Managed Care/Community HealthChoices
Legal Information
This section of PALawHelp.org has information and resources about Managed Care issues in Pennsylvania.
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PA Health Law Project Toll-Free Helpline - Call: 1-800-274-3258
The PA Health Law Project provides free legal services and advocacy to Pennsylvanians having trouble accessing publicly funded health care coverage or services. For assistance, call the PHLP Helpline at 1-800-274-3258 or 1-866-236-6310 TTY or e-mail the PHLP at staff@phlp.org. Information from the PHLP is also available online at www.phlp.org. Read More
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Appealing a Coverage Decision Made by your Medical Assistance Plan
Information from the Pennsylvania Health Law Project on the appealing decisions regarding managed care under PA Medical Assistance. [PDF] Content Detail
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How to Appeal a Denial in Community HealthChoices
This consumer fact sheet from the Pennsylvania Health Law Project provides information on how to appeal service denials under the Community HealthChoices program. Content Detail
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Managed Care Information - Pennsylvania Department of Health
Information from the Pennsylvania Department of Health on Managed Health Care Content Detail
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Pennsylvania Managed Care Member Appeal Guide [PDF]
Information on your options if if you are not happy with your managed care plan. Content Detail
- Read this in:
- Spanish / Español
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Accessing Drug & Alcohol Treatment Services in HealthChoices: Know Your Rights
Information for consumers using HealthChoices seeking to access drug and alcohol services or have an assessment to determine if treatment is needed. Content Detail
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Appealing the Denial, Reduction, or Termination of Wraparound Services in HealthChoices - A Guide for Parents/Guardians and Advocates
Information on how to appeal a determination that denies, reduces or terminates wraparound services under HealthChoices. Content Detail
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Community HealthChoices Toolkit
Community HealthChoices (CHC) is a new waiver program for individuals over 21 years old with a disability who previously received services through the Independence, CommCare, or Aging Waivers. This toolkit was developed by the Pennsylvania Assistive Technology Foundation, in collaboration with the Pennsylvania Health Law Project to provide information on CHC. Content Detail
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HealthCare.gov
HealthCare.gov is a federal government Website managed by the U.S. Department of Health & Human Services where you can get information on health care options that are available and sign up for health care benefits. Content Detail
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How to Make a Complaint to Your MA Managed Care Plan
This fact sheet from the Pennsylvania Health Law Project describes the process for filing a complaint with your managed care plan about a participating provider, or about the coverage, operations, or management of the plan, and what to do if you are not satisfied with the complaint outcome. Content Detail
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Medical Assistance Managed Care in Pennsylvania - A Guide to Pennsylvania’s HealthChoices Program for Families
This brochure explains the basics of Medical Assistance (MA) Physical Health coverage for children in Pennsylvania through the HealthChoices Program. Content Detail
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Person Centered Service Planning in Community HealthChoices (CHC)
Information on what Pennsylvanians with disabilities need to know about getting long term services and supports in Community HealthChoices. Content Detail
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Proving Your Case When Personal Assistance Services Have Been Denied
Personal Assistance Services (PAS) provide a caregiver to help people with bathing, dressing, toileting, meal preparation, shopping, managing medications, transportation, and more. This is a guide to the right to appeal when your Community Health Choices plan denies PAS. This includes when the plan denies you more hours of PAS, when the plan tries to take away PAS hours you have been getting, or when the plan denies PAS altogether. Content Detail
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Southeastern PA Consumer Guide: Where to Call for Help With Community HealthChoices
Information on where consumers in southeast Pennsylvania can get help with problems with Community HealthChoices Content Detail
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Southwestern PA Consumer Guide: Where to Call for Help With Community HealthChoices
Information on where consumers in southwest Pennsylvania can get help with problems with Community HealthChoices-SW. Content Detail
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