For Providers

Information for UPMC Community HealthChoices Providers

Community HealthChoices is the Department of Human Services’ (DHS) new program that will allow managed care organizations (MCO) to coordinate medical care and long-term services and supports (LTSS) for individuals who qualify for Medical Assistance and also qualify for Medicare or require a nursing facility level of care.

UPMC Community HealthChoices is a product offered by UPMC for You, Inc., a Managed Care Organization selected by the state to provide this program beginning January 1, 2018, in the following southwestern Pennsylvania counties:

Allegheny, Armstrong, Beaver, Bedford, Blair, Butler, Cambria, Fayette, Greene, Indiana, Lawrence, Somerset, Washington, and Westmoreland.


FOR MEDICAL PROVIDERS

UPMC Community HealthChoices includes all medical benefits covered by the Department of Human Services’ Medicaid adult benefit package program. Check out our medical providers page for more information.

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FOR NON-MEDICAL PROVIDERS

UPMC Community HealthChoices includes all LTSS covered by the Department of Human Services-approved 1915(c) waiver. Our Home and Community Based Services providers page has more information.

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FREQUENTLY ASKED QUESTIONS

Do you have questions about Community HealthChoices? Please visit our FAQ section. If you have further questions, please call UPMC Community HealthChoices Provider Services Monday through Friday, 8a-5p at 1-844-860-9303.

Get Answers to Frequently Asked Questions
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