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ck6gljm3d0yqpi8u8xy5gnd6n-october-2015-hln-final.pdf
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🔗 Source: phlp.org
📊 Size: 657 KB
👤 Author: Ashley Vogel
⬇️ Downloads: 105

Summary

Pennsylvania's Department of Human Services (DHS) is developing a managed long-term services and supports system (MLTSS) called "Community Health Choices," which will transform the current Medicaid-funded long-term care system. The system will be administered by private managed care organizations, combining coverage of long-term care services with traditional medical services covered by Medicaid. Key aspects of the system include mandatory enrollment for approximately 450,000 individuals, "carved out" behavioral health services, and separate Medicare coverage. Concerns have been raised about the system, including assessments for home and community-based services, "medical necessity" requirements, potential cuts to services, and limitations on choice of service coordination organizations and providers. DHS plans to issue a single Request for Proposal (RFP) for all three geographic zones on November 16, 2015, with implementation phased in between 2017 and 2019.

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Description

Pennsylvania's Department of Human Services (DHS) is developing a managed long-term services and supports system (MLTSS) called "Community Health Choices,"...

Technical Information

  • File Format: PDF
  • File Size: 657 KB
  • Pages: 10
  • Language: EN
  • Author: Ashley Vogel
  • Total Downloads: 105
  • Last Updated: 2 weeks ago

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