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Tags Posts tagged with "MCO"

MCO

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The Office of Long-Term Living (OLTL) has announced an upcoming transportation summit planned for December 11, 2023, from 1:00 pm – 4:00 pm.

The purpose of this meeting is to have a full and robust discussion about transportation issues and needs. There will be staff from various programs on the call, including the Managed Care Organizations (MCO) and transportation brokers, Medical Assistance Transportation Program (MATP), and the Pennsylvania Department of Transportation (PennDOT). They will be discussing their programs and will be available to answer any questions.

Attendees are encouraged to send questions in advance of the meeting and should be sent to Cortney Alvord via email. Attendees can also ask questions during the webinar by either raising their hand, at which point they will be unmuted, or by asking their question in the chat box.

This meeting is open to the public, transportation providers, and anyone interested in transportation issues in the Community HealthChoices (CHC) Program.

To participate in the meeting, the call information is provided below:

Microsoft Teams meeting

Join on your computer, mobile app or room device
Visit here to join the meeting
Meeting ID: 244 282 417 805
Passcode: T7xSky
Download Teams | Join on the web

Or call in (audio only)
+1 267-332-8737,,693312806#   United States, Philadelphia
Phone Conference ID: 693 312 806#
Find a local number | Reset PIN

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Photo by Markus Winkler from Pexels

On May 1, Beacon Health Options of Pennsylvania, Inc., the behavioral health Medicaid managed care organization serving members in Western Pennsylvania, is becoming Carelon Health of Pennsylvania, Inc.

In June 2022, Beacon’s parent company Elevance Health announced the launch of Carelon, a new healthcare services brand. The name Carelon is derived from the word “care” and suffix “-lon,” which means full and complete. Beacon is joining with other businesses across the nation under the Carelon brand to provide ongoing healthcare services to support whole-person health.

Provider contracts, reimbursement, policies, and points of contact will all remain the same. All existing phone numbers, emails, websites, and portals will redirect to the Carelon-branded locations with no action required from providers.

Providers with questions can call 877-615-8503.

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House Republican Appropriations Chairman Seth Grove will lead a roundtable discussion with Medicaid (MA) Managed Care Organizations (MCOs) on February 7, 2023, at 10:00 am.

Committee Chairman Grove will be joined by House members and the following testifiers:

  • Emily Katz, Executive Director of PAMCO;
  • Joanne McFall, Market President of Keystone First;
  • Matthew Hurford, President/CEO of Community Care Behavioral Health;
  • James Schuster, Chief Medical Officer of UPMC Insurance Services Division;
  • Jack Carroll, Executive Director of Cumberland-Perry Drug & Alcohol Commission;
  • John Koehn, Market President of Community HealthChoices, AmeriHealth Caritas;
  • Justin Davis, Plan President/CEO of PA Health & Wellness; and
  • Brendan Harris, Vice President of Community HealthChoices, UPMC Health Plan.

The hearing will be held in Room 60 East Wing, Main Capitol, State Capitol Complex in Harrisburg. The hearing will also be streamed live.

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A Financial Management Services (FMS) stakeholder meeting has been scheduled for January 6, 2023, from 1:00 pm – 2:30 pm. During this public meeting, there be a discussion on the administration of FMS under the Community HealthChoices (CHC), OBRA Waiver, and Act 150 programs. Representatives from the Office of Long-Term Living (OLTL) and CHC Managed Care Organizations (MCOs) will be in attendance to discuss the FMS program.

Please register using this registration link. After registering, you will receive a confirmation email containing information about joining the webinar.

If you choose to use your phone to call in, please use the numbers below:
Dial in: (631) 992-3221
Access Code: 335417876#
Audio PIN: shown after joining the webinar

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ODP Announcement 22-087 issues an important reminder that major changes are being made to the HealthChoices Physical Health Managed Care Organizations (MCOs) offering Medical Assistance benefits on September 1, 2022. A large number of Medical Assistance consumers must select a new MCO by August 16, 2022. If they do not make a selection, a new MCO will be automatically chosen for them.

If Medical Assistance consumers are unsure if they need to select a new MCO, or haven’t received selection materials, they should contact Pennsylvania Enrollment Services at the following:

800-440-3989
TTY: 800-618-4225 | Monday – Friday | 8:00 am – 6:00 pm
Home | PA Enrollment Services

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The Office of Long-Term Living (OLTL) implemented Community HealthChoices (CHC) effective January 1, 2018, in the counties identified as the CHC Southwest Region. With the roll-out of CHC, the process for referring individuals for nursing home transition (NHT) has changed for anyone who is enrolled in CHC.

For CHC participants in the following counties, referrals for NHT must be made to the participant’s Managed Care Organization (MCO).  For the purposes of making referrals according to MDS Section Q guidelines, the MCO is to be considered the local contact agency for individuals who are enrolled in CHC. The counties affected as of January 1 are:

  • Allegheny
  • Armstrong
  • Beaver
  • Bedford
  • Blair
  • Butler
  • Cambria
  • Fayette
  • Greene
  • Indiana
  • Lawrence
  • Somerset
  • Washington
  • Westmoreland

Please see contact information for the CHC MCOs below:

For all other questions regarding this notification, please contact the OLTL NHT staff at:

  • Rachel Sink 717-783-7378
  • Brandy Staub 717-783-7219
  • Janel Maple 717-857-3149
  • Mariah Henry 717-772-2542
  • or via email
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