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Commonwealth of Pennsylvania Department of Human Services Office of Medical Assistance Programs 2022 External Quality Review Report UnitedHealthcare Final Report April 2023Table of Contents INTRODUCTION
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How to fill out community healthchoices managed care

01
Contact your local Area Agency on Aging to enroll in Community HealthChoices Managed Care.
02
Choose a Managed Care Organization (MCO) that covers your area and services you need.
03
Complete the enrollment form provided by the chosen MCO.
04
Provide necessary personal information and supporting documents as requested by the MCO.
05
Attend any required meetings or assessments as part of the enrollment process.
06
Review and sign the managed care agreement once approved for enrollment.

Who needs community healthchoices managed care?

01
Individuals who are eligible for Medicaid in Pennsylvania.
02
Those who require long-term services and supports, such as nursing home care or home health care.
03
People who prefer a coordinated approach to their healthcare needs through a managed care organization.
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Community HealthChoices Managed Care is a program designed to provide coordinated long-term services and supports for individuals who are eligible for Medicaid in specific regions. It seeks to enhance the quality of care by integrating physical health, behavioral health, and long-term services and supports.
Individuals who are eligible for Medicaid and have specific needs for long-term services and supports are required to file for Community HealthChoices Managed Care.
To fill out Community HealthChoices Managed Care, individuals must complete the application form provided by their state's Medicaid program, gather the necessary documentation, and submit it by following the specific guidelines outlined by the program.
The purpose of Community HealthChoices Managed Care is to ensure that eligible individuals receive comprehensive, coordinated care that integrates various health services and supports their overall well-being.
Key information that must be reported includes individual eligibility details, care needs assessment, service utilization data, and any changes in health status or circumstances.
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