Find out if you qualify for Community HealthChoices

To find out if you are eligible for Community HealthChoices (CHC), start with these questions.

Individuals age 21 and older are eligible for CHC if they are dually eligible for Medicare and Medicaid (with or without LTSS) or if they qualify for Medicaid long-term services and supports (LTSS) because they need the level of care provided by a nursing facility.

If you are eligible for CHC

You must have a Community HealthChoices managed care organization (MCO).

You may change your CHC MCO at any time by contacting the State’s Independent Enrollment Broker (IEB) at 1-844-824-3655. TTY users should call toll-free 1-833-254-0690. Or you can enroll online at www.enrollchc.com. They will tell you when the change to your new Community HealthChoices plan will start. It can take up to 6 weeks for a change to your Community HealthChoices plan to take effect.

People who already participate in a Living Independence for the Elderly (LIFE) program can remain in their LIFE program. They will not be moved into CHC unless they ask to change. If you are enrolled in CHC and would rather participate in a LIFE program, you may do so if you qualify for LIFE.

Who decides if someone is clinically eligible for LTSS?

UPMC Community HealthChoices does not decide if an individual is eligible for LTSS. A representative from the Area Agency on Aging or Aging Well assesses the person’s needs. The representative bases the decision on this assessment. If you would like to apply for LTSS, contact the Independent Enrollment Broker at 1-877-550-4227 and request an assessment.

*CHC will begin in these counties on January 1, 2018. The program will begin in Bucks, Chester, Delaware, Montgomery and Philadelphia counties on January 1, 2019, and in all other Pennsylvania counties on January 1, 2020.

How to Apply

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