Pennsylvania Community HealthChoices

What Is Community HealthChoices?

Community HealthChoices (CHC) is Pennsylvania’s mandatory managed care program for dually eligible Medical Assistance recipients - serving more people in communities, giving them the opportunity to work, spend more time with their families, and experience an overall better quality of life. CHC was developed to: 

1. Enhance access to and improve coordination of medical care.
2. Create a person-driven, long term support system in which people have choice, control, and access to a full array of quality services that provide independence, health, and quality of life. 
3. To help Long Term Services & Supports (LTSS) eligible individuals perform daily activities in their home such as bathing, dressing, preparing meals, and administering medications.
   

Who Can Enroll In CHC?

Individuals will be enrolled in CHC if they are 21 years old or over and are:

• Receiving both Medicare and Medicaid
• OR Receiving LTSS in the Attendant Care, Independence, or Aging waivers
• OR Receiving services in the OBRA waiver AND determined nursing facility clinically eligible
• OR Receiving care in a nursing home paid for by Medicaid.
• An Act 150 participant who is dually eligible for Medicare and Medicaid.

Individuals who already participate in a Living Independence for the Elderly (LIFE) program can remain in their LIFE program and will not be moved into CHC unless they specifically ask to change. Anyone who is enrolled in CHC who would prefer to participate in a LIFE program and qualifies to participate in LIFE will be free to do so.