Who Is Eligible For Community Health Choices WHO IS ELIGIBLE FOR CHC 1 Individuals are eligible for CHC if they are 21 years old or older and Dually eligible for Medicare and Medicaid In CHC that includes individuals with Medicare Part A and or Part B or Qualify for Medicaid long term services and supports LTSS because they need the level of care provided by a nursing facility
Pennsylvania s Community HealthChoices CHC Program is a Medicaid managed care program for PA seniors and adults who are physically disabled In addition to medical benefits long term services and supports are available via CHC for persons who require the level of care provided in a nursing home HealthChoices is the name of Pennsylvania s managed care programs for Medical Assistance recipients Through managed care organizations eligible individuals receive quality physical and behavioral medical care as well as long term supports
Who Is Eligible For Community Health Choices
Who Is Eligible For Community Health Choices
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UPMC Community HealthChoices is a managed care plan that provides coverage for medical care and long term services and supports LTSS for eligible individuals who qualify for Medical Assistance and also qualify for Medicare or require a nursing facility level of care Where is UPMC Community HealthChoices available To qualify applicants must be age 21 or older and meet both functional and financial eligibility standards This guide provides an overview of the application process for one OLTL waiver the Community HealthChoices waiver including the functional eligibility review and the County Assistance Office CAO financial eligibility review
The Department of Human Services DHS determines who is eligible for UPMC Community HealthChoices Individuals are eligible for UPMC Community HealthChoices if they are 21 years old or older live in Pennsylvania and Eligible for Medical Assistance and qualify for LTSS because they need the level of care provided by a nursing facility Some people will become eligible for behavioral health benefits who were not in the past They will primarily come from two groups Some people who reside in nursing homes that are paid for by Medicaid will be enrolled in the CHC program and will become eligible with Community Care This will be a new population who would not have been eligible
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UPMC Community HealthChoices is a managed care plan that provides coverage for medical care and long term services and supports LTSS for eligible individuals who qualify for Medical Assistance and also qualify for Medicare or require a nursing facility level of care UPMC Community HealthChoices is available in all Pennsylvania counties Answer questions about your choice of health plans Help you if you decide to change health plans When you become eligible for Community HealthChoices you will need to choose a Community HealthChoices health plan The Department of Human Services DHS contracts with a company with enrollment specialists to help you choose a health plan
Community HealthChoices CHC is a crucial Medicaid waiver program in Pennsylvania designed to enhance the lives of older Pennsylvanians and individuals with physical disabilities by offering them the option to continue residing in their homes Managed by the Department of Human Services DHS this program provides long term services and supports to eligible individuals especially those who In order to be eligible for Community HealthChoices one must be 21 years of age or older and a resident of Pennsylvania Applicants must also require a nursing home level of care or be eligible for both Medicaid and Medicare Financial Requirements In order to be eligible for Medicaid there are both income and asset limits Income Limits
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Who Is Eligible For Community Health Choices - To qualify applicants must be age 21 or older and meet both functional and financial eligibility standards This guide provides an overview of the application process for one OLTL waiver the Community HealthChoices waiver including the functional eligibility review and the County Assistance Office CAO financial eligibility review