Pennsylvania’s Medicaid Behavioral Health Managed Care plans are responsible for authorizing and providing mental health inpatient hospitalization, partial hospital programs, crisis intervention services, peer support services, outpatient therapy, and targeted case management.
Is Ccbh part of UPMC?
Community Care Behavioral Health Organization (Community Care) is a nonprofit behavioral health managed care organization (BH-MCO) based in Pittsburgh, Pennsylvania. We are
a subsidiary of UPMC
and part of the UPMC Insurance Services Division.
What are the MCOs in PA?
What are the Managed Care Organizations (MCOs) managing Community HealthChoices (CHC)? As part of the transition, Pennsylvania’s Department of Human Services selected three MCOs to manage Community HealthChoices health plans. They are
Amerihealth Caritas, PA Health & Wellness, and UPMC
.
What does Medicaid cover for adults in PA?
All Medicaid programs are required to provide coverage for
hospital services, screenings and diagnostics, nursing facilities, home health, doctor visits, lab/x-ray tests, birth centers and family planning, and non-emergency medical transportation
, but some states (like Pennsylvania) add additional benefits, like dental …
How do you get someone committed in PA?
A physician or police officer can authorize the medical evaluation without a warrant, or a petitioner — often a person’s loved one or a mental health professional — can
sign a 302 form petitioning the county mental health administrator to issue a warrant
.
What is LTSS in PA?
Long-Term Services and Supports (LTSS) refers to
services and supports that meet the needs of people with chronic conditions who cannot independently care for themselves
. LTSS can be provided at home, in the community, or in facilities like nursing homes.
What is UPMC community health choices?
UPMC Community HealthChoices. is
a Managed Care Plan for Community HealthChoices
. long-term services and supports, you are eligible for Community HealthChoices.
What is UPMC CHC?
Community HealthChoices (CHC) is
Pennsylvania’s managed care long-term services and supports (LTSS) program
. Our services help seniors and people with physical disabilities who are dually eligible for Medicare and Medicaid live as independently as possible in their own homes and experience an improved quality of life.
What are behavioral health issues?
Behavioral health is
the way your habits impact your mental and physical wellbeing
. That includes factors like eating and drinking habits, exercise, and addictive behavior patterns. Substance abuse, eating disorders, gambling and sex addiction are all examples of behavioral health disorders.
Does Pennsylvania have Medicaid managed care?
The state currently contracts with ten plans to manage care for beneficiaries, including three national, for profit plans (Aetna Better Health, UnitedHealthcare Community Plan, and Coventry Cares Health Plan), and three national, not-for- profit plans (AmeriHealth Caritas Pennsylvania, AmeriHealth Northeast, and …
Who handles Medicaid in Pennsylvania?
Putting you first.
Keystone First
is Pennsylvania’s largest Medical Assistance (Medicaid) managed care health plan serving more than 400,000 Medical Assistance recipients in southeastern Pennsylvania including Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.
How do I contact PA Medicaid?
Telephone:
Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355
. In-Person: You can contact your local county assistance office (CAO). On Paper: You can download an application and send to your local CAO. If you need help completing the application form, a CAO staff member can help you.
What is the monthly income limit for Medicaid in PA?
| Household Size* Maximum Income Level (Per Year) | 1 $18,075 | 2 $24,353 | 3 $30,630 | 4 $36,908 |
|---|
Did Pa expand Medicaid?
But
in 2015, Pennsylvania adopted Medicaid expansion under the Affordable Care Act (ACA)
. Now, children and adults can qualify for coverage based solely on having limited income. Medicaid’s broad coverage ensures access to care so people of all ages and abilities can live healthy and full lives.
What are the qualifications for Medicaid in PA?
Adults age 19-64 with incomes at or below 133% of the Federal Income Poverty Guidelines (FPIG) (Identified for Medical Assistance purposes as MAGI-related) Individuals who are aged (age 65 and older), blind and disabled.
How do you get a mental help when refused in PA?
- Pennsylvania’s Support & Referral Helpline connects Pennsylvanians with mental and emotional support and to local resources. Call 855-284-2494 (TTY: 724-631-5600).
- Call 2-1-1 to reach the United Way and get connected to help in your area.
What does 201 mean in mental health?
Voluntary admission
(also known as a “201”) to an acute inpatient psychiatric hospital occurs when a person goes for psychiatric evaluation and the evaluating mental health provider and patient agree that the patient would benefit from hospitalization and meets criteria for hospitalization.
What is a 304 commitment in PA?
This Act prohibits anyone committed under Sections 302, 303 or 304 to
possess, use, manufacture, control, sell or transfer firearms
. The Pennsylvania law pertaining to mental health voluntary and involuntary commitments may be found at 055 Pa.
What is long-term Medicaid?
Long-term care insurance is
private insurance available to anyone who can pay for it
. Medicaid is for individuals and families living on a limited income, and many seniors use it to pay for long-term care in nursing homes. Long-term care insurance offers more flexibility and options than Medicaid.
Is UPMC Community health Choice Medicaid?
Community HealthChoices (CHC) is a Medicaid managed care program
that includes physical health benefits and long-term services and supports (LTSS).
What are health choices?
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.
What is CHC in Pennsylvania?
Community HealthChoices (CHC) is
a new mandatory Medicaid managed care program
. It is for people who qualify for both Medicare and Medicaid and individuals with physical disabilities.
