January 1, 2018 for Southwest PA (including Pittsburgh)
January 1, 2018 for Delaware, Bucks, Chester, Montgomery and Philadelphia Counties
January 1, 2019 for the rest of Pennsylvania
You will receive a letter from the State Office of Long-Term Living that explains Community HealthChoices. You may receive more than one letter, but you will get, in one of those letters, information about an Enrollment Broker. The Enrollment Broker is the entity that will help you choose a managed care plan.
Once you receive this information, you will need to contact the Enrollment Broker. It is very important that you take this step!
If you do not, the state will choose your plan for you, and you may not be able to continue receiving services from your current provider.
The Enrollment Broker will discuss the three managed care plans with you, and provide information about what service providers are enrolled in each of these plans. They will also give you information about the medical providers and the doctors, hospitals, and prescription medications covered.
You will work with your Enrollment Broker to choose a plan.
After you have chosen your plan, you will be enrolled into that plan by the Enrollment Broker.
You will have an opportunity to meet with a Service Coordinator.
Depending on your managed care, you will either get to choose your Service Coordinator or your Service Coordinator will be assigned to you.
You will work with your Service Coordinator to develop what’s called your Person-Centered Plan.
This plan replaces the Individual Support Plan (ISP).
The Service Coordinator’s Person-Centered Plan will be sent to the Managed Care Organization for their review.