Community Health Choices

Community Health Choices (CHC) is PA’s mandatory Managed Care Organizations(MCO) who are dually eligible for both Medical Assistance and Medicare. The MCOs are responsible for the delivery and pay of your services instead of the state.  CFYHC will provide you with care and then we bill the state for those services.

What is managed care?

Managed Care is when an insurance company gets money from the state to pay for healthcare services. The State to do this because it is cheaper for the state to have insurance companies pay for services instead of doing it themselves.
Managed Care exists for other sorts of Medicaid programs in Pennsylvania already, it is long term care that is just now shifting over to a managed care model. Depending on the patient’s eligibility status and how they pay for their care, they may already be working with a Medicaid managed care network.

Will this affect my care, hours, aide?

Your hours will not change when CHC goes into effect January 2021.
You will still be able to receive personal care services from your aide when CHC starts next year.
CHC goes into effect January 2021 and your care plan should not change.  As far as Caregivers pay you will be paid by CFYHC and CHC will not affect this.