaid managed care program that includes physical health benefits and long-term services and supports (LTSS).

What are MCO examples?

Managed care organization examples include: Independent Physician or Practice Associations. Integrated Delivery Organizations. Physician Practice Management Companies. Group Purchasing Organizations. Accountable Care Organizations. Integrated Delivery Systems. Physician-Hospital Organizations.

What is CHC in Pennsylvania?

CHC is a mandatory managed care program for Pennsylvanians who are dually eligible for both Medicare and Medicaid (Medical Assistance), enrolled in Medicaid Waivers for physical disabilities, and Medicaid-eligible consumers who reside in a nursing facility.

What is MCO in medical billing?

What is a managed care organization (MCO)? An MCO is a health care company. It is often called a "health plan." It is a group of doctors, hospitals and other providers who work together to meet your health care needs.

Is UPMC Community Health Choices Medicaid?

Community HealthChoices (CHC) is a Medicaid managed care program that includes physical health benefits and long-term services and supports (LTSS).

What is HCBS waiver in PA?

Home and community-based services are also known as waiver-funded services or waiver programs. The name waiver comes from the fact that the federal government "waives" medical assistance rules for institutional care in order for Pennsylvania to use the funds for HCBS.

Healthchoices health suppplemental services 2025

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